Skip to main content
SpringerLink
Log in

Funktionelle Anatomie und Biomechanik des Ellenbogens

  • Chapter
  • First Online:
AE-Manual der Endoprothetik

  • 3329 Accesses

Zusammenfassung

Die regelrechte Funktion der oberen Extremität ist maßgeblich von einem intakten Ellenbogengelenk abhängig. Die weitgehend ungehinderte Mobilität und Stabilität des Ellengelenkes stellt die Voraussetzung dar für alltäglich benutzte und benötigte Bewegungsabläufe. Ein starker Funktionsverlust des Ellengelenkes führt wie bei keinem anderen Gelenk unweigerlich zu einer empfindlichen Einschränkung der individuellen Unabhängigkeit. Anatomie und Biomechanik sind die Schlüssel für das Verständnis der Pathophysiologie dieses komplexen Gelenkes. Es haben sich eine Reihe besonderer Aspekte herauskristallisiert, die für eine erfolgreiche Endoprothetik von zentraler Bedeutung sind.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 159.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • An KN, Hui FC, Morrey B, Linscheid RL, Chao EY (1981) Muscle across the elbow joint: a biomechanical analysis. J Biomech 14:659

    Article  PubMed  CAS  Google Scholar 

  • An KN, Browne AO, Korinek S, Tanaka S, Morrey BF (1991) Three-dimensional kinematics of glenohumeral elevation. J Orthop Res 9:143–149

    Article  PubMed  CAS  Google Scholar 

  • Anson BJ, Mc Vay CB (1971) Surgical anatomy. W.B. Saunders, Philadelphia

    Google Scholar 

  • Ball CM, Galatz LM, Yamaguchi K (2002) Elbow instability: treatment strategies and emerging concepts. Instr Course Lect 51:53–61

    PubMed  Google Scholar 

  • Basmajian JV, Griffin WR Jr (1972) Function of anconeus muscle. An electromyographic study. J Bone Joint Surg Am 54:1712–1714

    PubMed  CAS  Google Scholar 

  • Basmajian JV, Latif A (1957) Integrated actions and functions of the chief flexors of the elbow: a detailed electromyographic analysis. J Bone Joint Surg Am 39-A:1106–1118

    PubMed  CAS  Google Scholar 

  • Bryan RS, Morrey BF (1982) Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop Relat Res 166:188–192

    PubMed  Google Scholar 

  • Davies F, Laird M (1948) The supinator muscle and the deep radial, posterior interosseous, nerve. Anat Rec 101:243–250

    Article  PubMed  CAS  Google Scholar 

  • Eckstein F, Lohe F, Hillebrand S, Bergmann M, Schulte E, Milz S, Putz R (1995a) Morphomechanics of the humero-ulnar joint: I. Joint space width and contact areas as a function of load and flexion angle. Anat Rec 243:318–326

    Article  CAS  Google Scholar 

  • Eckstein F, Merz B, Muller-Gerbl M, Holzknecht N, Pleier M, Putz R (1995b) Morphomechanics of the humero-ulnar joint: II. Concave incongruity determines the distribution of load and subchondral mineralization. Anat Rec 243:327–335

    Article  CAS  Google Scholar 

  • Evans EM (1945) Rotational deformity in the treatment of fractures of both bones of the forearm. J Bone Joint Surg 27:373

    Google Scholar 

  • Guttierez LF (1964) A contribution to the study of the limiting factors of elbow flexion. Acta Anat 56:146–164

    Article  Google Scholar 

  • Halls AA, Travill A (1964) Transmission of pressures across the elbow joint. Anat Rec 150:243–247

    Article  PubMed  CAS  Google Scholar 

  • Hollinshead WH (1969) The back and limbs. In: Hollinshead WH (Hrsg) Anatomy for Surgeons. Harper & Row, New York, S 379

    Google Scholar 

  • Hotchkiss RN, An KN, Sowa DT, Basta S, Weiland AJ (1989) An anatomic and mechanical study of the interosseous membrane of the forearm: pathomechanics of proximal migration of the radius. J Hand Surg Am 14:256–261

    Article  PubMed  CAS  Google Scholar 

  • Ishizuki M (1979) Functional anatomy of the elbow joint and three-dimensional quantitative motion analysis of the elbow joint. J Jpn Orthop Assoc 53:989–993

    CAS  Google Scholar 

  • Johansson O (1962) Capsular and ligament injuries of the elbow joint. A clinical and arthrographic study. Acta Chir Scand Suppl 287:1–159

    PubMed  Google Scholar 

  • Kapandji IA (1984) Funktionelle Anatomie der Gelenke. Enke, Stuttgart

    Google Scholar 

  • Keats TE, Teeslink R, Diamond AE, Williams JH (1966) Normal axial relationships of the major joints. Radiology 87:904–907

    PubMed  CAS  Google Scholar 

  • Klonz A, Loitz D, Reilmann H (2003) Proximale und distale Bizepssehnenruptur. Unfallchirurg 106:755–763

    Article  PubMed  CAS  Google Scholar 

  • Koebke J (1998) Funktionelle Anatomie und Biomechanik des Ellenbogengelenkes. In: Stahl C, Koebke J et al (Hrsg) Klinische Arthrologie. Ecomed, Landsberg, S 11

    Google Scholar 

  • Lou S, Lin CJ, Chou PH, Chou YL, Su FC (2001) Elbow load during pushup at various forearm rotations. Clin Biomech (Bristol) 16:408–414

    Article  CAS  Google Scholar 

  • Markolf KL, Lamey D, Yang S, Meals R, Hotchkiss R (1998) Radioulnar load-sharing in the forearm. A study in cadavera. J Bone Joint Surg Am 80:879–888

    PubMed  CAS  Google Scholar 

  • Martin BF (1958) The annular ligament of the superior radial ulnar joint. J Anat 52:473

    Google Scholar 

  • Morrey BF (1998) Complex instability of the elbow. Instr Course Lect 47:157–164

    PubMed  CAS  Google Scholar 

  • Morrey BF (2000a) Anatomy of the elbow joint. In: Morrey B (Hrsg) The elbow and its disorders. W.B. Saunders, Philadelphia, S 13–42

    Google Scholar 

  • Morrey BF (2000b) Biomechanics of the elbow. In: Morrey B (Hrsg) The elbow and its disorders. W.B. Saunders, Philadelphia, S 43–60

    Google Scholar 

  • Morrey BF, An KN (1983) Articular and ligamentous contributions to the stability of the elbow joint. Am J Sports Med 11:315–319

    Article  PubMed  CAS  Google Scholar 

  • Morrey BF, An KN (1985) Functional anatomy of the elbow ligaments. Clin Orthop 201:84

    PubMed  Google Scholar 

  • Morrey BF, Chao EY (1976) Passive motion of the elbow joint. J Bone Joint Surg Am 58:501–508

    PubMed  CAS  Google Scholar 

  • Morrey BF, An KN, Stormont TJ (1988) Force transmission through the radial head. J Bone Joint Surg Am 70:250–256

    PubMed  CAS  Google Scholar 

  • Morrey BF, Tanaka S, An KN (1991) Valgus stability of the elbow. A definition of primary and secondary constraints. Clin Orthop Relat Res 265:187–195

    PubMed  Google Scholar 

  • O’Driscoll SW, Morrey BF, An KN (1990) Intraarticular pressure and capacity of the elbow. Arthroscopy 6:100–103

    Article  PubMed  Google Scholar 

  • O’Driscoll SW, Horii E, Morrey B, Carmichael SW (1992a) Anatomy of the ulnar part of the lateral collateral ligament of the elbow. Clin Anat 5:296–303

    Article  Google Scholar 

  • O’Driscoll SW, Morrey BF, Korinek S, An KN (1992b) Elbow subluxation and dislocation. A spectrum of instability. Clin Orthop Relat Res 280:186–197

    Google Scholar 

  • Olsen BS, Vaesel MT, Sojbjerg JO, Helmig P, Sneppen O (1996) Lateral collateral ligament of the elbow joint: anatomy and kinematics. J Shoulder Elbow Surg 5:103–112

    Article  PubMed  CAS  Google Scholar 

  • Paraskevas G, Papadopoulos A, Papaziogas B, Spanidou S, Argiriadou H, Gigis J (2004) Study of the carrying angle of the human elbow joint in full extension: a morphometric analysis. Surg Radiol Anat 26:19–23

    Article  PubMed  CAS  Google Scholar 

  • Putz R, Milz S, Maier M, Boszczyk A (2003) Functional morphology of the elbow joint. Orthopäde 32:684–690

    Article  PubMed  CAS  Google Scholar 

  • Rohen JW, Lütjen-Drecoll E (2001) Funktionelle Anatomie des Menschen. Schattauer, Stuttgart

    Google Scholar 

  • Rohlmann A, Basli K, Bergmann G (1986) Analysis of the tension of the elbow joint before and after resection of the radius head. Biomed Tech (Berl) 31:230–239

    Article  CAS  Google Scholar 

  • Sarmiento A, Ebramzadeh E, Brys D, Tarr R (1992) Angular deformities and forearm function. J Orthop Res 10:121–133

    Article  PubMed  CAS  Google Scholar 

  • Schiebler TH, Schmidt W, Zilles K (1995) Anatomie. Springer, Berlin

    Book  Google Scholar 

  • Sojbjerg JO, Ovesen J, Gundorf CE (1987) The stability of the elbow following excision of the radial head and transection of the annular ligament. An experimental study. Arch Orthop Trauma Surg 106:248–250

    Article  PubMed  CAS  Google Scholar 

  • Sorbie C, Shiba R, Siu D, Saunders G, Wevers H (1986) The development of a surface arthroplasty for the elbow. Clin Orthop Relat Res 208:100–103

    PubMed  Google Scholar 

  • Spinner M, Kaplan EB (1970) The quadrate ligament of the elbow: its relationship to the stability of the proximal radio-ulnar joint. Acta Orthop Scand 41:632

    Article  PubMed  CAS  Google Scholar 

  • Thomas TT (1929) A contribution to the mechanism of fractures and dislocations in the elbow region. Ann Surg 89:108–121

    Article  PubMed  CAS  Google Scholar 

  • Thomsen M, Loew M, Nägerl H (2001) Kinematik und Biomechanik des Ellenbogengelenks. Orthopäde 30:582–586

    Article  PubMed  CAS  Google Scholar 

  • Walker PS (1977) Human joints and their artificial replacements. Charles C. Thomas, Springfield, IL

    Google Scholar 

  • Weinberg AM, Pietsch IT, Krefft M, Pape HC, Griensven M van, Helm MB, Reilmann H, Tscherne H (2001) Pronation and supination of the forearm. With special reference to the humero-ulnar articulation. Unfallchirurg 104:404–409

    Article  PubMed  CAS  Google Scholar 

  • Wilhelm A (1989) Therapieresistente Epicondylitis humeri radialis und Denervationsoperation. Operat Ortho Trauma 1:25–34

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland

    Priv.-Doz. Dr. Sebastian Seitz & Prof. Dr. med. Wolfgang Rüther

  2. Klinik für Orthopädie, Universitätsklinikum Hamburg Eppendorf, Martinistr.52, 20246, Hamburg, Deutschland

    Priv.-Doz. Dr. Sebastian Seitz & Prof. Dr. med. Wolfgang Rüther

Authors
  1. Priv.-Doz. Dr. Sebastian Seitz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. med. Wolfgang Rüther
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sebastian Seitz .

Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Orthopädie, Universitätsklinikum Hamburg Eppendorf, Hamburg, Germany

    Wolfgang Rüther

  2. Schulthess-Klinik, Zürich, Switzerland

    Beat R. Simmen

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Arbeitsgemeinschaft Endoprothetik

About this chapter

Cite this chapter

Seitz, S., Rüther, W. (2013). Funktionelle Anatomie und Biomechanik des Ellenbogens. In: Rüther, W., Simmen, B. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34672-9_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-34672-9_2

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34671-2

  • Online ISBN: 978-3-642-34672-9

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation