Elbow Biomechanics: Bony and Dynamic Stabilizers

The elbow positions the hand in a stable manner relative to the trunk while allowing flexion and extension as well as forearm rotation at varying shoulder positions. Its ability to perform this task without joint subluxation is accomplished through a combination of bony congruency, ligamentous restraint, and dynamic stabilization. This article reviews the bony and dynamic contributors to elbow stability and kinematics. Bony stability is conferred through the morphology of the humeroulnar, humeroradial, and radioulnar joints. Depending on the arm position relative to the trunk and the degree of elbow flexion, the bony contribution will vary. Dynamic elbow stabilizers confer stability through the activation of various muscles that cross the elbow. These forces help resist valgus and varus forces and may also increase bony stability by generating compressive forces. The goal of this article is to review the literature surrounding the biomechanics of bony and dynamic stabilizers of the elbow while drawing clinically relevant biomechanical observations.