‫Joints of upper limb

Views:
 
Category: Education
     
 

Presentation Description

‫ anatomy of the upper limb Joints.shoulder, elbow, wrist hand

Comments

Presentation Transcript

Joints of upper limb:

Joints of upper limb بسم الله الرحمن الرحيم Done by : Mohammed A Qazzaz

Joints of clavicle (collarbone):

Joints of clavicle (collarbone) 1) Sternocalvicular joint ( medially) 2) Acromioclavicular joiny ( laterally)

1) Sternoclavicualr joint:

1) Sternoclavicualr joint The  sternoclavicular articulation  is a synovial  double-plane joint  composed of two portions separated by an  articular disc  which is made from fibrocartilage . The sternoclavicular joint is a saddle-type joint that allows movement of the clavicle, predominantly in anteroposterior  and vertical planes, although some rotation also occurs.

Cont.. Sternoclavicualr joint:

Cont.. Sternoclavicualr joint The  anterior  and  posterior  sternoclavicular  ligaments   are found anterior and posterior to the joint. The  interclavicular  ligament  links the ends of the two clavicles to each other and to the superior surface of the manubrium of the sternum. The   costoclavicular  ligament  is positioned laterally to the joint and links the proximal end of the clavicle to the first rib and related costal cartilage. Ligaments of sternoclavicular joint :

2) Acromioclavicular joint:

2) Acromioclavicular joint The AC joint is located at the tip of the shoulder where the acromion portion of scapula and clavicle join together. The AC joint is not as mobile as the large main shoulder joint and only moves when the shoulder is overhead or across the chest (adducted). The joint is partly filled with a thick pad of cartilage, known as the meniscus ,  wich allows the joint to move.  Synovial plane joint

Cont.. Acromioclavicualr joint:

Cont.. Acromioclavicualr joint The  acromioclavicular ligament, which attaches the clavicle to the  acromion of the scapula. The coracoclavicular ligament, which consists of two ligaments, the conoid and the trapezoid ligaments. Ligaments of acromioclavicular joint :

Glenohumeral joint (a.k.a. Shoulder joint ):

Glenohumeral joint (a.k.a. Shoulder joint ) The glenoid fossa of the scapula is a depression on the head of the scapula, between the acromion and coracoid processes. It joins with the head of the humerus . The glenoid fossa is shallow and contains the glenoid labrum which deepens it and aids in stability.  The  glenohumeral joint is a multiaxial  synovial ball and socket joint. Due to the very limited interface of the humerus and scapula, it is the most mobile joint of the human body.

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint The  glenoid labrum is a fibrocartilaginous rim attached around the margin of the glenoid cavity in the scapula. It deepens the  articular cavity, and protects the edges of the bone. It is continuous above with the tendon of the long head of the Biceps brachii .

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint Capsule surrounds the joint and is attached medially to the margin of the glenoid cavity outside the labrum; laterally it is attached to the anatomic neck of the humerus . The capsule is thin and lax, allowing a wide range of movement. It is strengthened by fibrous slips from the tendons of the subscapularis , supraspinatus , infraspinatus , and teres minor muscles (the rotator cuff muscles). Capsule of acromioclavicular joint :

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint Synovial membrane of acromioclavicular joint : This lines the capsule and is attached to the margins of the cartilage covering the articular surfaces. It forms a tubular sheath around the tendon of the long head of the biceps brachii . It extends through the anterior wall of the capsule to form the subscapularis bursa beneath the subscapularis muscle.

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint The bursa are formed by the synovial membrane of the joint capsule. A number of bursae in the capsule aid mobility: Subacromial bursa (between joint capsule and acromion of scapula). Subscapular bursa (between joint capsule and tendon of  subscapularis muscle, also known as subtendinous bursa of subscapularis muscle). Bursae of acromioclavicular joint :

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint Bursae of acromioclavicular joint :

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint Three glenohumeral ligaments exist: (1) The superior glenohumeral ligament (SGHL). This ligament resists inferior translation of the humeral head in the adducted shoulder. (2) The middle glenohumeral ligament (MGHL). This ligament resists inferior translation in the adducted and externally rotated shoulder. (3) The inferior glenohumeral ligament (IGHL). This resists humeral head anterior and posterior translation. Ligaments of glenohumeral joint : The glenohumeral ligaments are three weak bands of fibrous tissue that strengthen the front of the capsule

Cont.. Glenohumeral joint:

Cont.. Glenohumeral joint The transverse humeral ligament strengthens the capsule and bridges the gap between the two tuberosities . The coracohumeral ligament strengthens the capsule above and stretches from the root of the coracoid process to the greater tuberosity of the humerus . Ligaments of glenohumeral joint :

The Elbow Joint:

The Elbow Joint The human elbow is the summation of 3 articulations: 1) Humeroulnar joint : the synovial hinge joint with articulation between the trochlea of the humeral condyle and the trochlear notch of the ulna. 2) Humeroradial joint: the articulation between the capitulum of the humeral condyle and the concavity on the superior aspect of the head of the radius 3) Radioulnar joint: it is a pivot-type synovial joint with articulation between the head of the radius and the radial notch of the ulna. These 3 articulations, forming 2 different aspects, allow flexion and extension of the elbow, as well as supination and pronation of the forearm and wrist at the elbow.

PowerPoint Presentation:

Anteriorly it is attached above to the humerus along the upper margins of the coronoid and radial fossae to the margin of the coronoid process of the ulna. Posteriorly it is attached above to the margins of the olecranon fossa of the humerus and below to the upper margin and sides of the olecranon process of the ulna. Capsule of elbow joint : Cont.. Elbow joint

PowerPoint Presentation:

The elbow joint has a synovial membrane-lined joint capsule that is contiguous between the hinge and radioulnar aspects of the joint. The synovial lining covers the internal surface of the fibrous joint capsule and the nonarticular surfaces of the joint that are located intracapsularly . The major bursa in the elbow joint is the subcutaneous olecranon bursa, found in the connective tissue over the olecranon . Synovial membrane and bursae of elbow joint : Cont.. Elbow joint

PowerPoint Presentation:

Medially, the joint capsule thickens to form the medial or ulnar collateral ligament, which extends from the medial epicondyle of the humerus to the coronoid and olecranon of the ulna. The ulnar collateral ligament is a triangular thickening with 3 main bands: the anterior or cordlike band, the posterior fanlike band, and the oblique band. Ligaments of elbow joint : Cont.. Elbow joint A O P

PowerPoint Presentation:

Ligaments of elbow joint : Cont.. Elbow joint Laterally, the lateral or radial collateral ligament extends from the lateral humeral epicondyle and distally blends into the anular ligament of the radius. The anular ligament of the radius wraps around the head of the radius and attaches to the ulna anteriorly and posteriorly . The surface of the anular ligament is lined with synovial membrane and allows the head of the radius to rotate inward during supination and pronation , while maintaining stability of the radial ulnar joint.

PowerPoint Presentation:

The Radiocarbal joint (a.k.a. Wrist joint ) The wrist is a complex joint that bridges the hand to the forearm. It is actually a collection of multiple bones and joints. The bones comprising the wrist include the distal ends of the radius, 8 carpal bones, and the proximal portions of the 5 metacarpal bones. All of these bones participate in complex articulations that allow variable mobility of the hand. The hand is capable of 2 degrees of freedom: (1) flexing and extending, and (2) deviating ulnarly or radially .

PowerPoint Presentation:

Ulna is prevented from articulating with the carpal bones by a fibrocartilginous ligament, called the articular disk . Together, the carpal bones form a  convex  surface, which articulates with the  concave surface  of the radius and articular disk. The wrist is an  ellipsoid  type synovial joint, allowing for movement along two axes. This means that flexion, extension, adduction and abduction can all occur at the wrist joint. Cont.. Wrist joint The ulna is not part of the wrist joint , it articulates with the radius, just proximal to the wrist joint, at the distal radioulnar joint.

PowerPoint Presentation:

The fibrous outer layer attaches to the radius, ulna and the proximal row of the carpal bones. The internal layer is comprised of a synovial membrane, secreting synovial fluid which lubricates the joint. Synovial membrane lines the capsule and is attached to the margins of the articular surfaces. The joint cavity does not communicate with that of the distal radioulnar joint or with the joint cavities of the intercarpal joints. Cont.. Wrist joint Capsule of wrist joint :

PowerPoint Presentation:

There are four ligaments in the wrist joint, one for each side of the joint: Palmar radiocarpal   -  It passes from the radius to both rows of carpal bones. Its function, apart from increasing stability, is to ensure that the hand follows the forearm during supination . Dorsal radiocarpal   - It passes from the radius to both rows of carpal bones. It contributes to the stability of the wrist, but also ensures that the hand follows the forearm during pronation . Ulnar collateral   -  Runs from the ulnar styloid process to the triquetrum and pisiform . Works in union with the other collateral ligament to prevent excessive lateral joint displacement. Radial collateral  -  Runs from the radial styloid process to the scaphoid and trapezium. Works in union with the other collateral ligament to prevent excessive lateral joint displacement. Cont.. Wrist joint Ligaments of wrist joint :

PowerPoint Presentation:

Cont.. Wrist joint Ligaments of wrist joint :

PowerPoint Presentation:

Distal Radioulnar joint This is a pivot-joint formed between the head of the ulna and the ulnar notch on the lower end of the radius.  The synovial membrane of this articulation is extremely loose, and extends upward as a recess between the radius and the ulna. The movements of pronation and supination of the forearm involve a rotary movement around a vertical axis at the proximal and distal radioulnar joints.

PowerPoint Presentation:

Cont.. Distal Radioulnar joint Ligaments of distal radioulnar joint : A nterior radioulnar ligament :  This ligament is a narrow band of fibers extending from the anterior margin of the ulnar notch of the radius to the front of the head of the ulna.   P osterior radioulnar ligament :   This ligament extends between corresponding surfaces on the dorsal aspect of the articulation.

PowerPoint Presentation:

Cont.. Distal Radioulnar joint

Thank you:

Thank you

authorStream Live Help