3 - Kines - Unit 2 - Forearm, Wrist & Hand Flashcards
Bones - Quantity in forearms, wrists & hands
60 bones
Including distal ends of humerus in both arms
Bones - 6 types of bones in forearms, wrists & hands
- Humerus - Arm bones (x2)
- Radius - Lateral forearm bones (x2)
- Ulna - Medial forearm bones - (x2)
- Carpals - Wrist bones - (x16 - 8 per wrist)
- Metacarpals - Hand bones - (x10 - 5 per hand)
- Phalanxes - Finger bones - (x28 - 14 per hand)
Landmarks - Definition - Condyle
Rounded, knuckle-like projection at the end of a bone usually at a joint
Landmarks - Definition - Epicondyle
Bony prominence upon a condyle
Landmarks - Definition - Fossa
Shallow depression or dent in a bone
Landmarks - Definition - Trochlea
Latin for “pulley” or “spool”
Landmarks - Definition - Tuberosity
Large, rounded, usually roughened protuberance
Landmarks - Humerus
- Medial Condyle
- Lateral Condyle
- Medial supracondylar ridge
- Lateral supracondylar ridge
- Medial epicondyle
- Lateral epicondyle
- Coronoid fossa
- Radial fossa
- Trochlea - the “pulley” or “spool” shaped landmark on the distal humerus [important for MBLEX]
- Capitulum - articulates with the head of the radius [important for MBLEX]
- Olecranon fossa [important for MBLEX]
Landmarks - Radius
- Head of radius - articulates with the capitulum of the humerus
- Neck of radius
- Radial tuberosity - the insertion for the biceps brachii
- Styloid process
Landmarks - Ulna
- Olecranon process (the “point” of the elbow) - the insertion for the triceps brachii
- Trochlear process
- Coronoid process
- Radial notch of ulna
- Tuberosity of ulna
- Head of the ulna
- Styloid process of ulna
Landmarks - Carpals
Distal row:
- Hamate
- Capitate
- Trapezoid
- Trapezium
Proximal row:
- Pisiform - a sesamoid bone [important for MBLEX]
- Triquetrum
- Lunate
- Scaphoid
Landmarks - Metacarpals
Numbered 1-5 with thumb being #1
Landmarks - Phalanxes
- First digit : the thumb
Terms pollux, pollex, pollicus & pollicis refer to thumb
Thumb has 2 phalanxes - Four other digits : 3 phalanxes each
Joints - Quantity & names
11 different joints found within forearm and hand
- Humeroradial joint
- Humeroulnar joint
- Proximal Radioulnar joint
- Distal Radioulnar joint
- Radiocarpal joint
- Midcarpal joint
- Carpometacarpal joint of the first digit/phalange (thumb)
- Carpometacarpal joints of the second to fifth digits/phalanges
- Metacarpophalangeal joint (MCP)
- Proximal interphalangeal joint (PIP)
- Distal interphalangeal joint (DIP)
Joints - Humeroradial joint
Distal humerus + proximal radius
Joints - Humeroulnar joint
Distal humerus + proximal ulna
Joints - “Elbow” joint
Humeroradial joint + humeroulnar joint
Hinge joint
Joints - Proximal Radioulnar joint
Proximal radius + proximal ulna
Pivot joint
(MBLEX)
Joints - Distal Radioulnar joint
Distal radius + distal ulna
Gliding joint
Joints - Radiocarpal joint
Distal radius + proximal carpals
Ellipsoid joint
(MBLEX)
Joints - Midcarpal joint
Proximal row of carpal + distal row of carpals
Gliding joint
Joints - Carpometacarpal joint of the first digit/phalange (thumb)
Distal row of carpals + proximal end of 1st metacarpal
Ellipsoid-shaped saddle joint
(MBLEX)
Joints - Carpometacarpal joints of the second to fifth digits/phalanges
Distal row of carpals 2-5 + proximal ends of metacarpals 2-5
Gliding joint
Joints - Metacarpophalangeal joint (MCP)
Distal end of metacarpal + proximal end of proximal phalanx
Ellipsoid joint
(MBLEX)
Joints - Proximal interphalangeal joint (PIP)
Proximal phalanx + middle phalanx
Hinge joint
Joints - Distal interphalangeal joint (DIP)
Middle phalanx + distal phalanx
Hinge joint
Movements - Flexion
Decrease of angle in a joint by bringing bones together
Movements - Extension
Increase of the angle in a joint by moving bones apart
Movements - Pronation
Palm of the hand turning posteriorly and inferiorly or downwards
Movements - Supination
Palm of the hand turning anteriorly and superiorly or upwards
Movements - Abduction
Lateral movement away from the midline
- of the trunk of the body (for wrist/hand movement)
- of the hand (for finger/thumb movement)
Movements - Adduction
Medial movement towards the midline
- of the trunk of the body (for wrist/hand movement)
- of the hand (for finger/thumb movement)
Movements - Elbow / Forearm movement
- Flexion of the elbow
- Extension of the elbow
Movements - Radioulnar movement
- Pronation
- Supination
Movements - Wrist / Hand movement
- Flexion of the wrist
- Extension of the wrist
- Abduction of the wrist - AKA radial deviation
- Adduction of the wrist - AKA ulnar deviation
Movements - Finger / Thumb movement
- Flexion of the fingers or thumb
- Extension of the fingers or thumb
- Abduction of the fingers or thumb
- Adduction of the fingers or thumb
Muscle Origins, Insertions & Actions - Biceps Brachii
Two headed muscle on the anterior arm
[Origin]
Scapula:
- Long head: Supraglenoid tubercle
- Short head: coracoid process
[Insertion]
Radius:
- Radial tuberosity
- Bicipital aponeurosis
[Action]
Flexion of the elbow
Supination of the forearm
Flexion of the shoulder
Muscle Origins, Insertions & Actions - Triceps Brachii
Three headed muscle on the posterior arm
[Origin]
Long head: infraglenoid tubercle of the scapula
Lateral head: posterior surface of the proximal half of humerus
Medial/deep head: posterior surface of the distal half of humerus
[Insertion]
Olecranon process of the ulna
[Action]
Extension of the elbow
Muscle Origins, Insertions & Actions - Brachialis
[Origin]
Anterior surface of the distal half of humerus
[Insertion]
Tuberosity of the ulna
Coronoid of the ulna
[Action]
Flexion of the elbow
Muscle Origins, Insertions & Actions - Brachioradialis
[Origin]
Lateral supracondylar ridge of humerus
[Insertion]
Styloid process of the radius
[Action]
Flexion of the elbow
Muscle Origins, Insertions & Actions - Extensors of the wrists, hand and digits - Names (x5)
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- Extensor carpi ulnaris
- Extensor digitorum
- Extensor indicis
Muscle Origins, Insertions & Actions - Extensors of the wrists, hand and digits (x5)
5 Extensors: carpi radialis longus / carpi radialis brevis / carpi ulnaris / digitorum / indicis
[Origin]
Common extensor tendon from the lateral epicondyle of the humerus
[Insertion]
Various metacarpal and phalangeal attachments
[Action]
Extension of the wrist and fingers
Muscle Origins, Insertions & Actions - Anconeus
A weak elbow extensor
Muscle Origins, Insertions & Actions - Flexors of the wrist, hand & digits names - Names (x5)
- Flexor carpi radialis
- Palmaris longus
- Flexor carpi ulnaris
- Flexor digitorum superficialis
- Flexor digitorum profundus
Muscle Origins, Insertions & Actions - Flexors of the wrist, hand & digits (x5)
5 Flexors: carpi radialis / palmaris longus / carpi ulnaris / digitorum superficialis / digitorum profundus
[Origin]
Common flexor tendon from the medial epicondyle of the humerus
[Insertion]
Various metacarpal and phalangeal attachments
[Action]
Flexion of the wrist
Flexion of the fingers
Muscle Origins, Insertions & Actions - Pronator Teres
A powerful pronator of the forearm
Located on the anterior aspect of the proximal forearm
Muscle Origins, Insertions & Actions - Pronator Quadratus
A weak pronator of the forearm
Located on the deep anterior aspect of the distal forearm
Muscle Origins, Insertions & Actions - Supinator
A supinator of the forearm
Located on the posterolateral aspect of the proximal forearm
Muscle Origins, Insertions & Actions - Muscles of the thumb - 4 groups
[Flexors]
- Flexor pollicis brevis
- Flexor pollicis longus
[Extensor]
- Extensor pollicis brevis
- Extensor pollicis longus
[Abductors]
- Abductor pollicis brevis
- Abductor pollicis longus
[Adductors and apposition]
- Adductor pollicis
- Opponens pollicis
Muscle Origins, Insertions & Actions - Muscles of the hand
- Lumbricals
- Interossei
Lateral epicondylitis
Tennis’ elbow
MBLEX
Medial epicondylitis
Golfer’s elbow
MBLEX