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The elbow joint

The elbow joint

The elbow is the essential link between the shoulder and the hand. With full elbow function, the position of the hand relative to the head can be adjusted so that we can bring a fork to the mouth, wash the face or comb the hair. Pain-free function also matters for our working life, whether at a computer or in a trade, and equally for taking part in sport.

Anatomy of the elbow

Anatomy of the elbow joint

The elbow joint brings the upper arm bone together with the two bones of the forearm (radius and ulna). Functionally it consists of three partial joints sharing a single joint capsule, in which the upper arm bone and the two forearm bones each articulate with one of the other two bones. The joint is stabilised by the bony guidance, by the muscles that cross the joint and essentially by three ligaments. The forearm can be flexed and extended at the elbow relative to the upper arm. The joint is also functionally involved in the rotating movements of the hand, pronation and supination, which are made possible in part by a complex rotational movement of the radius.

The elbow joint – function & biomechanics

A complex joint for precision and strength

Function of the elbow joint

The elbow allows:

  • Flexion and extension (the main movement)
  • Pronation and supination (rotating movements)
  • Precise positioning of the hand
  • Transfer of force from the upper arm
  • Stability for everyday activities

This freedom of movement is essential for fine motor tasks and for applying force.

Biomechanics of the elbow

Joint structure:

  • Humeroulnar joint: flexion and extension
  • Humeroradial joint: flexion and extension
  • Proximal radioulnar joint: rotating movements

Range of movement:

Flexion: 0–150°; rotating movements: 80–90°.

Stability:

Bony guidance, the muscles and three main ligaments.

Nerve supply:

Three main nerves run close to the joint.

Health & prevention

The elbow is susceptible to:

  • Tennis and golfer’s elbow
  • Bursitis
  • Osteoarthritis
  • Nerve compression syndromes
  • Loose bodies in the joint

Prevention:

  • An ergonomic workplace
  • Regular breaks during repetitive tasks
  • Strengthening the forearm muscles
  • Avoiding overloading

In summary

The elbow is a complex system and essential to our fine motor skills and to applying force. Keeping it healthy in the long term depends on ergonomic working conditions, targeted prevention and treating symptoms early.

The team at Sportklinik Freiburg will be glad to help you with this.

Common conditions of the elbow

Elbow pain can have many causes – from overuse through to degenerative conditions. The most common conditions include:

Illustration of Tennis and golfer’s elbow
Conditions
Tennis and golfer’s elbow
The pain is caused by inflammation resulting from overuse of the muscles and their tendon attachments
Illustration of Elbow osteoarthritis
Conditions
Elbow osteoarthritis
Wear of the cartilage causes pain. The causes are varied and range from deformities through to overloading in sport, daily life and at work
Illustration of Bursitis (bursitis olecrani)
Conditions
Bursitis (bursitis olecrani)
Overloading can cause the bursa at the back of the elbow to swell and become inflamed
Illustration of Cubital tunnel syndrome
Conditions
Cubital tunnel syndrome
Narrowing around the ulnar nerve at the elbow damages the nerve.
Illustration of Loose bodies in the elbow
Conditions
Loose bodies in the elbow
A fragment of cartilage or bone floating in the joint causes locking and wear of the cartilage

Our elbow specialists

Experienced consultants caring for your elbow health