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The Upper Arm and Elbow. Anatomy of the Upper Arm. Bones Humerus Radius Ulna. Ligaments of the Upper Arm and Elbow. Medial Collateral- Ulnar Lateral Collateral-Radial Annular Ligament Anterior Capsule. Muscles of the Upper Arm and Elbow. Biceps Brachii Brachialis Brachio Radialis
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Anatomy of the Upper Arm • Bones • Humerus • Radius • Ulna
Ligaments of the Upper Arm and Elbow • Medial Collateral- Ulnar • Lateral Collateral-Radial • Annular Ligament • Anterior Capsule
Muscles of the Upper Arm and Elbow • Biceps Brachii • Brachialis • BrachioRadialis • Triceps • Flexors • Extensors • PronatorTeres • SupinatorTeres
Biceps Brachii • Inserts on Radial Tuberosity • Has two heads (Long and Short) • Supinates and Flexes theElbow
Brachialis • Inserts on the radial Tuberosity • Flexes the elbow
Brachio-Radialis • Origin on the distal lateral epicondyleto the styloid process of the distal radius. • Only muscle to go distal to distal • Elbow Flexor
Triceps • 2 Jointed muscle with three heads of orgin • Long Head crosses the shoulder joint • Inserts on the olecranon process of the ulna • Assists in shoulder extension • Elbow extensor
Flexor Group • Originate on the lateral epicondyle • Flexor Carpi Ulnaris • Flexor Carpi Radialis • Flexor PollicisLongus • Palmaris Longus
Other Muscles • PronatorTeres • SupinatorTeres
Injuries to Upper Arm and Elbow • Fractured Humeral Shaft • Medical Collateral Ligament Sprain • Avulsion of Medial Epicondyle • Traumatic Elbow • Olecranon Bursitis • Radial Humeral Bursitis • Tennis Elbow • Dislocated Elbow • Hyperexteded Elbow • Ulnar Nerve Contusion
Humeral Shaft Fracture • Can Involve Brachial Artery • VolkmansFx • Medical Emergency
Medial Collateral Ligament Sprain • Injured by falling on out-stretched arm • Could also strain the flexor tendons
Avulsion of Medial Epicondyle • Occurs in 9-14 year olds • “Little League Elbow” • May require surgical pinning
Traumatic Elbow • “Pitchers Elbow” • Caused by bone hitting bone (radius/humerus) • Damages medial portion of the elbow
Olecranon Bursitis • Can be injured by falling on elbow • Swelling is isolated and looks like a bubble
Radial Humeral Bursitis • Inflammation as a result of pinching bursa between radius and humerus
Lateral Epicondylitis • Common name “tennis elbow” • Pain over the lateral epicondyle • Treatment is modalities, anti-inflammatories, elbow strap, cortizone injections.
Dislocated Elbow • Difficult to reduce • Caused by landing on outstretched arm or getting hit • Ulna dislocates posteriorly • Gross Deformity • Medical Emergency