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BMS Anatomy Lecture 10: Elbow, Radioulnar, and Hand Joints

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118 Questions

What type of joint is the elbow joint?

Hinge joint

Which ligaments contribute to the structural strength of the elbow joint?

Radial collateral and ulnar collateral ligaments

In the elbow complex, which bony articulation involves the trochlea of the humerus?

Humero-ulnar

What movements are permitted by the typical 'elbow' joint?

Flexion and extension

Which part of the humerus has the trochlea and capitulum as articular surfaces?

Distal end

How many degrees of freedom does the elbow joint typically have?

One degree of freedom

Which ligament becomes taut during wrist flexion at the radiocarpal joint?

Posterior ligament

What type of movement at the radiocarpal joint involves the collateral ligaments?

Adduction

In wrist flexion at the radiocarpal joint, which ligament relaxes?

Anterior ligament

What is the role of the ulno-carpal ligament in wrist movement at the radiocarpal joint?

Relaxes during wrist flexion

Which muscle group is primarily involved in wrist flexion and extension?

Flexor Carpi Ulnaris and Flexor Carpi Radialis

What is the axis of abduction and adduction motions at the radiocarpal joint?

Through the head of the capitate

Which of the following muscles is NOT involved in wrist flexion?

Extensor Carpi Radialis Longus

Which of the following describes the primary motion of the carpometacarpal (CMC) joint of the thumb?

All of the above

Which of the following muscles is involved in both wrist flexion and wrist abduction?

Flexor Carpi Radialis

Which of the following statements about the carpometacarpal (CMC) joint of the thumb is NOT true?

It is a hinge joint.

Which of the following muscles is involved in wrist extension but NOT in wrist abduction?

Extensor Digiti Minimi

Which of the following statements about the carpometacarpal (CMC) joint of the thumb is true?

The joint surface of the 1st metacarpal is convex, and the joint surface of the trapezium is concave.

Which of the following muscles are responsible for flexion of digits 2 to 5?

Flexor digitorum superficialis, flexor digitorum profundus, lumbricals, dorsal interossei

What is the range of motion (ROM) for flexion of the proximal interphalangeal (PIP) joint of the fingers?

120 degrees

Which muscle group is responsible for adduction of digits 2 to 5?

Palmar interossei

What is the range of motion (ROM) for hyperextension of the thumb interphalangeal (IP) joint?

5-10 degrees

Which of the following is NOT an extrinsic muscle acting on the digits?

Adductor pollicis

In what position of the metacarpophalangeal (MCP) joint of the thumb can abduction/adduction occur?

Semiflexion

Which of the following statements about the glenohumeral (shoulder) joint is correct?

Approximately two-thirds of the humeral head fits into the glenoid fossa.

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

To deepen the glenoid cavity and improve congruence.

Which of the following axes controls the rotational movements of the glenohumeral joint?

Vertical axis

Which of the following structures is closely related to the glenohumeral joint and may be damaged during dislocation?

Axillary nerve

Which of the following statements about the joint capsule of the glenohumeral joint is correct?

It is relatively loose, permitting free movements.

Which of the following movements of the glenohumeral joint is controlled by the antero-posterior axis?

Abduction and adduction

What is the range of motion (ROM) for the 5th carpometacarpal (CMC) joint?

25 to 30 degrees of motion

How many degrees of freedom (DOF) do the metacarpophalangeal (MCP) joints have?

2 DOF

When the MCP joint is in 90 degrees of flexion, what is the state of the collateral ligaments?

Taut

What is the range of motion (ROM) for abduction and adduction of the metacarpophalangeal (MCP) joints?

20 degrees

Which of the carpometacarpal (CMC) joints has the greatest range of motion?

5th CMC joint

What is the range of motion (ROM) for hyperextension of the metacarpophalangeal (MCP) joints?

0 degrees

What is the range of motion (ROM) for flexion of the proximal interphalangeal (PIP) joint of the fingers?

$120^{\circ}$

In what position of the metacarpophalangeal (MCP) joint of the thumb can abduction/adduction occur?

In semiflexion

Which muscle group is responsible for adduction of digits 2 to 5?

Palmar interossei

Which of the following muscles are responsible for flexion of digits 2 to 5?

Flexor digitorum superficialis and flexor digitorum profundus

What is the range of motion (ROM) for hyperextension of the thumb interphalangeal (IP) joint?

$5^{\circ} - 10^{\circ}$

What is the primary function of the transverse humeral ligament?

To convert the intertubercular groove into a canal for the long head of the biceps tendon

What is the primary function of the coracoacromial arch?

To prevent superior displacement of the humeral head from the glenoid cavity

What is the primary function of the bursae around the shoulder joint?

To decrease friction between tendons/muscles and the joint capsule

What is the primary function of the glenohumeral ligaments?

To provide structural support to the shoulder joint capsule

Where is the long head of the biceps tendon positioned within the shoulder joint?

Within the joint capsule, passing through the intertubercular groove

What is the primary function of the coracohumeral ligament?

To connect the coracoid process to the greater tubercle of the humerus

What is the primary role of the Scapulothoracic Joint?

Increases arm ROM at the Shoulder joint

Which movement will result in changes at both the acromioclavicular and sternoclavicular joints?

Adduction of the Scapula

What provides Glenohumeral stability for overhead work?

Scapulothoracic Joint

What is the main function of the Scapulothoracic Joint in relation to the Humerus?

Offers a movable base for the Humerus, enhancing arm ROM at shoulder joint

What is the significance of muscles attached to the scapula with regards to shoulder movements?

Produce movements that are dependent on acromioclavicular and sternoclavicular articulations

Which of the following muscles is NOT involved in wrist extension?

Flexor Carpi Radialis

Which motion at the carpometacarpal (CMC) joint of the thumb involves rotation of the 1st metacarpal on the trapezium?

Opposition

What is the primary function of the joint capsule at the carpometacarpal (CMC) joint of the thumb?

It is thick, but loose to allow a wide range of motion

Which of the following motions is NOT permitted at the carpometacarpal (CMC) joint of the thumb?

Circumduction

Which of the following muscles acts as a synergist for both wrist flexion and wrist abduction?

Flexor Carpi Radialis

Which of the following statements about the articular surfaces of the carpometacarpal (CMC) joint of the thumb is correct?

The surfaces have both convex and concave characteristics

Which of the following muscles is responsible for extension of the digits 2 to 5?

Extensor digitorum

Which of the following muscle groups is responsible for abduction of digits 2 to 5?

Dorsal interossei

What is the range of motion (ROM) for flexion of the metacarpophalangeal (MCP) joint of the thumb?

45 - 60 degrees

Which of the following muscles is responsible for opposition of the thumb?

Opponens pollicis

Which of the following statements about the intrinsic muscles of the hand is true?

The lumbricals are responsible for flexion of digits 2 to 5.

Which of the following muscles is involved in both wrist flexion and wrist abduction?

Flexor carpi radialis

What is the primary purpose of the articular disc in the inferior radio-ulnar joint?

To bind the radius and ulna together and separate different joints

Which ligament provides support to the middle radioulnar joint?

Interosseous membrane

How is the middle radioulnar joint defined in terms of movement?

Amphiarthrosis joint

What is the function of the thickening of the capsule as palmar (anterior) and posterior or dorsal radioulnar ligaments?

To support the joint anteriorly and posteriorly

Which muscles are responsible for Supination and Pronation movements at the forearm?

Supinator & Pronator teres

What is the degree of movement for Pronation compared to Supination at the radio-ulnar joints?

$90^\circ$ Pronation, $80^\circ$ Supination

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

To widen the glenoid cavity and increase congruence with the humeral head

Which of the following structures is closely related to the glenohumeral joint and may be damaged during dislocation?

Axillary nerve

Which of the following axes controls the rotational movements of the glenohumeral joint?

Vertical axis

Which of the following statements about the joint capsule of the glenohumeral joint is correct?

It is least supported inferiorly, making dislocation more likely in that direction

Which of the following statements about the articular surfaces of the glenohumeral joint is correct?

The head of the humerus is much larger than the glenoid cavity

Which of the following movements of the glenohumeral joint is controlled by the antero-posterior axis?

Abduction and adduction

Which of the following joints is a physiological joint with no true articulation?

Scapulothoracic joint

Which of the following statements accurately describes the role of the scapulothoracic joint?

All of the above.

Which of the following statements regarding the relationship between the scapulothoracic joint and other shoulder joints is correct?

Any movement at the scapulothoracic joint will result in movement at both the acromioclavicular and sternoclavicular joints.

Which of the following muscles is responsible for abduction of the thumb?

Abductor pollicis longus and Abductor pollicis brevis

Which of the following muscles is responsible for opposition of the thumb?

Opponens pollicis

Which of the following muscle groups is responsible for flexion of digits 2 to 5?

Flexor digitorum profundus and Flexor digitorum superficialis

After reaching 90° abduction, the movement of the upper limb:

Brings the upper limb closer to the sagittal plane

In the position of reference, adduction of the shoulder joint is possible when combined with:

Extension and flexion

Which of the following statements about the subacromial bursa is correct?

It may become inflamed and swollen, leading to impingement

The movement of abduction takes place in which plane?

Frontal plane

What is the maximum angle of abduction that can be achieved at the shoulder joint?

180°

Which bursa is located between the deltoid and the fibrous capsule?

Subdeltoid bursa

Which of the following muscle groups is responsible for wrist adduction?

Flexor Carpi Ulnaris and Extensor Carpi Ulnaris

Which of the following motions is permitted at the carpometacarpal (CMC) joint of the thumb?

Rotation of the 1st metacarpal on the trapezium

Which muscle group is responsible for wrist abduction?

Flexor Carpi Radialis, Extensor Carpi Radialis Longus, and Extensor Carpi Radialis Brevis

Which of the following muscles is primarily responsible for opposition of the thumb?

Opponens Pollicis

Which of the following statements about the carpometacarpal (CMC) joint of the thumb is correct?

It is a saddle joint with 3 degrees of freedom

Which of the following muscles is involved in both wrist flexion and wrist abduction?

Flexor Carpi Radialis

What is the primary function of the radial collateral ligament in the elbow complex?

Provide side-to-side stability to prevent varus-valgus stress

Which ligament reinforces the distal part of the joint capsule of the elbow complex to provide additional support?

Annular ligament

In the elbow complex, what is the primary function of the trochlea of the humerus?

Participate in the formation of the humero-ulnar joint for flexion and extension

Which joint within the elbow complex permits rotational movements of the forearm?

Proximal radio-ulnar joint

What anatomical structure primarily limits hyperextension at the elbow joint?

Olecranon process of ulna

Which ligament in the elbow complex is most crucial for preventing abduction-adduction movements?

Ulnar collateral ligament

Which joint provides a movable base for the humerus, increasing the range of motion at the shoulder joint?

Scapulothoracic joint

Which muscle group is primarily responsible for abduction of the thumb?

Abductor pollicis longus and abductor pollicis brevis

Which of the following statements about the joint capsule of the glenohumeral joint is correct?

It is reinforced by the coracohumeral ligament, which provides stability to the joint.

Which muscle is primarily responsible for opposition of the thumb?

Opponens pollicis

Which of the following movements of the glenohumeral joint is controlled by the antero-posterior axis?

Abduction and adduction

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

To increase the depth of the glenoid fossa and provide stability to the joint.

What is the range of passive flexion for the elbow joint?

160°

Which of the following structures forms a part of the proximal radio-ulnar joint?

Both the radial notch of the ulna and the annular ligament

What is the range of extension for the elbow joint from the position of reference (C)?

Which of the following statements about the head of the radius is correct?

All of the above.

What type of joint is the proximal radio-ulnar joint?

A synovial pivot joint

Which of the following statements about the movement at the proximal radio-ulnar joint is correct?

It allows rotation about the axis of the two cylindrical surfaces in contact.

Which intrinsic muscle group is responsible for abduction of the little finger (digit 5)?

Abductor digiti minimi

Which extrinsic muscle primarily extends the interphalangeal joints of the thumb?

Extensor pollicis brevis

Which muscle group is responsible for flexion of the metacarpophalangeal (MCP) joint of the thumb?

Flexor pollicis brevis

What is the range of motion (ROM) for extension of the distal interphalangeal (DIP) joints of the fingers?

0 degrees

Which muscle group is primarily responsible for adduction of digits 2 to 5?

Palmar interossei

In which position of the metacarpophalangeal (MCP) joint of the thumb can abduction/adduction occur?

Semiflexion

Test your knowledge on the anatomy of the elbow, radioulnar, and hand joints as presented by Dr. M. Doroudi in BMS Anatomy lecture 10. The quiz is based on the content from Moore's Clinically Oriented Anatomy, 9th edition, focusing on the upper limb chapter pages 277-288.

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