1. Anatomy slides
Elbow and Wrist

2. POK 1 “Guidance for Routine
Handling “
• These anatomy slides should help you focus
your attention;
• ? Think what structures are you targeting and
locating & why
• ? What are the bony landmarks
• ? What will you applicators be
• ? Where are your contact points
• ? What structures might you stabilize/move

3. Elbow joint

4. Elbow joint movement

5. Elbow joint

8. Annular ligament

9. Myology (Muscles)
• Muscles of the upper arm
• Anterior
– Biceps brachii
– Brachialis
• Posterior
– Aconeus
– Triceps Brachii
• Lateral
– Brachioradialis

10. Biceps brachii & Brachialis

11. Triceps brachii & Anconeus

12. Biceps brachii & Brachialis

13. Elbow flexion / Extension
• Flexion; • Extension;
• Brachialis • Triceps Brachii
• Biceps Brachii • Anconeus
• Brachioradialis

14. Forearm Pronation / Supination
• Pronation; • Supination;
• Pronator Quadratus • Supinator
• Pronator teres • Biceps Brachii (with
elbow flexed)

15. Biceps brachii
• Origin
– Long head - supraglenoid tubercle
– Short head - coracoid process
• Insertion
– Radial tuberosity & bicipital aponeurosis
• Action
– Shoulder & elbow flexion, supination
• Innervation
– Musculocutaneus nerve (C5-C6)

16. The Wrist and Hand
• Keep thinking about;
• The relationship of all the bones of the
upper Limb
• What are the anatomical links?
• What muscles have an effect over more
than 1 joint ?
• What are the main nerves that supply the
Upper limb and hand?

17. Fibrous joints (Syndesmosis)

18. Types of Synovial Joints

21. Carpal bones
• 8 carpal bones - form the carpus
– Scaphoid = boat shaped
– Lunate = moon/crescent shaped
– Triquetral = three cornered
– Pisiform = pea shaped
– Hamate = hook shaped
– Capitate = head
– Trapezoid = no parallel sides
– Trapezium = parallel sides

22. Supination & Pronation

23. Movements of the radiocarpal and
midcarpal joints

24. Carpal tunnel

25. Deep flexors
FDP
FPL
PQ

26. Superficial flexors
PT
FDS
FCR
FCU
PL

27. Deep extensors
Supinator
APL
EPB
EPL
EI

28. Superficial extensors
ECU
EDM
ED

31. Thenar
muscles

32. Thenar & Hypothenar muscles
Adductor pollicis
Opponens digiti minimi Flexor Pollicis Brevis
Flexor digiti minimi Opponens pollicis
Abductor digiti minimi
Abductor pollicis brevis

33. Radial nerve
• Major nerve of the
Posterior cord
• C5,C6,C7,C8,T1
• Supplies
– Triceps
– Anconeus
– Brachialis (lat)
– Brachioradialis
– Ex Carpi Rad Long
• At the LHE bifurcates
– Deep interosseous
– Superficial Rad nerve

34. Ulna nerve
• Terminal Branch of
the medial cord
• C7,C8,T1
• Supplies
– Some wrist flexors
– Flex Digit Prof
– Flex Carpi Ulnaris

35. Median nerve
• Arises from
– Lateral Cord C5,C6,C7
– Medial Cord C8,
T1
• Supplies
– Wrist Flexors
– Thenar muscles
Carpal tunnel