Positioning Chapter 4 cont'd (forearm and elbow)
What is the small projection on the lateral aspect of the distal humerus above the capitulum?
Lateral epicondyle
What is larger and more prominent? (The lateral or medial epicondyle?)
Medial (Sticks out more)
Which of the following projections would best demonstrate a possible elevated fat pad near the elbow joint? A. Lateral B. AP C. AP partially flexed D. Acute flexion-Jones method
A
What degree is a true lateral elbow position?
90 degree flexion
The ulnar notch is located at the: A. Medial aspect of the distal radius B. Distal end of the ulna C. Proximal end of the ulna D. Proximal end of the radius
A
What are the 3 fat pads of the elbow joint?
Anterior fat pad Posterior fat pad Supinator fat pad
What is the long center section of the humerus called?
Body (shaft)
What is the long mid-portion of the radius and ulna called?
Body (shaft)
Where is the pronator fat stripe located: A. Anterior to the elbow joint B. Posterior to the elbow joint C. Anterior to the distal radius D. Anterior to the radial head
C
Which is smaller? (Capitulum or trochlea?)
Capitulum
What term means "little head" and is located on the lateral aspect and articulates with the head of radius?
Capitulum (remember "cap" and "head" of radius)
What is the medial margin of the coronoid process opposite the radial notch called?
Coronoid tubercle (medial)
How much is the elbow flexed for a trauma lateral projection (coyle method) to demonstrate the coronoid process? A. 45 degrees B. 80 degrees C. 60 degrees D. 90 degrees
D
Which of the following structures is located on the distal humerus? A. Styloid process B. Olecranon process C. Coronoid process D. Capitulum
D
The distal humerus has specific _____________ on both anterior and posterior surfaces.
Depressions
Soft tissue detail as depicted by specific ___________ located within the deep olecranon fossa is important in trauma diagnosis of the elbow joint.
Fat pads
What type of joint is the elbow joint? (the elbow is also synovial and diathrodial)
Ginglymus (hinge)
What is the proximal 2 portions of the radius called?
Head & neck (closest to elbow)
What part of the radius is located at the proximal end of the radius near the elbow joint?
Head of the radius
What part of the forearm is located near the wrist at the distal end of the ulna? (Fits into the ulnar notch of the radius to form radioulnar distal joint)
Head of the ulna
What is the expanded distal end of the humerus called?
Humeral condyle
What is the "deep depression" of the distal humerus called?
Olecranon fossa
Of the olecranon process & coronoid process of the proximal end of the ulna, which is more posterior and can be easily palpated?
Olecranon process
What are the 2 "beaklike" processes of the proximal ulna called?
Olecranon process Coronoid process
Which joint, or articulation, combines with the distal joint to allow rotation of the forearm during pronation? (This is where the radius crosses over the ulnar near upper 1/3 of the forarm)
Proximal radioulnar joint
Where do the radius and ulna articulate with eachother? What joints?
Proximal radioulnar joint Distal radioulnar joint
Which part of the ulna is primarily involved in the formation of the elbow joint?
Proximal ulna
Is the capitulum located on the radial or ulnar side of the humerus? (where does it articulate?)
Radial Remember (RC)
What are the 2 shallow anterior depressions called of the distal humerus?
Radial fossa Coronoid fossa
The had of the radius articulates with the ulna at the ____________, forming the proximal radioulnar joint.
Radial notch
What is a small, shallow depression located on the lateral aspect of the proximal ulna?
Radial notch
What is the rough oval process on the medial and anterior side of the radius, just distal to the neck called?
Radial tuberosity (used for a tendon attachment)
Which bone is shorter of the 2 bones of the forearm?
Radius
Which bone (radius or ulna) is the only one of the 2 directly involved in the wrist joint?
Radius (During the act of pronation, the radius is the bone that rotates around the stationary ulna)
What are the 2 bones of the forearm?
Radius and Ulna
When the forearm is in the pronated positon, which bone overlaps the other?
Radius overlaps the ulna
What bone of the forearm is located at the extreme distal end of both the radius and ulna? Which is more distal than eachother?
Styloid process The radial styloid process is more distal
What structure of the forearm is considered most distal?
Styloid process of the radius
Of the trochlea and the capitulum, which is located more medial and articulates with the ulna?
Trochlea
What term or part means "pulley" and is shaped like a pulley or spool?
Trochlea
The articular portion of the humeral condyle are divided into what 2 parts?
Trochlea Capitulum
Which is more medial and lateral of the trochlea and capitulum?
Trochlea is medial Capitulum is lateral (in anatomical position)
In a true 90 degree lateral radiograph position, this shows the appearance of what 3 concentric arcs?
Trochlear Sulcus (smallest arc) Capitulum & Trochlea (Double lined) Trochlear notch of the ulna
What is the large concave depression, or notch, that articulates with the distal humerus? (AKA the semilunar notch)
Trochlear notch
Which part of the proximal ulna is also known as the semilunar notch?
Trochlear notch
The trochlea (meaning "pulley") has 2 rim like outer margins and a smooth depression center portion called _______________ or groove.
Trochlear sulcus
What type of joint is the proximal radioulnar joint?
Trochoidal (pivot)
T/F The distal radius will cross over the ulna when the hand is pronated.
True
Which bone of the forearm is the longest? (Radius or Ulna)
Ulna
Is the trochlea located on the ulnar or radial side of the humerous?
Ulnar Remember (TU)
What is a small depression of the medial aspect of the distal radius? (Allows the distal radioulnar joint to form together)
Ulnar notch (The ulnar head fits into the ulnar notch of the radius)
Does the olecranon process of the ulna fit into the olecranon fossa when the arm is fully extended?
Yes
When the elbow is completely flexed, do the coronoid process and radial head come in contact with eachother?
Yes