24 Questions
What is the name of the joint that connects the humerus and ulna bones?
Humero-ulnar joint
Which ligament connects the ulna and radius bones?
Anular Ligament
What is the primary function of the Brachialis muscle?
To flex the elbow joint
In what position is the proximal radio-ulnar joint typically rested?
Elbow flexion 70º, forearm supinated 35º
What is the direction of force in the Humero-ulnar radial glide technique?
Radially
What is the purpose of the Humero-ulnar radial glide technique?
To improve elbow flexion
What is the name of the bony landmark located on the medial aspect of the humerus?
Medial epicondyle
What is the action of the Anconeus muscle?
To extend the elbow joint
What is the direction of force in the 1st carpometacarpal joint dorsal glide?
Dorsally
What is the position of the patient's forearm during the 1st carpometacarpal joint volar glide?
Pronated
What is the purpose of the 1st carpometacarpal joint dorsal glide?
To improve thumb abduction
How does the therapist push the 1st metacarpal bone during the 1st carpometacarpal joint volar glide?
By the therapist's thumb
What is the position of the patient during the 1st carpometacarpal joint dorsal glide?
Sitting
What is the direction of force in the 1st carpometacarpal joint radial glide?
Radially
What is the purpose of the 1st carpometacarpal joint volar glide?
To improve thumb adduction
How does one hand stabilize the distal row of carpal bones during the 1st carpometacarpal joint glide?
By stabilizing the distal row of carpal bones
What is the purpose of the humeroradial joint distraction technique?
To improve flexion or extension of the elbow
What is the position of the patient during the humeroradial joint distraction technique?
Supine position with elbow full extended and supinated
Which bone is not palpated in the wrist joint?
Femur
What is the direction of force in the humeroradial joint distraction technique?
Radially
What is the purpose of the 1st carpometacarpal joint ulnar glide technique?
To improve thumb flexion
What is the position of the patient during the 1st carpometacarpal joint technique?
Sitting with hand in mid-line position supported on the bed
What is the direction of force in the 1st carpometacarpal joint ulnar glide technique?
Ulnarly
What is the resting position of the wrist joint?
Neutral position with ulnar deviation
Study Notes
Elbow Joint
- Consists of humero-ulnar, humeroradial, proximal radio-ulnar, and distal radio-ulnar joints
- Bony landmarks: medial epicondyle, lateral epicondyle, olecranon, olecranon fossa, head of radius, and head of ulna
- Ligaments: ulnar collateral ligament, radial collateral ligament, and anular ligament
- Muscles acting on the elbow joint:
- Chief flexors: biceps brachii and brachialis
- Assisting flexor: brachioradialis
- Chief extensors: triceps brachii
- Assisting extensor: anconeus
Mobilization Techniques
Humero-Ulnar Glide
- Indications: to improve elbow flexion
- Patient position: side lying, affected side down
- Hand placement: one hand stabilizes humerus, other hand mobilizes ulna radially
- Force direction: radially
Humero-Ulnar Ulnar Glide
- Indications: to improve elbow extension
- Patient position: side lying, affected side down
- Hand placement: one hand stabilizes radius, other hand mobilizes humerus radially
- Force direction: radially
Humeroradial Distraction
- Indications: to improve mobility, flexion or extension
- Patient position: supine, elbow fully extended and supinated
- Hand placement: one hand stabilizes humerus, other hand distracts radius from distal aspect of radius
- Force direction: line of radius
Wrist Joint
- Consists of radiocarpal joint (distal aspect of radius, proximal row of carpal bones)
- Bony landmarks: head of ulna, styloid process of ulna, styloid process of radius, and carpal bones
- Ligaments: ligaments of flexor and extensor muscles
- Joint movement: follows convex rule
- Resting position: neutral position, slight ulnar deviation
Mobilization Techniques
1st Carpometacarpal Joint Ulnar Glide
- Indications: to improve thumb flexion
- Patient position: sitting, hand in mid-line position supported on bed
- Hand placement: one hand stabilizes distal row of carpal bones, other hand pushes 1st metacarpal bone ulnarly
- Force direction: ulnarly
1st Carpometacarpal Joint Radial Glide
- Indications: to improve thumb extension
- Patient position: sitting, hand in mid-line position supported on bed
- Hand placement: one hand stabilizes distal row of carpal bones, other hand pushes 1st metacarpal bone radially
- Force direction: radially
1st Carpometacarpal Joint Dorsal Glide
- Indications: to improve thumb abduction
- Patient position: sitting, forearm supinated, supported on bed
- Hand placement: one hand stabilizes distal row of carpal bones, other hand pushes 1st metacarpal bone dorsally
- Force direction: dorsally
1st Carpometacarpal Joint Volar Glide
- Indications: to improve thumb adduction
- Patient position: sitting, forearm pronated, supported on bed
- Hand placement: one hand stabilizes distal row of carpal bones, other hand pushes 1st metacarpal bone volarly
- Force direction: volarly
This quiz covers the functional anatomy and movement of the elbow joint, including bony palpation and ligaments, as well as manual therapy techniques.
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