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Pediatric Practice: Sports MedicinePediatric Practice: Sports Medicine

Section 3. Musculoskeletal Injuries > 

Chapter 22. Acute Injuries of Elbow, Forearm, Wrist, and Hand

Steven Cline
Topics Discussed: elbow injuries; elbow joint; elbow region; forearm; forearm injuries; hand injuries; wrist injuries.
Sections: Fractures About the Elbow, Posterior Dislocation of the Elbow, Acute Sprains of the Ulnar Collateral Ligament (UCL) of Elbow, Forearm Bone Fractures, Scaphoid Fractures, Fracture of the Hook of Hamate, Scapholunate Ligament Sprains, Finger Flexor Tendon Injury (Jersey Finger), Finger Extensor Tendon Injury (Mallet Finger), Extensor Tendon Central Slip Injury (Boutonnière Deformity), Volar Plate Disruption, Phalanx Fractures, Metacarpal Fractures of 2nd to 5th Digits, Epiphysiolysis, Fractures of the Thumb Metacarpal, Thumb Ulnar Collateral Ligament Sprain, Dislocations of the Interphalangeal (IP) and Metacarpophalangeal (MCP) Joints, Nail Bed Injuries, References.
Excerpt:"The elbow joint (Figures 22-1, 22-2, 22-3, 22-4, 22-5, and 22-6) is a compound synovial joint and consists of the radiohumeral (radiocapetellar), ulnohumeral (trochlear), and proximal radioulnar articulations. The movements of elbow flexion and extension occur at the ulnohumeral joint and range between 150 and 160 degrees, with between 0 and 10 degrees of hyperextension. The main flexor muscles are biceps brachii and brachialis, whereas the main extensor muscle is triceps. The movements of supination and pronation occur at the proximal radioulnar joint and the radiohumeral joint. Biceps brachii muscle and supinator muscles are the primary supinators, whereas the pronator teres is the primary pronator. The ulnar or medial collateral ligament is the major stabilizer of the elbow joint during the throwing motion. The timing of appearance of secondary ossification centers around the elbow is listed in Table 22-1. All fuse to form a singe epiphysis between 14 and 17 years of age. The distal humeral physis contributes approximately 20% to final length of humerus...."
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