Elbow Joint Anatomy and Manual Therapy

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Questions and Answers

What is the name of the joint that connects the humerus and ulna bones?

  • Humeroradial joint
  • Humero-ulnar joint (correct)
  • Distal radio-ulnar joint
  • Proximal radio-ulnar joint

Which ligament connects the ulna and radius bones?

  • Radial Collateral Ligament
  • Anular Ligament (correct)
  • Ulnar Collateral Ligament
  • Radio-Ulnar Ligament

What is the primary function of the Brachialis muscle?

  • To flex the elbow joint (correct)
  • To supinate the forearm
  • To pronate the forearm
  • To extend the elbow joint

In what position is the proximal radio-ulnar joint typically rested?

<p>Elbow flexion 70º, forearm supinated 35º (B)</p> Signup and view all the answers

What is the direction of force in the Humero-ulnar radial glide technique?

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

What is the purpose of the Humero-ulnar radial glide technique?

<p>To improve elbow flexion (D)</p> Signup and view all the answers

What is the name of the bony landmark located on the medial aspect of the humerus?

<p>Medial epicondyle (D)</p> Signup and view all the answers

What is the action of the Anconeus muscle?

<p>To extend the elbow joint (C)</p> Signup and view all the answers

What is the direction of force in the 1st carpometacarpal joint dorsal glide?

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

What is the position of the patient's forearm during the 1st carpometacarpal joint volar glide?

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

What is the purpose of the 1st carpometacarpal joint dorsal glide?

<p>To improve thumb abduction (C)</p> Signup and view all the answers

How does the therapist push the 1st metacarpal bone during the 1st carpometacarpal joint volar glide?

<p>By the therapist's thumb (A)</p> Signup and view all the answers

What is the position of the patient during the 1st carpometacarpal joint dorsal glide?

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

What is the direction of force in the 1st carpometacarpal joint radial glide?

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

What is the purpose of the 1st carpometacarpal joint volar glide?

<p>To improve thumb adduction (D)</p> Signup and view all the answers

How does one hand stabilize the distal row of carpal bones during the 1st carpometacarpal joint glide?

<p>By stabilizing the distal row of carpal bones (B)</p> Signup and view all the answers

What is the purpose of the humeroradial joint distraction technique?

<p>To improve flexion or extension of the elbow (C)</p> Signup and view all the answers

What is the position of the patient during the humeroradial joint distraction technique?

<p>Supine position with elbow full extended and supinated (C)</p> Signup and view all the answers

Which bone is not palpated in the wrist joint?

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

What is the direction of force in the humeroradial joint distraction technique?

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

What is the purpose of the 1st carpometacarpal joint ulnar glide technique?

<p>To improve thumb flexion (A)</p> Signup and view all the answers

What is the position of the patient during the 1st carpometacarpal joint technique?

<p>Sitting with hand in mid-line position supported on the bed (C)</p> Signup and view all the answers

What is the direction of force in the 1st carpometacarpal joint ulnar glide technique?

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

What is the resting position of the wrist joint?

<p>Neutral position with ulnar deviation (D)</p> Signup and view all the answers

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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

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