Medial epicondyle of the humerus
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The medial epicondyle of the humerus is an
epicondyle An epicondyle () is a rounded eminence on a bone that lies upon a condyle ('' epi-'', "upon" + ''condyle'', from a root meaning "knuckle" or "rounded articular area"). There are various epicondyles in the human skeleton The human skeleton is ...
of the
humerus The humerus (; : humeri) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius (bone), radius and ulna, and consists of three sections. The humeral upper extrem ...
bone of the upper arm in humans. It is larger and more prominent than the lateral epicondyle and is directed slightly more posteriorly in the
anatomical position Anatomical terminology is a specialized system of terms used by anatomists, zoologists, and health professionals, such as doctors, surgeons, and pharmacists, to describe the structures and functions of the body. This terminology incorpor ...
. In birds, where the arm is somewhat rotated compared to other
tetrapod A tetrapod (; from Ancient Greek :wiktionary:τετρα-#Ancient Greek, τετρα- ''(tetra-)'' 'four' and :wiktionary:πούς#Ancient Greek, πούς ''(poús)'' 'foot') is any four-Limb (anatomy), limbed vertebrate animal of the clade Tetr ...
s, it is called the ventral epicondyle of the humerus. In
comparative anatomy Comparative anatomy is the study of similarities and differences in the anatomy of different species. It is closely related to evolutionary biology and phylogeny (the evolution of species). The science began in the classical era, continuing in t ...
, the more neutral term entepicondyle is used. The medial epicondyle gives attachment to the ulnar collateral ligament of elbow joint, to the pronator teres, and to a common tendon of origin (the common flexor tendon) of some of the flexor muscles of the
forearm The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, techn ...
: the
flexor carpi radialis In anatomy, flexor carpi radialis is a muscle of the human forearm that acts to flex and (radially) abduct the hand. The Latin ''carpus'' means wrist; hence flexor carpi is a flexor of the wrist. Origin and insertion The flexor carpi radialis is ...
, the
flexor carpi ulnaris The flexor carpi ulnaris (FCU) is a skeletal muscle, muscle of the forearm that flexion, flexes and Adduction, adducts at the wrist joint. Structure Origin The flexor carpi ulnaris has two heads; a humeral head and ulnar head. The humeral head o ...
, the flexor digitorum superficialis, and the palmaris longus. The medial epicondyle is located on the distal end of the humerus. Additionally, the medial epicondyle is inferior to the
medial supracondylar ridge The inferior third of the medial border of the humerus is raised into a slight ridge, the medial supracondylar ridge (or medial supracondylar line), which becomes very prominent below; it presents an anterior lip for the origins of the Brachiali ...
. It is also proximal to the
olecranon fossa The olecranon fossa is a deep triangular depression on the posterior side of the humerus, superior to the trochlea. It provides space for the olecranon of the ulna during extension of the forearm. Structure The olecranon fossa is located ...
. The medial epicondyle protects the
ulnar nerve The ulnar nerve is a nerve that runs near the ulna, one of the two long bones in the forearm. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or ...
, which runs in a groove on the back of this epicondyle. The ulnar nerve is vulnerable because it passes close to the surface along the back of the bone. Striking the medial epicondyle causes a tingling sensation in the ulnar nerve. This response is known as striking the "funny bone". The name funny bone could be from a play on the words humorous and humerus, the bone on which the medial epicondyle is located, although according to the
Oxford English Dictionary The ''Oxford English Dictionary'' (''OED'') is the principal historical dictionary of the English language, published by Oxford University Press (OUP), a University of Oxford publishing house. The dictionary, which published its first editio ...
, it may refer to "the peculiar sensation experienced when it is struck". Medial epicondyle fracture of the humerus are common when falling onto an outstretched hand.


Fractures

Medial epicondyle fractures are common elbow injuries in children. There is considerable controversy about their treatment, with uncertainty about whether surgery to restore the natural position of the bone is better than healing in a cast.


Additional images

Medial epicondyle of the humerus.svg, Right medial epicondyle colored in red. HumerusFront.png, Left humerus. Anterior view. Gray414.png, Front of the left forearm. Superficial muscles. Gray419.png, Posterior surface of the forearm. Deep muscles. Slide1bgbg.JPG, Elbow joint. Deep dissection. Posterior view. Slide2bgbg.JPG, Elbow joint. Deep dissection. Posterior view. Slide3bgbg.JPG, Elbow joint. Deep dissection. Posterior view.


References


External links

*
Slim Golf Blog - Treating & Preventing Golfer's Elbow
* () {{Authority control Upper limb anatomy Humerus