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The Elbow and Radioulnar Joints
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Bones Humerus Ulnar Radius trochlea of the humerus
capitulum: spherical knob on lateral side medial and lateral epicondyle Ulnar Trochlear notch of ulna Olecranon Process on posterior aspect radial notch coronoid process ulnar tuberosity Radius Head radial tuberosity
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The Elbow Joint Classified as a ginglymus (hinge) joint
The ELBOW consists of 2 joints: humeroulnar olecranon process of the ulnar distal aspect of humerus radiohumeral radial head has small amount of articulation with humerus (capitulum)
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Proximal Radioulnar Joint
articulation between radius and ulnar not part of “hinge” joint trochoid (pivot) joint allows for forearm pronation/supination
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Movements Elbow Forearm movements about the Proximal Radioulnar joint
Flexion Extension Forearm movements about the Proximal Radioulnar joint Supination: Lateral rotation Pronation: Medial Rotation
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Muscles Posterior Triceps brachii Anconeus Supinator Anterior
Biceps brachii Brachialis Brachioradialis Pronator teres Pronator quadratus Posterior Triceps brachii Anconeus Supinator
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Muscles Elbow Flexors biceps brachii brachialis brachioradialis
pronator teres
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Muscles Elbow Extensors Forearm Pronators triceps brachii anconeus
pronator teres pronator quadratus brachioradialis*
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Muscles Forarm Supinators supinator biceps brachii brachioradialis*
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Anconeus (p56) Origin Insertion Action
posterior surface of lateral epicondyle of humerus Insertion ulna, posterior surface of olecranon process Action elbow extension
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Biceps Brachii (p 57) Origin: long head: supraglenoid tubercle short head: coracoid process Insertion radial tuberosity Action: elbow flexion, supination, (weak shoulder flexor)
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Brachialis (p58) Origin Insertion Action
Lower portion of anterior surface of humerus Insertion coronoid process of ulna ulna tuberosity Action elbow flexion (‘true’ flexor)
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Brachioradialis (p59) Origin Insertion Action
upper 2/3 of lateral supracondylar ridge of humerus Insertion styloid process of radius Action elbow flexion supination (from pronated position to neutral) *pronation (from supinated position to neutral)
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Pronator Quadratus (p60)
Origin ulna, anterior-distal fourth aspect Insertion radius, anterior-distal fourth Action pronation
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Pronator teres (p61) Origin Insertion Action
humerus, medial epicondyle ulna, cornoid process Insertion radius, middle third, lateral surface Action pronation elbow flexor
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Supinator (p62) Origin Insertion Action Humerus, lateral epicondyle
Ulna, supinator crest of ulna Insertion radius, lateral surface, upper 1/3 Action supination
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Triceps Brachii (p63) Origin Insertion
long head: scapula, infraglenoid tubercle lateral head: humerus, 1/3 lagteral-posterior surface medial head: humerus, lower 3/4 of posterior surface Insertion olecranon process of ulna Action All heads: elbow extension Long head: arm extension, arm adduction
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Summary Elbow and Proximal Radioulnar Joints Bones Actions
Humerus, ulna, radius Actions Elbow (about humeralulnar joint) flexion, extension Forearm (about Proximal Radioulnar joint) pronation, supination
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