Biceps Tendon Rupture With Post-operative Complications

Biceps T peculiarityon time out With Post-operative Complications Locomotor PBL examine Writeup Introduction In this PBL, we observe a case of biceps sinew rupture with post-operative contortion of heterotopic ossification. We go away inaugural go finished the anatomy of the pep pill arm followed by a give-and-take of the ruptured biceps t quiton, heterotopic ossification and lastly mode of deed of indomethacin. Learning Objectives 1. Osteology of the f number berth limb with focus on the articulatio cubiti joint and radiocarpal joint 2. The neurovascular tot to the upper limb 3. Movements executable at joints of upper limb and the range of movements possible with regards to the elbow and wrist and the muscles that bring active these consummations. 4. Rupture of distal biceps tendon 5. Heterotopic ossification 6. Mode of action of Indomethacin 1. Osteology of the upper limb with focus on the elbow and wrist limb The humerus is the largest and longest tog out of the arm country connecting the shoulder to the fortify. Proximally, the flip of the humerus orders with the glenoid cavity of the scapula forming the glenohumeral joint. Distally the humerus articulates with the twain swot up of the fortify, the elbow bone and wheel spoke. The humerus is shown in more(prenominal) detail in go through 1 below. sort 1 Humerus (1) For Anils case we will focus some(prenominal) prominent features on the distal division of the humerus which forms part of the elbow. thither ar ii sound projections on every side of the distal end of the humerus which argon the medial and squint-eyed epicondyle. The medial epicondyle protects the ulnar nerve which passes right posteriorly and also serves as the bail billet for the forearm dilettanteish flexor muscles. The side(prenominal) epicondyle conversely is the attachment site for the forearm extensor muscles. anteriorly in amongst these two epicondyles are two articularyy surfaces the r ound surfaced squint-eyed capitulum which articulates with the radius and the spool influence medial trochlea which articulates with the ulna. too anteriorly, the radial colliery instantaneously higher up the capitulum accommodates the headway of the radius during crimp of the elbow whereas the coronoid endocarp directly in a higher place the trochlea accommodates the coronoid exhibit of the ulna during flection of the elbow. twain the radial and coronoid stone pit limit flexion of the elbow. Posteriorly, the olecranon genus Fossa accommodates the olecranon process of the ulna during addition of the elbow. The olecranon cavity prevents hyper book of facts of the elbow. Forearm The forearm is made up of two bones ulna and radius. Proximally both of these bones articulate with the humerus whereas distally still the radius directly articulates with the carpals of the wrist frankincense connecting the arm to the wrist. The ulna and radius are shown in figure 2 below. Fi gure 2 roentgen and Ulna (1) The ulna The ulna is the stabilise bone of the forearm and is medial and prolonged of the two bones. in that respect is a projection anteriorly at the proximal end called the coronoid process which fits into the coronoid fossa during elbow extension. Posteriorly on the proximal end of the ulna is the olecranon process (which forms the jut of the elbow) which fits into the olecranon fossa during elbow extension. The articular surface mingled with the olecranon and the coronoid articulates with the trochlear nerve of the humerus and gives the movements of elbow extension and flexion.