Anatomy - The upper extremity

18 important questions on Anatomy - The upper extremity

What are the three joints that make up the elbow joint?

1. Humeroulnar joint (saddle joint which functions as a hinge joint)
2. Humeroradial joint (functions as a ball and socket joint)
3. Proximal radioulnar joint (functions as a pivot joint)

What are the movement capabilities of the elbow joint?

- flexion and extension (take place in the humeroulnar joint and the humeroradial joint)
- pronation and supination (take place in the proximal radioulnar articulation and the humeroradial joint)

What is the normal degree of flexion in the elbow?

150-160 degrees
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What is the normal angle of extension in the elbow?

0 degrees in men, a few degrees of hyperextension in children and woemn

What is the normal degree of pronation and supination in the elbow?

90 degrees from the midpoint

What is the origin and insertion of the brachialis muscle?

Origin: Humerus and intermuscular septum (lateral and medial)
Insertion: Ulnar tuberosity and coronoid process

What is the origin and insertion of the biceps brachii muscle?

Origin: supraglenoid tubercle of the scapula and glenoid labrum (long head) and coracoid process (short head)
Insertion: Radial tuberosity and antebrachial fascia (via the bicipital aponeurosis)

What is the origin and insertion of the brachioradialis muscle

Origin: lateral supracondylar ridge of the humerus and the intermuscular septum
Insertion: Directly proximal to the radial styloid process

Function: flexion of the elbow with the lower arm in midpoint position

What is the origin and insertion of the extensor carpi radialis longus and brevis muscles?

Origin: lateral supracondylar ridge of the humerus (long) and lateral epicondyle (short)
Insertion: Base of metacarpal bones II (long) and III (short) 

Function: dorsal flexion and radial abduction of the wrist; flexion of the elbow
Disorder: tendonitis

What is the origin and insertion of the extensor digitorum muscle?

Origin: lateral epicondyle and antebrachial fascia
Insertion: proximal, medial and distal phalanx II through to V (spreading out into the dorsal aponeurosis of the fingers

Function: dorsal flexion of the wrist and extension of phalanges II through to V
Disorder: tendonitis

What is the origin and insertion of the triceps brachii muscle?

Origin: infraglenoid tubercle of the scapula (long head); dorsal fascia of the humerus and intermuscular septum (medial head and lateral head)
Insertion: Olecranon and ulna (via antebrachial fascia)

What is the origin and insertion of the flexor carpi radialis muscle?

Origin: medial epicondyle and antebrachial fascia
Insertion: base of the metacarpal bones II and III

What is the origin and insertion of the flexor carpi ulnaris muscle?

Origin: medial epicondyle and antebrachial fascia
Insertion: pisiform bone

Function: palmar flexion and ulnar abduction of the wrist;
Disorder: tendonitis

What is cubitus valgus?

In the anatomical position, the lower arm exhibits abduction relative to the upper arm, known as valgus. This is more pronounced in women than in men

Where is Hueter's line located?

The olecranon and both epicondyles form a straight line when the elbow is stretched

When can Hueter's triangle be seen?

With a 90 degree flexed elbow, the olecranon and both epicondyles form an equilateral triangle.

What is the function of the digitorum superficialis muscle?

Function: flexion of MCP, PIP and DIP joints II through to V; palmar flexion of the wrist
Disorder: peritendonitis

Which bones does the elbow joint consist of?

Humerus, ulna and radius

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