Anatomy of the Elbow and Shoulder Joints
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Questions and Answers

What forms the humeroulnar articulation?

  • The capitulum of the humerus and the olecranon of the ulna
  • The convex head of the humerus and the concave capitulum of the radius
  • The radial head and the radial fossa of the humerus
  • The grooved trochlea of the humerus and the trochlear notch of the ulna (correct)
  • Which ligament is positioned medially in the elbow joint?

  • Radial collateral ligament
  • Ulnar collateral ligament (correct)
  • Transverse ligament
  • Annular ligament
  • How does the fibrous capsule contribute to the stability of the elbow joint?

  • It is the primary weight-bearing structure for the joint
  • It is thin and weak overall, providing minimal support
  • It is lined with cartilage to reduce friction
  • It is reinforced by collateral ligaments at the sides (correct)
  • What type of membrane lines the fibrous capsule of the elbow joint?

    <p>Synovial membrane (D)</p> Signup and view all the answers

    Which component does NOT directly contribute to the stability of the elbow joint?

    <p>Articular cartilage (A)</p> Signup and view all the answers

    What common injury is associated with the supraspinatus muscle?

    <p>Tearing due to avascularity (C)</p> Signup and view all the answers

    Which of the following muscles is primarily responsible for shoulder abduction?

    <p>Supraspinatus (A)</p> Signup and view all the answers

    What is the function of the rotator cuff muscles?

    <p>To stabilize the shoulder joint (D)</p> Signup and view all the answers

    During which movement is the anterior deltoid most active?

    <p>Flexion (B)</p> Signup and view all the answers

    Which axis does shoulder abduction occur around?

    <p>Anteroposterior axis (D)</p> Signup and view all the answers

    What is the primary muscle responsible for medial rotation of the shoulder?

    <p>Subscapularis (C)</p> Signup and view all the answers

    Which movement is defined as a combination of flexion, extension, abduction, and adduction?

    <p>Circumduction (B)</p> Signup and view all the answers

    What role do the ligaments play in shoulder joint stability?

    <p>They support joint stability (B)</p> Signup and view all the answers

    Which muscle is primarily responsible for flexion at the elbow joint?

    <p>Biceps brachii (D)</p> Signup and view all the answers

    What is the primary blood supply to the elbow joint?

    <p>Anastomoses around the elbow joint (D)</p> Signup and view all the answers

    Which nerve is primarily responsible for the innervation of the elbow joint?

    <p>Musculocutaneous nerve (B)</p> Signup and view all the answers

    What commonly happens when one falls on the hand in relation to the elbow joint?

    <p>Posterior dislocation (D)</p> Signup and view all the answers

    Which of the following ligaments is frequently torn during a dislocation of the elbow joint?

    <p>Ulnar collateral ligament (A)</p> Signup and view all the answers

    Which artery is a branch of the thyrocervical trunk that supplies blood to the shoulder joint?

    <p>Suprascapular artery (A)</p> Signup and view all the answers

    What primarily contributes to the common occurrence of anterior dislocation of the shoulder joint?

    <p>Inadequate support from the infraglenoid tubercle (A)</p> Signup and view all the answers

    What condition is likely to occur due to anterior dislocation of the shoulder joint?

    <p>Injury to the axillary nerve (A)</p> Signup and view all the answers

    What is the typical carrying angle when the forearm is fully extended and supinated in males?

    <p>170 degrees (C)</p> Signup and view all the answers

    Which type of joint is the elbow classified as?

    <p>Uniaxial hinge joint (C)</p> Signup and view all the answers

    What is the primary function of the glenoid labrum in the shoulder joint?

    <p>To deepen the glenoid cavity and enhance articulation (B)</p> Signup and view all the answers

    Which ligament is primarily responsible for stabilizing the anterior aspect of the shoulder joint?

    <p>Glenohumeral ligament (B)</p> Signup and view all the answers

    What is the role of the fibrous joint capsule in the shoulder joint?

    <p>It allows for great mobility of the joint (A)</p> Signup and view all the answers

    Which muscle is NOT part of the rotator cuff group?

    <p>Biceps brachii (B)</p> Signup and view all the answers

    Which statement about the shoulder joint's flexibility is correct?

    <p>It is one of the most flexible joints in the body. (D)</p> Signup and view all the answers

    What type of joint is the wrist joint considered?

    <p>Ellipsoidal joint (A)</p> Signup and view all the answers

    Which of the following ligaments is NOT associated with the wrist joint?

    <p>Anterior cruciate ligament (B)</p> Signup and view all the answers

    Which muscle is primarily responsible for wrist extension?

    <p>Extensor carpi radialis longus (C)</p> Signup and view all the answers

    What anatomical feature separates the joint cavity of the wrist from that of the distal radio-ulnar joint?

    <p>Triangular articular disc (C)</p> Signup and view all the answers

    Which action is performed by the simultaneous contraction of flexor carpi ulnaris and extensor carpi ulnaris?

    <p>Wrist adduction (ulnar deviation) (C)</p> Signup and view all the answers

    Which ligament provides support on the ulnar side of the wrist joint?

    <p>Ulnar collateral (A)</p> Signup and view all the answers

    What is the primary agonist muscle involved in wrist flexion?

    <p>Flexor carpi radialis (B)</p> Signup and view all the answers

    Which type of fracture is characterized by a dinner fork deformity?

    <p>Colle's fracture (B)</p> Signup and view all the answers

    Which muscle group is responsible for radial deviation of the wrist?

    <p>Flexor carpi radialis and extensors carpi radiales (A)</p> Signup and view all the answers

    Which structure provides vascular supply to the wrist joint?

    <p>Palmar carpal arches (D)</p> Signup and view all the answers

    Flashcards

    What are the bony articulations of the elbow joint?

    The elbow joint is formed by the concave head of the radius articulating with the convex humeral capitulum, and the trochlear notch of the ulna articulating with the trochlea of the humerus.

    What is the function of the fibrous capsule in the elbow joint?

    The fibrous capsule surrounds the elbow joint, providing a protective layer and attaching to specific bony landmarks. It's thin anteriorly and posteriorly, but strengthened by ligaments on the sides.

    What are the main ligaments that help stabilize the elbow joint?

    The radial collateral ligament on the lateral side and the ulnar collateral ligament on the medial side provide stability and prevent excessive movement. They are crucial for preventing the elbow from dislocating.

    What is the function of the annular ligament in the elbow joint?

    The annular ligament encircles the head of the radius and holds it in place against the ulna, allowing for rotation of the forearm.

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    What are the factors contributing to the stability of the elbow joint?

    The stability of the elbow joint is achieved by the bony articulations, ligaments, fibrous capsule, and surrounding muscles. All these structures work together to provide support and control movement.

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    Shoulder Rotator Cuff Tear

    A common shoulder injury caused by repetitive motions and often affects the supraspinatus muscle due to its limited blood supply.

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    Shoulder Joint Stability

    The fibrous capsule, ligaments like the glenohumeral and coracohumeral ligaments, and the rotator cuff muscles (teres minor, subscapularis, supraspinatus, infraspinatus) all contribute to the stability of the shoulder joint.

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    Shoulder Joint Movement

    The shoulder joint allows for flexion and extension, abduction and adduction, medial and lateral rotation, and a combination of these movements called circumduction.

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    Shoulder Flexion

    The clavicular fibers of pectoralis major, anterior deltoid fibers, biceps brachii, and coracobrachialis muscles work together to raise the arm forward.

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    Shoulder Extension

    The posterior deltoid fibers, latissimus dorsi, teres major, and other muscles work together to lower and stabilize the arm backwards.

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    Shoulder Abduction

    The supraspinatus and middle deltoid fibers work together to raise the arm away from the body.

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    Shoulder Adduction

    The teres major, latissimus dorsi, pectoralis major, and other muscles act to pull the arm towards the body.

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    Shoulder Lateral Rotation

    The infraspinatus, teres minor, and posterior deltoid fibers rotate the arm outwards.

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    Elbow Flexion

    The movement that decreases the angle between the forearm and the upper arm, bringing the hand closer to the shoulder.

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    Elbow Extension

    The movement that increases the angle between the forearm and the upper arm, straightening the arm.

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    Anastomoses around the Elbow Joint

    A network of blood vessels that surround the elbow joint, providing blood supply and supporting joint function.

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    Ulnar Nerve Injury in Elbow Dislocation

    The ulnar nerve is located on the medial side of the elbow and is vulnerable to injury during elbow dislocations or fractures.

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    Ulnar Collateral Ligament Injury

    A ligament that stabilizes the medial side of the elbow joint and is commonly injured during dislocations.

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    Carrying Angle

    The angle between the arm and forearm when the forearm is fully extended and supinated. It disappears when the forearm is pronated. It is estimated to be approximately 170 degrees in males and 160-165 degrees in females.

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    Posterior Circumflex Humeral Artery

    A branch of the 3rd part of the axillary artery that supplies blood to the posterior aspect of the shoulder joint.

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    Uniaxial Hinge Joint

    A type of joint where movement occurs in only one plane, like a door hinge.

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    Humeroulnar articulation

    The part of the shoulder joint formed by the humerus and the ulna bones.

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    Subacromial Bursitis

    Inflammation of the fluid-filled sac (bursa) located under the acromion bone, often associated with supraspinatus tendinitis.

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    Shoulder Joint

    The shoulder joint, also known as the glenohumeral joint, is a complex ball-and-socket joint that allows for a wide range of motion. It connects the humerus (upper arm bone) to the glenoid cavity of the scapula (shoulder blade).

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    Glenoid Labrum

    The glenoid labrum is a ring of fibrocartilage that deepens the shallow glenoid cavity. This deepening helps to increase the stability of the shoulder joint by providing a better fit between the humeral head and the glenoid cavity.

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    Fibrous Capsule of Shoulder Joint

    The fibrous capsule is a tough, fibrous sheath that surrounds the shoulder joint. It helps to stabilize the joint and prevent excessive movement. However, it is relatively weak in the inferior part. The long head of the triceps brachii muscle reinforces this area.

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    Rotator Cuff Muscles

    The rotator cuff is a group of four muscles that surround the shoulder joint. These muscles help to stabilize the joint, control movement, and prevent injuries. They work together to rotate the arm and control its movement.

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    Coracoacromial Ligament

    The coracoacromial ligament is a strong ligament that extends between the acromion (a bony projection on the shoulder blade) and the coracoid process (another bony projection on the shoulder blade). It protects the humeral head from superior displacement, helping to prevent the shoulder from dislocating upwards.

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    What is the Wrist Joint (Radiocarpal)?

    This joint connects the distal end of the radius and the articular disc of the distal radio-ulnar joint to the scaphoid, lunate, and triquetrum bones in the wrist.

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    What type of joint is the wrist joint?

    The wrist joint is a type of synovial joint that allows for movement along two axes, like a ball rolling in a socket.

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    What is the fibrous capsule of the wrist joint?

    It is a strong fibrous layer that surrounds the wrist joint, attaching to the bones and helping to keep the joint stable.

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    What are ligaments of the wrist joint?

    The wrist joint is strengthened and supported by these structures, which restrict excessive movement and help prevent injuries. These structures are thickenings of the fibrous capsule.

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    What is wrist flexion?

    This type of wrist movement involves bending the hand downwards towards the forearm.

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    What ligaments stabilize the wrist joint?

    The radial collateral ligament on the lateral side and the ulnar collateral ligament on the medial side prevent excessive movement and help stabilize the wrist joint.

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    What muscles cause adduction (ulnar deviation) of the wrist?

    The simultaneous action of Flexor carpi ulnaris and Extensor carpi ulnaris muscles moves the wrist towards the pinky finger (ulnar side).

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    What is a common fracture in the wrist following a fall on an outstretched hand?

    A fracture of the scaphoid bone can occur after a fall on an outstretched hand. Healing is slow due to poor blood supply to the bone.

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    What muscles cause abduction (radial deviation) of the wrist?

    The simultaneous action of Flexor carpi radialis and Extensors carpi radiales longus and brevis muscles moves the wrist towards the thumb (radial side).

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    What type of fracture involving the radius can occur in children?

    The distal epiphysis of the radius may fracture in children due to falls on the hand. The fracture can be described as transverse with ventral deviation of the wrist.

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    Study Notes

    Stability of the Shoulder Joint

    • Stability of the shoulder joint is ensured by the following factors:

      • Fibrous capsule of the joint
      • The ligaments of the joint
      • Rotator cuff muscles
    • Rotator cuff muscles include: teres minor, supraspinatus, and infraspinatus

    Movement of the Shoulder Joint

    • Flexion and extension – around a transverse axis
    • Abduction and adduction – around an anteroposterior axis
    • Medial and lateral rotation – around a vertical axis
    • Circumduction – a combination of the above movements

    Muscles Associated with Shoulder Joint Movements

    • Flexion - Clavicular fibres of pectoralis major, anterior fibres of deltoid, biceps brachii and coracobrachialis
    • Extension - Posterior fibres of deltoid, latissimus dorsi and teres major (assisted by sternoccostal fibres of pectoralis major and long head of triceps brachii [especially when acting from the flexed position of the joint])
    • Abduction - Supraspinatus and middle fibres of deltoid
    • Adduction - Teres major, latissimus dorsi, pectoralis major, subscapularis, infraspinatus and teres minor
    • Lateral rotation - Infraspinatus, teres minor and posterior fibres of deltoid
    • Medial rotation - Subscapularis, latissimus dorsi, teres major, anterior fibres of deltoid and pectoralis major

    Additional Points

    • Forceful, repetitive movements of the shoulder joint, as in swimming, baseball, etc. can involve tearing of the supraspinatus.
    • This can produce pain during shoulder movements, especially when initiating abduction.
    • Dislocations of the shoulder joint are relatively common, due to instability in the glenohumeral joint.

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    Test your knowledge on the anatomy and stability of the elbow and shoulder joints. This quiz covers key concepts such as ligaments, muscles, and movements associated with these joints. Perfect for students studying human anatomy or related fields.

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