Up ] The skin ] Heart ] Thorax ] Abdominal wall ] Gastrointestinal tract ] Stomach ] Small intestine ] Large intestine ] Liver and pancreas ] Upper renal tract ] Lower renal tract ] Inguinal canal ] Head & neck ] Arteries of the head & neck ] Thyroid ] Arteries of the upper limb ] Nerves of the upper limb ] [ Joints of the upper limb ] Muscles of the upper limb ] Bones of the upper limb ] Lower limb general ] Nerves of the lower limb ] Arteries of the lower limb ] Veins of the lower limb ] Joints of the lower limb ] Muscles of the lower limb ] Pituitary gland ] Brachial plexus ]

Joints of the upper limb

The shoulder

  • Synovial ball and socket joint
  • Articulation occurs between head of humerus and glenoid cavity
  • Articular surfaces are covered with hyaline cartilage
  • Surface of glenoid cavity is deepened by rim of fibrocartilage - the glenoid labrum
  • Capsule is thin and allows large range of movement
  • Capsule is strengthened by ligaments
    • Glenohumeral ligaments
    • Transverse humeral ligament
    • Coracohumeral ligament
    • Coracoacromial ligament
  • The nerve supply is form the axillary and suprascapular nerves
  • The stability of the joint if provided by the muscles that cross it

Movements

  • Flexion
    • Anterior fibres of deltoid
    • Pectoralis major
    • Biceps
    • Coracobrachialis
  • Extension
    • Posterior fibres of deltoid
    • Latissimus dorsi
    • Teres major
  • Abduction
    • Middle fibres of deltoid
    • Supraspinatus
  • Adduction
    • Pectoralis major
    • Latissimus dorsi
    • Teres major
    • Teres minor
  • Lateral rotation
    • Infraspinatus
    • Teres minor
  • Medial rotation
    • Subscapularis
    • Latissimus dorsi
    • Teres major

The elbow

  • Synovial hinge joint
  • Articulation occurs between trochlea and capitulum of the humerus and notch of the ulna and radial head
  • Articular surfaces are covered with hyaline cartilage
  • Capsule is strengthened by ligaments
    • Lateral ligament
    • Medial ligament
  • Synovial membrane is continuous with that of superior radioulnar joint
  • Nerve supply is from median ulnar, musculocutaneous and radial nerves
  • Long axis of extended arm is at angle to the long axis of the arm
  • This is know as the carrying angle
Movements
  • Flexion
    • Brachialis
    • Biceps brachii
    • Brachioradialis
    • Pronator teres
  • Extension
    • Triceps
    • Anconeus

The superior radioulnar joint

  • Synovial pivot joint
  • Articulation occurs between head of the radius and annular ligament and radial notch of the ulna
  • Capsule is continuous with elbow joint
  • Annular ligament is attached to anterior and posterior margins of the radial notch of the ulna
  • Forms a collar around the head of the radius
  • Synovial membrane is continuous with that of the elbow
  • Nerve supply is from the median, ulnar, musculocutaneous and radial nerves

Movements

  • Pronation
    • Pronator teres
    • Pronator quadratus
  • Supination
    • Biceps brachii
    • Supinator

Author:  Dr Shakeeb Khan

 

 
 

Last updated: 05 January 2008

Copyright © 1997- 2008 Surgical-tutor.org.uk