Page 3 - MSK assignment
P. 3

3       F. Elahi


               articular cartilage at the humeral trochlea, the trochlear notch of the ulna, and the radial head.
               However, the extension of the elbow is limited due to the contact of the olecranon with the
               posterior humeral fossa. The flexion of the elbow is limited by the bulk of the anterior muscles
               and tension of the triceps (Bianchi & Martinoli, 2007).

               Joint Capsule
                       The joint capsule of the elbow has a thin, outer fibrous
               capsule and inner synovial lining. The anterior joint capsule has
               an insertion into the anterior humerus. This insertion is seen
               proximal to the coronoid and radial fossa and distal to the
               coronoid process of the ulna and annular ligament. In the
               posterior aspect, the joint capsule inserts onto the humerus,
               proximal to the olecranon process.

               Fat pads
                       There are two fat pads seen in the region of the elbow. The anterior fat pad is in the
               coronoid fossa.  The posterior fat pad is in the olecranon fossa. The posterior fat pad is larger
               than the anterior fat pad (O’Neill, 2008)

               Muscles of the elbow
                Muscle                          Origin                         Insertion

                Brachialis                      -Lower half of anterior        -Coronoid process of ulna
                                                surface of humerus

                Long Head Biceps Brachii        -Supraglenoid tubercle         -Radial tuberosity
                                                scapula                        -Bicipital aponeurosis

                Short Head Biceps Brachii       -Coracoid process of scapula  -Radial tuberosity
                                                                               -Bicipital aponeurosis

                Brachioradialis                 -Lateral supracondylar ridge   -Styloid process of radius
                                                of humerus                     -Distal ½ of radius
                                                                               -Antebrachial fascia

                Extensor Carpi Radialis         -Lateral supracondylar ridge   -Dorsum of second
                Longus                          of humerus (lower ⅓)           metacarpal at base

                Extensor Carpi Radialis         -Common extensor tendon        -Dorsum of third metacarpal
                Brevis                          -Supracondylar ridge of        at base
                                                humerus (Lateral)

                Extensor Digitorum              -Lateral epicondyle of         -Extensor expansion of digits
                                                humerus via common             2–5
                                                extensor tendon
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