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Kinesiological Concepts of the Elbow, Wrist and Hand

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Kinesiological Concepts of the Elbow, Wrist and Hand. Anatomical Landmarks to Review ... ridge, trochlea, capitulum, coronoid fossa, radial fossa and olecranon fossa ... – PowerPoint PPT presentation

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Title: Kinesiological Concepts of the Elbow, Wrist and Hand


1
Kinesiological Concepts of the Elbow, Wrist and
Hand
2
Anatomical Landmarks to Review
  • Humerus
  • Medial and lateral epicondyles, medial and
    lateral supracondylar ridge, trochlea, capitulum,
    coronoid fossa, radial fossa and olecranon fossa
  • Radius
  • Radial head and radial tuberosity
  • Ulna
  • Olecranon process, coronoid process and trochlear
    notch

3
Elbow Articulations
  • Humeroulnar Joint
  • True elbow joint
  • Strong bony configuration
  • Hinge joint
  • Humeroradial Joint
  • Slides along capitulum
  • Modified ball and socket joint
  • Provides no ABD or ADD
  • Proximal Radioulnar Joint
  • Annular ligament
  • Movements
  • Interosseous membrane

4
Elbow Articulations
  • Humeroulnar Joint
  • True elbow joint
  • Strong bony configuration
  • Hinge joint
  • Humeroradial Joint
  • Slides along capitulum
  • Modified ball and socket joint
  • Provides no ABD or ADD
  • Proximal Radioulnar Joint
  • Annular ligament
  • Movements
  • Interosseous membrane

5
Ligaments of the Elbow
  • Capsular Ligament
  • Annular Ligament
  • Lateral Collateral (Radial)
  • Medial Collateral (Ulnar)

6
Ligaments of the Elbow
  • Capsular Ligament
  • Annular Ligament
  • Lateral Collateral (Radial)
  • Medial Collateral (Ulnar)

7
Ligaments of the Elbow
  • Capsular Ligament
  • Annular Ligament
  • Lateral Collateral (Radial)
  • Medial Collateral (Ulnar)

8
Overall Appearance of the Elbow
  • Carrying Angle
  • Forearm is ABD in relation to the humerus
  • Caused by articulation between the ulna and
    humerus

9
Muscles of the Humeroulnar Joint as Stabilizers
  • Anterior
  • Biceps brachii

10
Muscles of the Humeroulnar Joint as Stabilizers
  • Anterior
  • Biceps brachii
  • Brachialis

11
Muscles of the Humeroulnar Joint as Stabilizers
  • Anterior
  • Biceps brachii
  • Brachialis
  • Brachioradialis

12
Muscles of the Humeroulnar Joint as Stabilizers
  • Anterior
  • Biceps brachii
  • Brachialis
  • Brachioradialis
  • Wrist flexors
  • Flexor Carpi Radialis
  • Flexor Carpi Ulnaris
  • Pronator Teres
  • Palmaris Longus

13
Muscles of the Humeroulnar Joint as Stabilizers
  • Posterior
  • Triceps

14
Muscles of the Humeroulnar Joint as Stabilizers
  • Posterior
  • Triceps
  • Wrist Extensors
  • Extensor Carpi Radialis Longus
  • Extensor Carpi Ulnaris

15
Muscles at the Elbow as Movers
  • Biceps Brachii

16
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Elbow flexion
  • Supination

17
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis

18
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Primary flexor of the elbow

19
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis

20
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis
  • Contributes to elbow flexion
  • Assist with pronation and supination of forearm

21
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis
  • Triceps brachii

22
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis
  • Triceps brachii
  • Elbow extension
  • Medial head principle extensor when no resistance
  • 100 effort rotary

23
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis
  • Triceps brachii
  • Anconeus

24
Muscles at the Elbow as Movers
  • Biceps Brachii
  • Brachialis
  • Brachioradialis
  • Triceps brachii
  • Anconeus
  • Locks out the elbow in extension

25
Muscle of the Proximal Radioulnar Joint
  • Pronation
  • Pronator Teres
  • Pronator Quadratus

26
Muscle of the Proximal Radioulnar Joint
  • Pronation
  • Pronator Teres
  • Pronator Quadratus
  • Supination
  • Supinator
  • Biceps Brachii
  • Brachioradialis

27
Kinesiological Concepts of the Wrist and Hand
28
Wrist and Hand Bones
  • Wrist
  • Scaphoid
  • Lunate
  • Triquetrium
  • Pisiform
  • Trapezium
  • Trapezoid
  • Capitate
  • Hamate

29
Wrist and Hand Bones
  • Hand
  • Metacarpals
  • Phalanges 2-5
  • Proximal
  • Middle
  • Distal
  • Phalange 1 (Thumb)
  • Proximal
  • Distal

30
Wrist Musculature
  • Primary Wrist Flexors
  • Flexor Carpi Radialis
  • Flaxor Carpi Ulnaris
  • Secondary Wrist Flexors
  • Palmaris Longus
  • Flexor Digitorum Profundus
  • Flexor Digitorum Profundus
  • Flexor Pollicus Longus

31
Wrist Musculature
  • Primary Wrist Extensors
  • Extensor Carpi Radialis Longus/Brevis
  • Extensor Carpi Ulnaris
  • Secondary Wrist Extensors
  • Extensor Digitorum
  • Extensor Indicis
  • Extensor Digit Minimi

32
Hand Musculature
  • Hand Flexors
  • Flexor Digitorum Profundus
  • Flexor Digitorum Superficialis
  • Flexor Pollicis Longus/Brevis
  • Flexor Digit Minimi Brevis
  • Lumbricales

33
Hand Muscles
  • Hand Extensors
  • Extensor Pollicis Longus/Brevis
  • Extensor Indicis
  • Lumbricales

34
Closer Look at the Carpal Tunnel
  • Structures within Tunnel
  • FDS
  • FDP
  • FPL
  • Median Nerve
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