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Elbow joint ( articulatio cubiti ). Dr. Anna L. Kiss ( Dr . Németh Anna ) Department of Anatomy , histology and Embryology Semmelweis University Budapest 2019. Elbow joint - Articulatio cubiti. 2. Axises , mechanisms. 1. Structure of the joint. 4. Muscles.
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Elbowjoint (articulatiocubiti) Dr. Anna L. Kiss (Dr. Németh Anna) Department of Anatomy, histology and Embryology Semmelweis University Budapest 2019
Elbowjoint - Articulatio cubiti 2. Axises, mechanisms 1. Structure of thejoint 4. Muscles 3. Movements Bild: www.commons.wikimedia.org
Bonysurfaces humerus (distalisepiphysis) ulna (proximalisepiphysis) radius (proximalisepiphysis) Sobotta www.en.wikipedia.org
Articulatiocubiti: 3 jointsinside of a commoncapsule Sobotta • Humeroradialjoint: • ball-and-socketjoint • (articulatio spheroidea) • 3 axises • Doesnothave important • function • Humeroulnarjoint: • hingejoint(ginglymus) • 1 axis: transversal + Sobotta • Proximalradioulnarjoint: • pivotjoint (trochoid) • 1 axis: longitudinal Articulatiocubiti: trochoginglymus Articulatio radioulnaris distalis
Jointcapsule fibrouslayer Sobotta zsírszövet synoviallayer Thiel Capsule: antero-posteriorly: loose laterally:tight (collateralligaments!) • origin: anteriorlyabovethecoronoid fossa and radial fossa • posteriorly: abovetheolecranon fossa. • medial and lateralepicondylesare out of thecapsule!!!! Musclesareoriginatingfromthere!!! • insertion: belowthecoronoidprocess of theulna; • 1.5 cm belowthearticularcircumference of theradius • (forthepronation-supination: recessussacciformis (sup)
Ligaments: ulnar and radialcollateralligaments Anteriorview M. brachialis tapadása lateralview medialview pars ant.; pars post.; p. Cooperi = pars transversa [lig. olecranocoronoideum]
Ligaments Sobotta Thiel Ulnar (medial) collateral ligament (mediale): pars anterior (band-like) pars posterior (fun-shaped) parstransversa /lig. olecranocoronoideum (Cooper) Sobotta
Ligaments Sobotta Thiel Radial (lateral) collateral ligament: fusewiththeanular ligament Braus
Movements of theelbowjoint → „physiologiásAbductio” axis: transversal(radio-ulnaris) theaxis of thetrochlea axis: constractedaxis: caputhumeri→ capitulumhumeri→ tuberositasradii→processusstyloideusulnae (168,5° )
Mozgások Flexio - Extensio
Musclesactingontheelbowjoint Flexors:brachialis m. bicepsbrachii m. brachioradialis m. Extensors: tricepsbrachii m. anconeus m. Pronators (proximalradioulnarjoint): pronator teres m. brachioradialis m. Supinators: supinator m. bicepsbrachii m. brachioradialis m. Hyperextension: mainly in women(max. 10°)
Distalradioulnarjoint Sobotta
Articulatioradio-ulnaris Faller Braus
Bursitisolecrani Inflammation of thesubcutaneousbursacausedbyinjury, autoimmun disease, infection
Tenniselbow, golfer’selbow Injury of extensormuscletendonsoriginatingfromthelateralepicondyle(tenniselbow), ortendons of theflexormusclesoriginatingfromthemedialepicondyle(golfer’selbow): microtrauma, injury of theperiosteum, bleedingresult in inflammation and pain.
tenniselbow golfier’selbow
Nursemaid’selbow Luxation of thehead of theradius