Humerus – medial epicondyle

Humerus - medial epicondyle

Anatomy

Bump at bottom of humerus, medially (when hand pronated, ie palm forward). Attached; ulnar collateral ligament of elbow (significant in stabilizing the joint against valgus – lateral flexion), pronator teres, common flexor tendon. Bigger than lateral epicondyle.

Clinical

“Funny bone”; ulnar nerve runs just behind it (and can be easily felt – cordlike), with no muscle or bone covering it; blunt trauma can cause paraesthesiae such as tingling in 5th and medial half 4th fingers. Site of golfer’s elbow.

Supercondylar fractures common in children; anterior displacement of upper part of fracture (proximal fragment) can damage brachial artery (check the radial pulse).

Vignette

Tennis elbow; lateral epicondylitis. Golfer’s elbow; medial epicondylitis.

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