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51 Cards in this Set
- Front
- Back
Elbow
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Joint at which the ulna and radius articulate with the humerus
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3 joints of the elbow (all in a single joint capsule)
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1. Humeroulnar
2. Humeroradial 3. Proximal radioulnar |
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Which elbow joint contributes most to flexion and extension
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Humeroulnar
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What type of joint is the humeroular joint and what parts make it up?
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Hinge joint; Trochlear notch of ulna and trochlea of humerus
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Humeroradial articulation allows for
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Flexion/extension
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Proximal radioulnar joint allows for
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Pronation and supination
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Radial head movement in pro/supination
-Humeral component -Ulnar component |
-Pivots on humeral capitulum
-Articulates with radial notch of ulna |
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Articular surfaces are covered by:
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Hyaline cartilage
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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 |
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Synovial membrane lines:
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The deep surface of joint capsule
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Thickness of joint capsule on elbow
-Anterior (cubital) and Posterior surface -Lateral and Medial surface |
-Thin
-Thicker |
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Integrity of elbow structure
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Very sound
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Ulnar collateral ligament location
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Medial side
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Radial collateral ligament location
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Lateral side
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-Annular ligament location
-Function |
-Around head of radius; blended with radial collateral
-Aids in pronation/supination |
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Which ligament is triangular in shape?
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Ulnar collateral
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Function of collateral ligaments of elbow
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Add strength to hinge function
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What gives elbow joint strength
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Collateral ligaments
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Fat pad location
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Outside synovial membrane but within the capsule
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Result of bursitis
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Large swelling because of loose skin
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Innervation of elbow joint (2 or 3)
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Musculocutaneous
Radial Ulnar |
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Which styloid process (radial/ulnar) projects more distally
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Radial
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What divides the forearm into anterior and posterior compartments
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Interosseous membrane
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Which bone is the stabilizing bone of the forearm
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Ulna
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Which bone is big proximally and smaller distally
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Ulna
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Which bone is wide distally and smaller proximally
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Radius
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Which bone of forearm articulates with the wrist bones
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Radius
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Blood supply to elbow joint is via _____; which arises from
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Anastomoses; branches of brachial a. & recurrent radial and ulnar a.
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Innervation of hand
-Digit 1 -Digits 2, 3, 4.5 -Digits 4.5 & 5 |
-Radial n
-Median n -Ulnar n |
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Reason for dermatomes
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As limb bud extends, carries nerves with it
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Compartments of forearm
1. 2. 3. |
1. Anterior (volar)
2. Dorsal 3. Medial (Mobile wad) |
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Medial Compartment (Mobile wad) contains what muscles
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Extensor carpi radialis brevis & longus & brachioradials
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Anterior (Volar) Compartment contains
-Muscles -Nerves -Innervation |
-Flexor and pronator muscles
-Median and ulnar . -Ulnar and radial a. |
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Dorsal compartment contains
-Muscles -Nerves -Arteries |
-Extensors
-Interosseous n., radial -Posterior interosseous a. |
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The 4 "3" groups of extensor muscles
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1. 3 to digits
2. 3 to wrists 3. 3 to thumb 4. 3 to other |
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3 extensors to digits
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1. Extensor digitorum (2-5)
2. Extensor digiti minimi (5) 3. Extensor indices (2) |
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3 extensors to wrists
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1. Extensor carpi radialis longus
2. Extensor carpi radialis brevis 3. Extensor ulnaris |
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3 extensors to thumb
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1. Extensor pollicis brevis
2.Extensor pollicis longus 3. ABductur pollicis brevis |
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3 extensors to other
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1. Anconeous
2. Supinator 3. Brachioradialis |
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Extensor retinaculum
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Broad band of connective tissue that encircles wrist, stabilizes extensors
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Posterior interosseous n. innervates ______
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deepest portions of extensors
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Extensor expansion
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Tendonous sheath to which the extensors attach; located from MP to PIP
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Medial Epicodylitis AKA
-Pain with ___ & ___ -Tender within ____ or directly ___ |
-Golfer's Elbow
-Resisted wrist flexion & pronation -muscle belly; medial epicondyle |
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Lateral Epicondylitis AKA
-Caused by |
Tennis elbow
-Repetitive motion |
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Avulsion
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Pulling or tearing away
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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 |
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Reduction of nursemaid's elbow
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Thumb on annular ligament, supinate arm
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Fat pad sign
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Visible posterior fat pad is indicative of an intracapsular (often occult) fracture to elbow pushing the pad up
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-Colles' Fracture
-AKA |
-Distal fracture of radius with distal displacement of radius
-Dinner fork deformity |
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-Smith's/Reverse Colles'
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Displacement of radius anteriorly
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Radius styloid should be more _____ than ulna
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distal
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