4 UE Wrist + Hand Flashcards
radiocarpal joint (wrist) articulations
(1) distal radius (and articular disc) w/ scaphoid, lunate, triquetrum
(2) condyloid synovial
(3) at proximal wrist crease
ligaments of the radiocarpal joint
dorsal radiocarpal ligament
palmar radiocarpal ligament
radial collateral ligament
ulnar collateral ligament
importance of dorsal/palmar radiocarpal ligaments
very strong
- allows hand to move w/ radius during supination/pronation
flexor retinaculum
extends from pisiform/hamate (medial) to scaphoid/trapezium (lateral)
- creates carpal tunnel
- bracelet
**aka transverse carpal ligament
fascia of the palm
deep connective tissue
- continuous w/ antebrachial fasica
- thickened at center of palm (palmar aponeurosis)
- triangle points towards radius/ulna
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digital fibrous sheaths
(fascia of the palm) fascia that wraps the digits
- further wrapped in synovial sheaths, which are wrapped in fibrous tendon sheaths
hypothenar
refers to the pinky
thenar
refers to the thumb
synovial sheath
membrane that covers tendon
- beneath digitial fibrous sheat
- above fibrous tendon sheath
bursae
fluid-filled sacs that protect y lubricate long tendons
- anchored by retinaculae
compartments of flexors
3
compartments of extensors
6
dorsum tendons
long extensor tendons
extensor expansions
palmar tendons
flexor digitorum superficialis tendon
flexor digitorum profundus tendon
flexor digitorum superficialis tendon
splits b/c it inserts sooner + flexor digitorum profundus tendon needs to insert into distal phalanx
- inserts on middle phalanx
flexor digitorum profundus tendon
“threads the needle”
inserts on distal phalanx
- attached by vincula
vincula
pieces of connective tissue that anchors flexor digitorum profundus tendon (FDST)
- serves as attachment of flexor digitorum superficialis tendon to phalanx
- 2 types
types of vincula
vincula brevia
vincula longum
joints of the hand
(1) intercarpal (IC) joints
(2) carpometacarpal (CMC) joints
(3) intermetacarpal (IM) joints
(4) metacarpaphalangeal (MP) joints
(5) proximal interphalangeal (PIP) joints
intercapal (IC) joint type
plane synovial
carpometacarpal (CMC) joint type
saddle joint
**this is the thumb joint