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Chapter 11 Elbow Joint 3 bones, 3 ligaments, 2 joints, 1 capsule
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Joint Structure and Motions
Elbow flexion and extension Forearm pronation and supination Carrying angle Flexion & Extension – uniaxial degrees Forearm pronation – 0-80; supination 0-90; radioulnar joint Carrying angle – 5 degrees males; degrees female
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Bones and Landmarks Scapula Infraglenoid tubercle
Supraglenoid tubercle Coracoid process
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Bones and Landmarks Humerus Trochlea Capitulum Medial epicondyle
Lateral epicondyle Lateral supracondylar ridge Olecranon fossa
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Bones and Landmarks Ulna Olecranon process Trochlear notch
Coronoid process Radial notch Ulnar tuberosity Styloid process Head
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Bones and Landmarks Radius Head Radial tuberosity Styloid process
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Ligaments and Other Structures
Elbow joint Medial collateral ligament Lateral collateral ligament Radioulnar joint (proximal and distal) Annular ligament Interosseus membrane
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Muscles of the Elbow and Forearm
Brachialis Biceps brachii Brachioradialis Triceps brachii Anconeus Pronator teres Pronator quadratus Supinator
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Elbow and Forearm Anatomical relationships Summary of muscle action
Summary of muscle innervation Muscle action – Table 11.1 page 157 Muscle Innervation = Table 11.2 & 11.3 page 158
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Common Elbow Pathologies
Lateral epicondylitis Medial epicondylitis Elbow dislocation Supracondylar fracture Lateral epicondylitis – tennis elbow; esp. ECRB Medial Epicondylitis – golfer’s elbow Supracondylar fracture – children with FOOSH; Little league Elbow – stress of medial epicondyle Pulled elbow/ nursemaid’s elbow – radial head subluxation; children under age of 5 Volkmann’s Ischemic contracture – damage to brachial artery
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