Anatomy of the Hand and Wrist Flashcards

1
Q

movement at shoulder

A
flexion
extension
adduction
abduction
circumduction
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2
Q

movement at elbow

A

flexion

extension

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3
Q

movement at prox and distal radio-ulnar

A

pronation

supination

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4
Q

movement at wrist

A
flexion
extension
adduction
abduction
circumduction
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5
Q

movement at 1st CMC

A
flexion
extensiion
adduction
abduction
circumduction
opposition
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6
Q

movement at 2-5th CMC

A
flexion, extension (4-5)
almost none (2-3)
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7
Q

movement at PMCP

A
flexion
extension
adduction
abduction
circumduction
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8
Q

movement at IPJ

A

flexion

extension

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9
Q

where does the subclavian a become the axillary a?

A

lat border of 1st rib

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10
Q

where does axillary a bcome brachial a?

A

inferior border of teres major

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11
Q

where does the brachial artery divid?

A

cubital fossa

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12
Q

what arch does the ulnar artery give?

A

superficial

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13
Q

what arch does the radial artery give?

A

deep

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14
Q

describe the venous drainage of the arm

A

The superficial veins arise from the dorsal venous arch on the back of the hand. The cephalic vein travels up the limb on the lateral side. It drains into the axillary vein below the clavicle. The basilic vein travels up the limb on the medial side to become continuous with the brachial veins (deep veins accompanying brachial artery). The median cubital vein connects the cephalic and basilic veins across the cubital fossa.

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15
Q

where do the tendons of FDS attach?

A

middle phalanges of digits 2-5

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16
Q

name the ant forearm muscles

A

pronatar teres
FCR
palmaris longus
FCU

FDS

FDP
pronator quadratus

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17
Q

what actions do the anterior forearm muscles have?

A
  1. Flex the wrist
  2. Adduct (FCU)
  3. Abduct (FCR)
  4. Pronation (PT, PQ, deep muscles)
18
Q

what do the post forearm muscle do?

A
  1. Powerful extensor of the wrist and digits (fist clinchers)
  2. Adduct (ECU)
  3. Abduct (ECRL, ECRB)
  4. Supination (Biceps brachii, supinator)
19
Q

name the post forearm muscles

A
brachioradialis
ECRL
ECRB
APL
EPB
ECU
anconeus
supinator
extensor indicis
EPL

EDM
ED

20
Q

name the tendons surrounding the anatomical snuffbox

A

APL
EPB
EPL
extensor indicis

21
Q

innervation of thenar muscles

A

median (adductor pollicis - ulnar)

22
Q

innervation of hypothenar muscles

A

ulnar

23
Q

innervation of lumbricals 1-2

A

median

24
Q

innervation of lumbricals 3-4

A

ulnar

25
Q

innervation of dorsal interossei

A

ulnar

26
Q

innervation of palmar interossei

A

ulnar

27
Q

lumbricals: origin, action

A

FDP tendons

flex MCP and extend PIP

28
Q

innervation of anterior arm muscles (BBC)

A

musculocutaneous

29
Q

innervation of triceps

A

radial

30
Q

innervation of FCU (sup ant)

A

ulnar

31
Q

innervation of palmaris longus, FCR, PT (sup ant)

A

median

32
Q

innervation of FDS (int ant)

A

median

33
Q

innervation of FDP (deep ant)

A

medial half - ulnar

lateral half- ant interosseus branch of median

34
Q

innervation of FPL, PQ (deep ant)

A

median - ant interosseus

35
Q

innervation of bachioradialis, ECRL+B, ECU, aconeus (sup post)

A

radial

36
Q

innervation of EDM, ED

A

deep branch of radial

37
Q

innervation of supinator (deep post)

A

deep radial

38
Q

innervation of APL, EPB, EPL, extensor indices (deep post)

A

posterior interosseus branch of radial

39
Q

describe the blood supply of the scaphoid

A

The scaphoid has a retrograde blood supply (i.e. from distal to proximal). A fracture of scaphoid is therefore more difficult to heal and there is a risk of avascular necrosis in the proximal part. The more proximal the fracture the likely that AVN will develop.

40
Q

contents of anatomical snuffbox

A
radial artery
radial styloid process
schaphoid 
trapezium
base of 1st metacarpal
41
Q

extensors of the wrist

A
  1. EPB and APL
  2. ECRL and ECRB
  3. EPL
  4. Extensor digitorum communis and extensor indicis
  5. EDM
  6. ECU