2nd Midterm Fall 2017 Semester Flashcards
Brachioradialis
O: lateral supracondylar ridge
I: Styloid process of the radius
N: Radial Nerve
A: flexion when forearm in midposition
Aconeus Muscle
O: laretal epicondyle of humerus
I: lateral surface of ulna
N: radial
A: extension & pronation
Radial-ulnar joint
Supination and pronation
Radius rotates around ulna distally
Radius rotates into radial notch proximal
Elbow Joints
Radial collateral Ulnar collateral -anterior bundle -posterior bundle -transverse bundle Angular ligament of the radius
Arches of Hand
Proximal
Distal
Longitudinal
Arch btwn thumb and index finger
Bones of Thumb (Distal to Proximal)
2nd phalanx 1st phalanx 1st metacarpal Trapezium Scaphoid
Joints of Thumb (4)
Scapho-trapezium
Trapezo-metacarpal
Metacarpal-phalanx
Interphalanx
Intrinsic Hand Muscles
-Muscles of opposition
Opponens
- digiti minimi (pinky)
- pollicis (Thumb)
Flexor:
- digiti minimi brevis (pinky)
- pollicis brevis (Thumb)
Abductor:
- digiti minimi brevis (pinky)
- pollicis brevis (Thumb)
Adductor:
-pollicis
Types of Hand Function
Prehension -static grips or dynamic grips Percussion Gesture Weight Support Exploration & touch communication
Palm Muscles
Lumbricals Dorsal & Palmar Interossei -DAB: Dorsal AB-Duct -PAD: Palmar AD-duct Adductor Pollicis
Thenar Muscles (Thumb)
Flexor Pollicis Brevis
ABductor Pollicis Brevis
Opponens Pollicis
Hypothenar (pinky)
Palmaris Brevis
Flexor Digiti Minimi
AB-ductor Digiti Minimi
Opponens Digiti Minimi
Blood & Nerve Supply of Hand
Arteries:
Radial Artery (take pulse)
Ulnar Artery
Nerves:
Ulnar
-medial 1 1/2 digits
-palmar and dorsal innervation
Median
- only nerve through carpal tunnel
- palmar and dorsal side of 3 1/2 fingers
- dorsal innervation, over finger tips stop at DIP Joint
Radial
- dorsal lateral aspect of hand
- dorsal 3 1/2 fingers from DIP JOINT and continues proximally
Anterior Forearm Muscles (Flexors)
***4-1=3
4-superficial (PFPF)
1-intermediate
3-deep
- Pronator Teres
- Flexor Carpi Radialus
- Palmaris Longus
- Flexor Carpi Ulnaris
-Flexor Digitorium Superficialis
- Flexor Digitorium Profundus
- Flexor Pollicis Longus
- Pronator Quadratus
Pronator Teres
O:
- Humeral head: proximal to medial epicondyle, common flexor tendon
- Ulnar head:coronoid process
I: radius, midway along lateral shaft
N: median nerve
A: pronates FA, SECONDARY elbow flexor
Flexor Carpii Radialis
O: medial epicondyle of humerus by CTF, adjacent internuscular septum & antebrachial septum
I: palmar aspect of 2nd MC base and slip of 3rd MC base
N: Median
A: flex wrist, ABduct Radial deviation
Palmaris Longus
O: medial epicondyle by CFT, adj inter muscular septum, antebrachial fascia
I: Flexor retinaculum at wrist & palmar aponeurosis
N: Median Nerve
A: flexes wrist, tenses palmar aponeurosis
Flexor Carpii Ulnaris
O:
Humeral head- medial epicondyle by CFT
Ulnar head-medial margin of olecranon, proximal 2/3 of post border of ulna
I: pisiform & hamate bone and 5th MC by pisohamate & pisometacarpal ligament
N: ulnar Nerve
A: flex wrist, ulnar deviation
Flexor Digitorium Superficialis
O
-Humeroulnar Head: med epicondyle, UCL, intermuscular Septa & Med aspect of coronoid process
-radial head: anterior radial border
I: middle phalanges of 4 lesser fingers via 4 tendons
N: Median
A: Flexes PIP, MCP of the lesser 4 digits and wrist
Flexor Digitorium Profundus
O: Ant, Med & posterior surfaces of proximal 3/4 ulna, and med aspect of coronoid process and interosseous membrane
I: Palmar Aspect Base of distal phalanges
N:
- Lateral 1/2: Ant Interosseous
- Medial 1/2: Ulnar
A: flexes DIP of lesser 4 digits, secondarily PIPs, MCPs and wrist
Flexor Pollicis Longus
O: Ant surface of radius b/t the tuberosity & pronator quadratus muscle, adjacent Interosseous membrane
I: distal phalanx of Thumb, volar surface
N: Anterior Interosseous
A: Flexes IP joint of Thumb