2 Bones of Upper Limb 2

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Humerus

It is long bone which is formed of upper end ,shaft and lower


end .

Upper end

Shaft

Lower end .
• The humerus is the bone of the arm
• It articulates with the scapula at the shoulder, and the
radius and ulna at the elbow.

Shoulder joint
Elbow joint
Greater tubercle
Head of humerus
Lesser tubercle
Anatomical neck
Intertubercular Surgical neck
groove

Radial groove

Deltoid tuberosity

Medial supra condylar ridge

Lateral supra condylar Coronoid fossa


ridge
Olecranon fossa
Radial fossa Medial epicondyle
Lateral
Capitulum Trochlea epicondyle
• Major markings:
– Proximal humerus includes the head, anatomical
and surgical necks, greater and lesser tubercles, and
the intertubercular groove.
– Distal humerus includes the capitulum, trochlea,
medial and lateral epicondyles, and the coronoid and
olecranon fossae.
– Medial portion includes the radial groove and the
deltoid process.
Related structures of the humerus:-

1. Axillary n & circumflex artery


2. Radial n. & profonda brachii artery
3. Ulnar n.
Forearm

• The bones of the forearm are the radius and ulna.


• They articulate proximally with the humerus and
distally with the wrist bones.
• They also articulate with each other proximally and
distally at small radioulnar joints.
• Interosseous membrane connects the two bones along
their entire length.
Olecranon
Radial notch
process
Head Trochlear notch
Neck
Coronoid process
Radial tuberosity Proximal radioulnar
joint
Interosseous membrane

Ulna

Radius
Ulna notch
Head of ulna
Styloid process
of ulna
Distal radioulnar joint Styloid process of radius

(A) Anterior view (B) Posterior view


Ulna

• The ulna lies medially in the forearm and is slightly


longer than the radius.
• Forms the major portion of the elbow joint with the
humerus.
• Its major markings include the olecranon, coronoid
process, trochlear notch, radial notch, and the
styloid process.
Radius
• The radius lies lateral to the ulna and is thin at its
proximal end, widened distally.
• The superior surface of the head articulates with the
capitulum of the humerus.
• Medially, the head articulates with the radial notch of
the ulna.
• Major markings include the radial tuberosity, ulnar
notch, and styloid process.
Test your knowledge
Fracture of olecranon

 Olecranon fracture classified according to stability, displacement,


and comminution.
Fraction in the radius
 Common radial fracture about 2 cm above its lower end.

 Colles’s fracture of distal radius causes ‘ Dinner fork deformity’.


madelung's deformity

malformed wrists with displacement of lower end of ulna.


Due to retarded growth of lower end of radius.
Skeleton of the hand

is formed of three regions arranged in proximodistal


direction:-
(i) Carpus :- which is formed of 8 bones called
Carpal bones.
(ii) Metacarpus :- which is formed of 5 metacarpus
bones .
(iii) Phalanges:- which are 14 in number.
The carpal bones

• Consists of eight bones:-

1- Proximal row:- Scaphoid, lunate, triquetral, and


pisiform.

2-Distal row :- Trapezium, trapezoid, capitate, and


hamate.
bones
Stop Scaphoid
Letting Lunate
Those Triquetrum
People Pisiform
Touch Trapezium
The Trapezoid
Cadaver’s Capitate
Hand. Hamate
Metacarpus

which is formed of 5 metacarpus bones .


 distal heads of the metacarpals.
 proximal bases of the metacarpals.
Phalanges

• Each hand contains 14 long bones called phalanges.

• Fingers (digits) are numbered 1-5, beginning with


the thumb.
• Each finger (except the thumb) has three phalanges
– distal, middle, and proximal.
• The thumb has no middle phalanx.
Scaphoid fracture
Scaphoid fracture
Fracture of phalanges

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