00:01
So, now, let's turn our attention
to the elbow joint.
00:04
We've spoken a lot about the elbow joint
and the movements of the elbow joints.
00:09
Now, let's have a look at it in some detail. So, here,
we can see the three bones that form the elbow joints.
00:16
Here, we can see the distal aspects of the humerus
and we can see the proximal aspects
of the radius which is laterally and the ulna
which is medially located.
00:27
So, here, we're looking at an anterior
surface of the right elbow joint.
00:31
Here, we can see the surfaces for articulation
between the trochlea of the humerus
and the trochlear notch on the ulna.
00:39
And then, we can see how these two come
together to form the humeroulnar joint.
00:44
Similarly, on the lateral aspect, we have the
capitulum of the humerus and how that articulates
with the head of the radius, forming
the humeroradial joint.
00:54
So, although we're talking about
the elbow joint, actually, you can see
there's some very specific joints here,
humeroulnar joint between the ulna
and the humerus and the humeroradial joint
between the radius and the humerus.
01:07
Here, we can see we have a nice joint
capsule that is surrounding all of this joint
and we can just make out the radial fossa
which we can see there.
01:14
Remember, that allows the articulation, the rotation of
the head of the radius during pronation and supination.
01:20
And here, we can see the coronoid fossa which allows the ulna
to sit during full flexion of the forearm against the humerus.
01:28
It allows the ulna to position against
that humerus there, the coronoid fossa.
01:33
Here, we can see the medial epicondyle
and we can see the head of the radius, the coronoid process
and all of these are completely surrounded
by that joint capsule.
01:45
If we look more at the posterior aspect,
you can still see the make out of the joint capsule there.
01:50
You can see the olecranon that's going to sit on
the olecranon fossa during full extension of the elbow.
01:55
And here, again, you can see a number
of ligaments similar to the glenohumeral joint
that are here to support the elbow joint.
So, in the medial aspect,
you have a thickening of the joint capsule,
the ulnar collateral ligament
and we also have that on the lateral aspect
with the radial collateral ligament.
02:13
These helping to support
the joint capsule.
02:16
Running around the head of the radius,
attaching to the ulna,
and then, running all the way around
in this C-shaped orientation,
we have the annular ligament of the radius.
That helps to hold the radial head in position.
02:28
Be careful when you pull the arms strongly
of a young child because that ligament is still loose,
so, you can pop the radial head out of
that ligament and dislocate it.
02:37
So, here, we can see the movements
of the elbow joint.
02:39
We're familiar with these already when
we looked at the muscles of the arm.
02:43
We have extension of the elbow join in this direction
and we have flexion of the elbow joint as well.
02:49
Blood supply, we mentioned these when we
looked at the blood vessels of the upper limb.
02:54
But principally, we've got the brachial
artery, the ulnar artery,
and the radial artery, forming combinations
of anastomotic pathways that supply this region.
03:05
So, here, we can see we have the brachial
artery which is bifurcating down into the ulnar
and the radial arteries and coming off it
are a series of supporting branches.
03:14
So, superiorly, we can see the superior ulnar
collateral artery that's also being supported
by its sibling, the inferior ulnar collateral artery
and we can see these are supplying the joint capsule.
03:27
And then, coming off the ulnar artery, we can see we have
both a posterior and anterior ulnar recurrent artery.
03:35
And these are coming from the ulnar arteries
and then, running superiorly up to supply the joint capsule.
03:41
On the lateral aspect,
we have the radial artery.
03:44
We will return to the radial recurrent artery that
runs back superiorly up to supply the joint capsule.
03:50
And here, we can also see now in the
posterior surface, a number of branches
which are more clearly coming to
supply the more posterior aspect.
03:59
Coming off the brachial artery, we now see that superior
ulnar collateral artery again and its posterior sibling.
04:05
We can now see a medial collateral artery coming off
and we can see the radial collateral artery as well,
this time, supplying the joint capsule
we can see on this posterior aspect.
04:17
So, a whole series of very small thin
branches coming off the key brachial, ulnar,
and radial arteries of the upper limb. And these
very importantly form an anastomotic network
around the joint capsule, ensuring that
joint capsule receives plentiful blood supply.