AthleticTherapy：体育疗法.pptVIP

The ElbowLecture 14 The Elbow the elbow is second to the shoulder for dislocations ( first in children ) and second to the knee for overuse injuries. Bony Structure of Elbow humeroulnar is the hinge joint , where the trochlea of the humerous articulates with the trochlera fossa of the ulna the humeroradial joint is a gliding joint , here the capitulum of the humerous articulates with the radius the annular ligament binds the head of the radius to the radial notch of the ulna forming the proximal radioulnar joint – this is a pivot joint allowing for pronation and supination Carry Angle of the Elbow The angle between the long axes of the humerus and the ulna when the arm is in an anatomical position This is called this because it allows the forearm to angle away from the body when a load is carried in the hand Carrying angle is generally greater in females than in males Elbow Stability Medial Collateral a) anterior - strong reinforces annual lig. b) transverse - weaker c) posterior fibres Most important ligament in the elbow for stability Lateral Collateral a) anterior b) intermediate c) posterior all help to reinforce the strong annular ligament Elbow movements Flexion Extension Pronation Supination Common Injuries Elbow Dislocation / Subluxation ulnar dislocations hyperextension ( Fall on hand elbow extended) with violent twisting action of the ulna , needs a tremendous amount of force more common displacement of radial head especially in children , swinging of children by their arms , may cause radial head to snap out of the annular ligament severe pain with loss of function , cracking or snapping sensation , rapid swelling and obvious deformity , inability to move elbow 90 % posterior , management is important not to cause long term disabilities First Aid In case of dislocations a primary concern is not to cause complications to the neurovascular tissue Apply ice and compression Splint on both sides of the injury and stabilize as best as possibl