Bones involved -
1. Humerus
2. Radius
3. Ulna
Articular surface -
a. Upper articular surface
1. Trochlea and capitulum of humerus.
b. Lower articular surface
1. Upper surface of head of radius with capitulum.
2. Trochlear notch of ulna with trochlea of humerus.
Ligaments of elbow joint
1. Capsular ligament.
2. Ulnar collateral ligament.
3. Radial collateral ligament.
Relations
1. Anterior
Brachialis, median nerve, brachial artery and tendon of biceps brachii.
2. Posterior
Triceps brachii and anconeus.
3. Medially
Ulnar nerve, flexor carpi ulnaris and common flexors.
4. Laterally
Supinator, extensor carpi radialis brevis and other extensor muscles.
Blood supply
Anastomoses around elbow joint.
Nerve supply
1. Ulnar nerve
2. Median nerve
3. Radial nerve
4. Musculocutaneous nerve
Movements
1. Flexion
2. Extension
Muscles producing movements
1. Flexion
a. Brachialis
b. Biceps brachii
c. Brachioradialis
2. Extension
a. Triceps brachii
b. Anconeus
Note - Carrying angle
When the forearm is in extension position then the transverse axis of the elbow joint is directed medially and downwards. Because forearm is not in the straight line with the arm. So it makes an angle of 13 degrees which is known as carrying angle. This carrying angle becomes null when the elbow is in full flexion condition.
Clinical anatomy
1. Dislocation of the elbow
(Usually posteriorly because of the weak capsule).
2. Pulled elbow or subluxation of the head of the radius which happens when forearm is suddenly pulled in pronated state.
3. Tennis elbow
It happens in tennis players and there is abrupt pronation with the fully extended elbow. It leads to pain and tenderness over lateral epicondyl.
4. Student's elbow
Bursae on olecranon process gets inflammed.
5. Golfer's elbow
Pain in common flexor origin
No comments:
Post a Comment