1. Lesson 37
A & P Elbow, Wrist & Hand

2. Aims of the Session
This session will allow candidates to have an understanding of the anatomy and assessment of the elbow, wrist and hand

3. Learning Outcomes
By the end of the lesson the candidate will be able to
Classify and describe the articulations of the Elbow, Wrist & Hand joint including movements
Be able to identify and palpate the bony prominences
Identify and palpate the main muscles
Name the ligaments of the Elbow joint

4. Bones of the Elbow, Wrist & Hand
What bones make up the Elbow, Wrist, Hand
Elbow – Humerus & Ulna
Wrist – Ulna, Radius & Carpals

5. Bones of the Elbow, Wrist & Hand
What bones make up the Elbow, Wrist, Hand
Carpals

6. Bones of the Elbow, Wrist & Hand
What bones make up the Elbow, Wrist, Hand
Elbow – Humerus & Ulna
Wrist – Ulna, Radius & Carpals
Carpals –
Meta-carpals
Phalanges
Watch Video

7. Articulations of the Elbow, Wrist & Hand
What type of joint is the Elbow, Wrist, Hand
Freely movable or synovial
What type of classification is each of the joints located there
Pivot between the Radius & Ulna
Condyloid between the Radius, Ulna, Carpals Gliding between each Carpal bone
Saddle between Trapezium/Metacarpal
Gliding between Carpals, Metacarpals
Condyloid between Metacarpals/Phalanges
Hinge between Phalangeal joints
Watch Video

8. Articulations of the Elbow & Wrist joint
What are the main movements at the Elbow & Wrist
Elbow
Flexion, Extension,
Pronation & Supination at radio-ulna joint
Wrist
Palmar flexion, Dorsi flexion,
Radial abduction & Ulnar abduction
Hand/Fingers
Flexion, extension, adduction & abduction
Watch Video

9. Bony Prominences of the Arm/Hand
Medial Epicondyle
Lateral Epicondyle
Coronoid Process
Radial Tuberosity
Ulna Tuberosity
Radial Styloid Process
Ulna Styloid Process
Scaphoid
Trapezium
Anterior view of left arm
Watch Video

10. Main Ligaments of the Elbow joint
Ulna Collateral L – attaches Humerus & Ulna
Radial Collateral L – attaches Humerus & Radius
Annular Ligament – attaches the Radius & Ulna

11. Try and work out which muscles flex the elbow
Muscles which Flex the Elbow
Student Task
Try and work out which muscles flex the elbow

12. Elbow Joint Anterior Biceps Branchii Flexion, Abduction (LH),
Flexion, Adduction (SH)
O-Supra-glenoid Tubercle
O-Coracoid Process
I-Radial Tuberosity
I-Bicipital Aponeurosis
Watch Video

13. Elbow Joint Anterior Brachialis Flexion
O-Distal 1/3 of anterior surface of humerus
I-Coranoid Process & Ulna Tuberosity
Watch Video

14. Elbow Joint Anterior Brachioradialis Flexion, Abduction (LH),
Flexion, Adduction (SH)
O-Proximal aspect of the lateral ridge of the humerus
I-Lateral aspect of the radial styloid process
Watch Video

15. Try and work out which muscles extend the elbow
Muscles which extend the Elbow
Student Task
Try and work out which muscles extend the elbow

16. Shoulder Joint Inferior
Triceps Branchii (LH)
Extension, Adduction,
O-Infra-glenoid tubercle
I-Olecranon process of the ulna

17. Shoulder Joint Inferior
Triceps Branchii (Lat/med head)
Extension of Elbow Joint
O-Posterior Lat Upper 1/3 & Med Lower 2/3 shaft of Humerus
I-Olecranon process of the ulna
Watch Video

18. Muscles which Flex the Wrist
Common Wrist Flexors

19. Common Wrist Extensors
Muscles which Extend the Wrist
Common Wrist Extensors
Watch Video

20. Learning Outcomes Can you now
Classify and describe the articulations of the Elbow, Wrist & Hand joint including movements
Be able to identify and palpate the bony prominences
Identify and palpate the main muscles
Name the ligaments of the Elbow joint