Class 4: elbow/forearm

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Created by:

Siham  on September 28, 2010

Subjects:

tx of ortho

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Class 4: elbow/forearm

Pronator Quadratus O, I, A
O: medial anterior surface of distal ulna, I: lateral anterior surface of distal radius, A: Pronate the forearm
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Pronator Quadratus O, I, A O: medial anterior surface of distal ulna, I: lateral anterior surface of distal radius, A: Pronate the forearm
Pronator Teres O, I, A O:medial epicondyle of the humerus, common flexor tendon and coronoid process of the ulna, I:middle of the lateral surface of radius. A: pronate forearm, assist to flex the elbow
Supinator O, I, A O:radial collateral ligament, annular ligament and supinator crest of the ulna (lateral epicondyle). I; lateral proximal radial shaft. A: supinates forearm.
Palmaris longus O, I, A O:common flexor tendon from medial epicondyle, I:flexor retinaculum and palmar aponeurosis, A:tense the palmar fascia, flex wrist, flex elbow.
extensor digitorum communis O Lateral epicondyle of humerus, I: second to fifth digits, A:extends the hand, wrist and fingers.
Elbow/forearm protocol 1)pronator teres, 2)supinator, 3)extensor digitorum communis, 4)3 flexors (flexor carpi ulnaris, flexor carpi radialis, palmaris longus)
pronator teres location Distal tip of equilateral triangle drawn from Ht 3 and Pc 3, needle perpendicular .5-1 inch
Supinator location With forearm pronated, it is deep to LI 9 (or, 1.5 cun distal to Lu 5 and .5 towards radial side)
Extensor digitorum communis location Tip of equilateral triangle drawn fro LI 8 and LI 9, on the ulnar side.
3 Flexors (carpi ulnaris, radialis, longus) On a line drawn from the medial epicondyle of the humerus to Ht 7, Pc 7, and Lu 9, on the proximal 1/3rd between these points. Ulnaris is to Ht 7, radialis is to Pc 7 and P. longus is to Lu 9)
Other points 1) pronator quadratus (Pc 6 - use for true carpal tunnel in addition to regular protocol), 2) thread both sides of insertion of wrist flexors (medial) or extensors (lateral)-->to tx epicondylitis.
Pronator teres syndrome Muscle tension can cut off median nerve and mimic carpal tunnel
How to access radial nerve via li 9
how to access median nerve via PC 3
how to access ulnar nerve Si
What prevents varus in elbow lateral collateral ligament
what prevents valgus in elbow medial collateral ligament
annular ligament ring in which radius rotates

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Siham