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Page 1: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Elbow Anatomywww.fisiokinesiterapia.biz

Page 2: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

The Elbow Joint

Page 3: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Bones of the Elbow

Humerus- medial epicondyle- lateral epicondyle

RadiusUlna

- olecranon process

Page 4: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Joints of the Elbow

• Hinge joint• Composed of 3 articulations:

1. Humeroulnar joint2. Humeroradial joint3. Radioulnar joint

Page 5: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Motions

• Flexion/Extension• Supination/Pronation

Supination – palm upPronation – palm down

Page 6: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Muscles Affecting the Elbow

- Elbow Flexors1. Brachialis2. Biceps brachii3. Brachioradialis

- Elbow Extensors1. Triceps 2. Anconeus

Page 7: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Muscles Affecting the Wrist Joint

- Wrist Flexor-Pronator group1. Pronator teres2. Flexor carpi radialis3. Palmaris Longus4. Flexor carpi ulnaris

These muscles originate on the medial epicondyle of the humerus as a single tendon

Page 8: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 9: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 10: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

- Wrist Extensors1. Brachioradialis – only muscle to extend from distal end of one bone to distal end of another2. Extensor carpi radialis longus3. Extensor carpi radialis brevis

These muscles originate on the lateral epicondyle

* The mobile wad of 3

Page 11: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 12: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Supination Pronation1. Biceps 1. Pronator teres2. Supinator 2. Pronator Quadratus

Page 13: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Ligaments of the ElbowUlnar Collateral Ligamentmedial side – connects humerus to ulna

Radial Collateral LigamentLateral side – connects humerus to radius

Annular LigamentSurrounds radial head/holds it tight to ulna

Page 14: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Injuries to the Elbow

Page 15: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Elbow Dislocation

• Usually occur as a result of a fall on an outstretched arm

• May be associated nerve or vascular injury• Usually dislocates posteriorly• Anterior Dislocations – very rare

Possible olecranon fractureMedial and Lateral dislocations are rare

Page 16: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 17: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 18: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

• Divergent Dislocationthe forearm bones are separated and the humerus slips between them

Page 19: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 20: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Dislocation of the Radius

• The radial head may be displaced forward, backward, or outward

• Children under 5 are prone to subluxation of the radial head due to a “pulling” on the forearm Pulled elbow or Nursemaid’s arm

Page 21: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 22: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Medial Epicondylitis

- “Little League Elbow”- Medial elbow pain and

pain with flexion of the wrist flexor muscles

- May see an avulsion of the medial epicondyle

Page 23: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Lateral Epicondylitis

- “Tennis Elbow”- Caused by excessive

wrist extension, especially with a clenched fist

- Pain over outer part of the elbow

Page 24: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”
Page 25: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Olecranon Bursitis

• A collection of fluid in the olecranon bursa that covers the posterior tip of the elbow. Is the result of direct trauma to the elbow.l

Page 26: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Olecranon Bursitis

Page 27: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Tear of Medial Collateral Ligament

• Occurs when the inside of the elbow is stressed during the throwing motion.

• Pain and swelling over the medial portion of the elbow

Page 28: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

Ulnar Nerve Injuries

• Occurs with throwing athletes and from direct trauma

Page 29: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”

• Ulnar nerve provides sensation to the little finger and the medial portion of the ring finger

Page 30: Elbow Anatomy - Fisiokinesiterapia• The radial head may be displaced forward, backward, or outward • Children under 5 are prone to subluxation of the radial head due to a “pulling”