Anatomy of Hand and Wrist Flashcards
Which nerve extends the wrist?
Radial nerve
Name the bones of the hand (L, starting with S, going clockwise)?
Scaphoid Trapezium Trapezoid Capitate Hamate Triquetrum Pisiform Lunate
What type of joint is the distal radio-ulnar joint?
Synovial pivot
What type of joint is the wrist joint?
Synovial condyloid
What type of joint is the 1st carpo-metacarpal joint?
Synovial saddle
What type of joint is the 2nd-5th carpo-metacarpal joint?
Synovial condyloid
The ulnar artery is the main contributor to what vessel?
Superficial palmar arch
The radial artery is the main contributor to what vessel?
Deep palmar arch
Where does the subclavian artery become the axillary?
Lateral border of first rib
Where does the axillary artery become the brachial?
Border of teres major
What are the superficial veins of the upper limb?
Dorsal venous arch
Cephalic vein (lateral)
Basilic vein (medial)
Median cubital vein
What is the lymphatic drainage of the arm?
Axillary lymph node
What are the first layer of medial forearm muscles?
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
What are the second layer of medial forearm muscles?
Flexor digitorum superficialis
What are the third layer of medial forearm muscles?
Flexor pollicis longus
Flexor digitorum profundus
Pronator quadratus
What muscles abduct the wrist?
Flexor carpi radialis
Extensor carpi radialis longus
Extensor carpi radialis brevis
What muscles adduct the wrist?
Flexor carpi ulnaris
Extensor carpi ulnaris
What muscle pronate the wrist?
Pronator teres
Pronator quadratus
Flexor digitorum superficialis attaches to what?
Middle phalanges of digits 2-5
Flexor digitorum profundus attaches to what?
Distal phalanges
Flexor pollicis longus attaches to what?
Distal phalange
What are the functions of the posterior forearm muscles?
Extensors of wrist/digits
Adduct
Abduct
Supinate
Which muscles supinate the wrist?
Biceps brachii
Supinator
What sheath sits over the extensor tendons of the wrists?
Extensor retinaculum
What sheath sits over the flexor tendons of the wrist?
Flexor retinaculum
What structure sits in the anotomical snuff box?
Radial artery
What is the innervation of the flexors of the arm?
Musculocutaneous nerve
What is the innervation of the extensors of the arm?
Radial nerve
What is the innervation of the flexors of the forearm?
Median nerve
Ulnar nerve
(brachioradialis - Radial nerve)
What is the innervation of the extensors of the forearm?
Radial nerve
What is the innervation of brachioradialis?
Radial nerve
What are the muscle groups of the hand?
Thenar (4) Hypothenar (3) Lumbricals (4) Palmar interossei (3) Dorsal interossei (4)
What is the innervation of the thenar muscles?
Median nerve (except adductor pollicis (Ulnar nerve))
What is the innervation of the hypothenar muscles?
Ulnar nerve
What is the innervation of the Lumbricals 1-2?
Median nerve
What is the innervation of the Lumbricals 3-4?
Ulnar nerve
What is the innervation of the dorsal interossei?
Ulnar nerve
What is the innervation of the palmar interossei?
Ulnar nerve
Ulnar nerve innervates what structures in the hand?
Hypothenar muscles
Lumbricals 3-4
Dorsal/palmar interossei
Adductor pollicis
Median nerve innervates what structures in the hand?
Thenar muscles
Lumbricals 1-2
What are the thenar muscles innervated by Median nerve
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis brevis
What are the thenar muscles innervated by ulnar nerve?
Adductor pollicis
What are the hypothenar muscles?
Flexor digiti minimi
Abductor digiti minimi
Opponens digiti minimi
What are the functions of the interossei muscles?
PAD DAB
Palmar Adduct
Dorsal Abduct (the fingers)
Where do the lumbricals originate?
Tendons of flexor digitorum profundus
What is the action of the lumbricals?
Flex MCP joint
Extend PIP joint
Median nerve injury presents how in the hand?
Inability to flex distal IP joint of index finger
Inability to flex digits 2, 3 into a fist