_Comparative Anatomy._--In the lower Vertebrates the shoulder is
adapted to support rather than prehension and is not so freely movable
as in the Primates. The tendon of the biceps has evidently sunk
through the capsule into the joint, and even when it is intra-capsular
there is usually a double fold connecting its sheath of synovial
membrane with that lining the capsule. In Man this has been broken
through, but remains of it persist in the _superior gleno-humeral
fold_. The _middle gleno-humeral fold_ is the vestige of a strong
ligament which steadies and limits the range of movement of the joint
in many lower Mammals.
The ELBOW JOINT is an excellent example of the ginglymus or hinge,
though its transverse axis of movement is not quite at right angles to
the central axis of the limb, but is lower internally than externally.
This tends to bring the forearm towards the body when the elbow is bent.
The elbow is a great contrast to the shoulder, as the trochlea and
capitellum of the humerus are closely adapted to the sigmoid cavity of
the ulna and head of the radius (see SKELETON: _appendicular_);
consequently movement in one plane only is allowed, and the joint is a
strong one. The capsule is divided into anterior, posterior, and two
lateral ligaments, though these are all really continuous. The joint
cavity communicates freely with that of the superior radio-ulnar
articulation.
The _radio-ulnar joints_ are three: the upper one is an example of a
pivot joint, and in it the disk-shaped head of the radius rotates in a
circle formed by the lesser sigmoid cavity of the ulna internally and
the _orbicular ligament_ in the other three quarters.
The _middle radio-ulnar articulation_ is simply an interosseous
membrane, the fibres of which run downward and inward from the radius to
the ulna.
The _inferior radio-ulnar joint_ is formed by the disk-shaped lower end
of the ulna fitting into the slightly concave sigmoid cavity of the
radius. Below, the cavity of this joint is shut off from that of the
wrist by a _triangular fibro-cartilage_. The movements allowed at these
three articulations are called pronation and supination of the radius.
The head of that bone twists, in the orbicular ligament, round its
central vertical axis for about half a circle. Below, however, the whole
lower end of the radius circles round the lower end of the ulna, the
centre of rotation being close to the styloid process of the ulna. The
radius, therefore, in its pronation, describes half a cone, the base of
which is below, and the hand follows the radius.
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