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51 Cards in this Set

  • Front
  • Back
Elbow
Joint at which the ulna and radius articulate with the humerus
3 joints of the elbow (all in a single joint capsule)
1. Humeroulnar
2. Humeroradial
3. Proximal radioulnar
Which elbow joint contributes most to flexion and extension
Humeroulnar
What type of joint is the humeroular joint and what parts make it up?
Hinge joint; Trochlear notch of ulna and trochlea of humerus
Humeroradial articulation allows for
Flexion/extension
Proximal radioulnar joint allows for
Pronation and supination
Radial head movement in pro/supination
-Humeral component
-Ulnar component
-Pivots on humeral capitulum
-Articulates with radial notch of ulna
Articular surfaces are covered by:
Hyaline cartilage
Features of distal humerus facilitating movement of elbow
Anterior surface (3)
Posterior surface (1)
Anterior surface
1. Coronoid fossa
2. Radial fossa
3. Trochlear notch
Posterior surface
1. Olecranon fossa
Synovial membrane lines:
The deep surface of joint capsule
Thickness of joint capsule on elbow
-Anterior (cubital) and Posterior surface
-Lateral and Medial surface
-Thin
-Thicker
Integrity of elbow structure
Very sound
Ulnar collateral ligament location
Medial side
Radial collateral ligament location
Lateral side
-Annular ligament location
-Function
-Around head of radius; blended with radial collateral
-Aids in pronation/supination
Which ligament is triangular in shape?
Ulnar collateral
Function of collateral ligaments of elbow
Add strength to hinge function
What gives elbow joint strength
Collateral ligaments
Fat pad location
Outside synovial membrane but within the capsule
Result of bursitis
Large swelling because of loose skin
Innervation of elbow joint (2 or 3)
Musculocutaneous
Radial

Ulnar
Which styloid process (radial/ulnar) projects more distally
Radial
What divides the forearm into anterior and posterior compartments
Interosseous membrane
Which bone is the stabilizing bone of the forearm
Ulna
Which bone is big proximally and smaller distally
Ulna
Which bone is wide distally and smaller proximally
Radius
Which bone of forearm articulates with the wrist bones
Radius
Blood supply to elbow joint is via _____; which arises from
Anastomoses; branches of brachial a. & recurrent radial and ulnar a.
Innervation of hand
-Digit 1
-Digits 2, 3, 4.5
-Digits 4.5 & 5
-Radial n
-Median n
-Ulnar n
Reason for dermatomes
As limb bud extends, carries nerves with it
Compartments of forearm
1.
2.
3.
1. Anterior (volar)
2. Dorsal
3. Medial (Mobile wad)
Medial Compartment (Mobile wad) contains what muscles
Extensor carpi radialis brevis & longus & brachioradials
Anterior (Volar) Compartment contains
-Muscles
-Nerves
-Innervation
-Flexor and pronator muscles
-Median and ulnar .
-Ulnar and radial a.
Dorsal compartment contains
-Muscles
-Nerves
-Arteries
-Extensors
-Interosseous n., radial
-Posterior interosseous a.
The 4 "3" groups of extensor muscles
1. 3 to digits
2. 3 to wrists
3. 3 to thumb
4. 3 to other
3 extensors to digits
1. Extensor digitorum (2-5)
2. Extensor digiti minimi (5)
3. Extensor indices (2)
3 extensors to wrists
1. Extensor carpi radialis longus
2. Extensor carpi radialis brevis
3. Extensor ulnaris
3 extensors to thumb
1. Extensor pollicis brevis
2.Extensor pollicis longus
3. ABductur pollicis brevis
3 extensors to other
1. Anconeous
2. Supinator
3. Brachioradialis
Extensor retinaculum
Broad band of connective tissue that encircles wrist, stabilizes extensors
Posterior interosseous n. innervates ______
deepest portions of extensors
Extensor expansion
Tendonous sheath to which the extensors attach; located from MP to PIP
Medial Epicodylitis AKA
-Pain with ___ & ___
-Tender within ____ or directly ___
-Golfer's Elbow
-Resisted wrist flexion & pronation
-muscle belly; medial epicondyle
Lateral Epicondylitis AKA
-Caused by
Tennis elbow
-Repetitive motion
Avulsion
Pulling or tearing away
Nursemaid's elbow
-Cause (Ligament involved)
-Pt presentation
-Radial head slipping out of annular ligament
-Elbow pronated, partially flexed
--Child will refuse to use arm
Reduction of nursemaid's elbow
Thumb on annular ligament, supinate arm
Fat pad sign
Visible posterior fat pad is indicative of an intracapsular (often occult) fracture to elbow pushing the pad up
-Colles' Fracture
-AKA
-Distal fracture of radius with distal displacement of radius
-Dinner fork deformity
-Smith's/Reverse Colles'
Displacement of radius anteriorly
Radius styloid should be more _____ than ulna
distal