Front | Back |
Elbow Joint
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3 joints within one capsule:
1. Humero-ulnar
2. Humero-radial
3. Proximal Radio-Ulnar
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Humero-ulnar Joint
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-Articulation of trochlea of humerus with trochlear notch of ulna
-Modified sellar joint
-Allows flexion/extension
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Humero-radial Joint
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-Articulation of the concave proximal surface of the radial head with the convex surface of the capitulum of the humerus
-Ovoid joint
-Allows flexion/extension, and pronation of radius -> pronation/supination
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Proximal Radio-ulnar Joint
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-Articulation of the periphery of radial head with the fibro-osseous ring formed by radial notch of ulna and annular lig.
-Periphery of radial head presents modified convex surface
-Radial notch of ulna presents concave surface
-Allows radial head to turn/spin/rotate --> Pronation/Supination
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Distal Radio-ulnar Joint
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-Associated with Proximal Radio-ulnar Joint
-Articulation of convex peripheral surface of ulnar head with concave surface of ulnar notch of radius
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Articular Capsule of Elbow
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-Typically thin, lined with synovial membrane
-Envelopes humeroulnar, humeroradial, and proximal radioulnar joints
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Valgus
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Joint is displaced in medial direction, the distal end of the limb is lateral relative to the position of the joint
Typically~15 degrees
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Varus
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Joint is displaced in lateral direction, the distal end of the limb is medial relative to the position of the joint
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Elbow Capsular Ligaments
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Medial Collateral Lig:
Anterior Fibers
Posterior Fibers
Transverse Fibers
Lateral Collateral Lig
Radial Collateral Lig.
Lateral Ulnar Collateral Lig.
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Anterior Fibers of Medial Collateral Ligament
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-From ant aspect of med humeral epicondyle to medial aspect of coronoid process -Strongest, stiffest band -Most fibers tight in full extension -Some stability |
Posterior Fibers of Medial Collateral Ligament
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-From post aspect of medial humeral epicondyle to medial surface of olecranon -Tight in extreme elbow flex -Reists valgus stress |
Transverse Fibers of Medial Collateral Ligament
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-From olecranon process to coronoid process -Little stability |
Radial Collateral Ligament
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-From split of Lateral Collateral Ligament -Fibers blend with Annular Ligament |
Lateral Ulnar Collateral Ligament
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-From split of Lateral Collateral Ligament -Fibers attach to supinator crest of ulna -All resist varus force |
Interosseous Membrane
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-Fibrous CT membrane that connects interosseous borders of radius and ulna -Connects without limiting pronation and supination -Provides SA for muscle attachment -Collage bundles directed distal/medial from radius to ulna allows for transfer of forces from radius to ulna and hand-radius-ulna-humerus -Maintains relationship between radius and ulna |