Chapter 6
The Elbow and Radioulnar Joints

Manual of Structural Kinesiology

PE 3320

HPER

 

The Elbow & Radioulnar Joints

Most upper extremity movements involve the ___________ & ___________ joints

Usually grouped together due to close anatomical relationship

Elbow joint movements may be clearly distinguished from those of the radioulnar joints

Radioulnar joint movements may be distinguished from those of the wrist

 

Bones

___________ is much larger proximally than radius

Radius is much ___________ distally than ulna

Scapula & humerus serve as ___________ attachments for muscles that ___________ & ___________ the elbow

Ulna & radius serve as ___________ attachments for these same muscles

 

Scapula, humerus, & ulna serve as ___________ attachments for muscles that ___________ & ___________ the radioulnar joints

 

Distal attachments of radioulnar joint muscles are located on ___________

 

Bony landmarks

medial condyloid ridge

olecranon process

coranoid process

radial tuberosity

 

Key bony landmarks for wrist & hand muscles

medial epicondyle

lateral epicondyle

lateral supracondylar ridge

 

Joints

___________ or ___________-type joint

Allows only ___________ & ___________

2 interrelated joints

___________ joint

___________ joints

 

Radial collateral ligament provides lateral stability & is rarely injured

Annular ligament provides a sling effect around radial head for stability

 

Elbow moves from 0 degrees of extension to 145 to 150 degrees of flexion

 

Radioulnar joint

___________ or ___________-type joint

Radial head rotates around at proximal ___________

___________ radius rotates around distal ulna

Annular ligament maintains radial head in its joint

 

Radioulnar joint

___________ 80 to 90 degrees from neutral

___________ 70 to 90 degrees from neutral

 

Movements

___________movement of forearm to shoulder by bending the elbow to decrease its angle

___________movement of forearm away from shoulder by straightening the elbow to increase its angle

 

Pronation

___________ rotary movement of radius on ulna that results in hand moving from palm-up to palm-down position

 

Supination

___________ rotary movement of radius on ulna that results in hand moving from palm-down to palm-up position

 

Muscles

Elbow flexors

___________

___________

___________

Weak assistance from ___________

 

Elbow extensor

___________

___________ provides assistance

 

Radioulnar pronators

___________

___________

___________

 

Radioulnar supinators

___________

___________

___________

 

Muscles

³Tennis elbow" - ____________________________________________________________

known lateral ___________

associated with ___________ & ___________ activities

___________ epicondylitis

somewhat ___________common

known as ___________ elbow

associated with ___________& ___________ near their origin on medial epicondyle

 

Both conditions involve muscles which ___________ elbow but act primarily on wrist & hand

 

Muscles

Anterior

Primarily flexion & pronation

Biceps brachii

Brachialis

Brachioradialis

Pronator teres

Pronator quadratus

 

Muscles

Posterior

Primarily extension & supination

Triceps brachii

Anconeus

Supinator

 

Biceps Brachii Muscle

Flexion of elbow

Brachialis Muscle

True flexion of elbow

 

Brachioradialis Muscle

Flexion of elbow

 

Triceps Brachii Muscle

All heads: extension of elbow

 

Anconeus Muscle

 

Pronator Teres Muscle

 

Pronator Quadratus Muscle

 

Supinator Muscle

 

Elbow Flexion

Ex. ___________

Agonists

___________

___________

___________

 

Elbow Extension

EX. ___________

Agonists

___________

___________

 

Radioulnar Pronation

Agonists

___________

___________

___________

 

Radioulnar Supination

Ex. ___________

Agonists

___________

___________

___________