Bones Of The Hand Flashcards

1
Q

What are the carpal bones of the proximal row (lateral to medial)?

A

Scaphoid
Lunate
Triquetrum
Pisiform

(**Remember: Some Lovers Try Positions That They Can’t Handle)

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2
Q

What is different about the pisiform carpal bone?

A

It is a sesamoid bone, formed within the tendon of the flexor carpi ulnaris.

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3
Q

What are the carpal bones of the distal row (lateral to medial)?

A

Trapezium (by the thumb)
Trapezoid
Capitate
Hamate

(**Remember: Some Lovers Try Positions That They Can’t Handle)

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4
Q

What is special about he hamate carpal bone?

A

Is has a projection on its palmar surface called the hook of hamate

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5
Q

Name all the bones of the wrist (carpal bones)

A
Scaphoid 
Lunate
Triquetrum
Pisiform
Trapezium 
Trapezoid 
Capitate 
Hamate 

(**Remember: Some Lovers Try Positions That They Can’t Handle)

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6
Q

Which bones of the wrist articulate with the radius to form the wrist joint?

A

Scaphoid and lunate

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7
Q

Which Carpal bone articulates with the 1st metacarpal bone?

A

Trapezium

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8
Q

Which Carpal bone articulates with the 2nd metacarpal bone?

A

Trapezoid

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9
Q

Which Carpal bone articulates with the 3rd metacarpal bone?

A

Capitate

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10
Q

Which Carpal bone articulates with the 4th metacarpal bone?

A

Hamate

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11
Q

Which Carpal bone articulates with the 5th metacarpal bone?

A

Hamate

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12
Q

What are the two most common fractures in the carpal bones?

A

Scaphoid and lunate (usual mechanism being FOOSH)

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13
Q

What are the classical clinical features of a scaphoid fracture?

A

Pain and tenderness in the anatomical snuffbox

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14
Q

What is different about the blood supply to the scaphoid Carpal bone and what is the significance of this?

A

The arterial blood runs distal to proximal, meaning that fractures need to be repaired quickly as the blood supply to the proximal part of the bone can be cut off=avascular necrosis

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15
Q

If someone has a missed scaphoid fracture, what might they go on to develop later in life?

A

Wrist arthritis

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16
Q

When does a lunate fracture occur and what possible damage might be caused?

A

Hyperextension of the wrist

Damage to median nerve

17
Q

Why are the medial and lateral surfaces of the metacarpals concave?

A

To allow attachment of the interossei muscles

18
Q

What are the two most common fractures of the metacarpals?

A

Boxer fracture and bennetts fracture

19
Q

What is a Boxer’s fracture?

A

Fracture of the 5th metacarpal neck, usually caused by punching things

The distal part of the fracture is displaced posteriorly, producing shortening of the affected finger

20
Q

What is a Bennett’s fracture?

A

Fracture of the 1st metacarpal base, extending into the capometacarpal joint

21
Q

What causes a Bennett’s fracture?

A

Hyperabduction of the thumb