Ch.7 Wrist & Hand Joints Flashcards
How many joints involve hand and wrist
More than 25
How many bones make up the wrist and hands?
29
What are the 29 bones?
• Radius and ulna
• 8 carpal bones
• 5 metacarpal bones
• 14 phalanges
Proximal row of carpal bones from radius to ulna side
• Scaphoid (boat-shaped/navicular)
• Lunate (moon-shaped)
• Triquetrum (three-cornered)
• Pisiform (pea-shaped)
Distal row of carpal bones from radius to ulna side
• Trapezium
• Trapezoid
• Capitate (head-shaped)
• Hamate (hooked)
Most often injured or carpal bones
Scaphoid
What fingers have 3 phalanges each?
Index, middle, ring finger
Bony landmarks of the humerus and the ulna
Humerus
• Medial epicondyle
• Lateral epicondyle
Ulna
• Coronoid process
Movement of radiocarpal joint
Flexion, extension, abduction, and adduction
The 3 joints in each finger
• Metacarpophalangeal (MCP)
joints
• Proximal interphalangeal (PIP)
joints
• Distal interphalangeal (DIP) joints
2 thumb joints and one of thumb
• Metacarpophalangeal (MCP)
joint
• Interphalangeal (IP) joint
• Carpometacarpal (CMC) joint of
thumb
Most common joint in the
body for osteoarthritis
Carpometacarpal (CMC) joint
of thumb
Movements of Carpometacarpal (CMC) joint of thumb
Abduction, adduction, flexion,
extension
Wrist movement: Movement of palm of hand toward anterior (volar) aspect of forearm
Flexion of wrist
Wrist movement: Movement of back of hand toward posterior (dorsal) aspect of forearm
Extension of wrist
Wrist movements: Movement of thumb side of hand toward lateral aspect or radial side of forearm
• Radial flexion
Abduction of wrist
Wrist movements: Movement of little finger side of hand toward medial aspect or
ulnar side of forearm
• Ulnar flexion
Adduction of wrist
Finger movements: Movement of the thumb across the palmar aspect
Opposition
Wrist movements: Movement of the thumb as it returns to anatomical position from opposition
Reposition
What nerves branches from the brachial plexus innervate wrist and hand muscles?
Radial, median, ulnar branch
T/F carpal tunnel syndrome is preventable
True
What are the 3 extrinsic wrist flexors
o Flexor carpi radialis
o Flexor carpi ulnaris
o Palmaris longus
What are the three extrinsic wrist extensors
o Extensor carpi radialis longus
o Extensor carpi radialis brevis
o Extensor carpi ulnaris
Phalangeal flexors
o Flexor digitorum superficialis
o Flexor digitorum profundus
o Flexor pollicis longus
Phalangeal extensors
o Extensor digitorum
o Extensor indicis
o Extensor digiti minimi
o Extensor pollicis longus
o Extensor pollicis brevis
Phalangeal abductor of thumb and wrist
Abductor pollicis longus
O&I Flexor carpi radialis
• O: humerus
• I: 2nd and 3rd
metacarpal
O&I flexor carpi ulnaris muscle
• O: humerus and ulna
• I: palmar wrist
O&I Palmaris longus muscle
• O: humerus
• I: palmar aponeurosis
O&I Extensor carpi ulnaris muscle
• O: humerus and ulna
• I: 5th metacarpal
O&I Extensor carpi radialis brevis muscle
• O: humerus
• I: 3rd metacarpal
OI EXTENSOR CARPI RADIALIS LONGUS MUSCLE
• O: humerus
• I: 2nd metacarpal
OI FLEXOR DIGITORUM SUPERFICIALIS MUSCLE
• O: humerus, ulna,
radius
• I: phalanges
Largest extrinsic flexor
FLEXOR DIGITORUM SUPERFICIALIS MUSCLE
OI FLEXOR DIGITORUM PROFUNDUS MUSCLE
• O: ulna
• I: phalanges
OI FLEXOR POLLICIS LONGUS MUSCLE
• O: radius, ulna
• I: thumb
Weakest extension of elbow
EXTENSOR DIGITORUM MUSCLE
OI EXTENSOR DIGITORUM MUSCLE
• O: humerus
• I: phalanges
OI EXTENSOR INDICIS MUSCLE
• O: ulna
• I: phalanges
OI EXTENSOR DIGITI MINIMI MUSCLE
• O: humerus
• I: phalanges
OI EXTENSOR POLLICIS LONGUS MUSCLE
• O: ulna
• I: thumb
OI EXTENSOR POLLICIS BREVIS MUSCLE
O: radius
I:Thumb
OI ABDUCTOR POLLICIS LONGUS MUSCLE
• O: radius and ulna
• I: thumb
muscular pad on palmar surface of 1st metacarpal
Thenar eminence
muscular pad that forms ulnar
border on palmar surface
Hypothenar eminence
Three intermediate muscles
• Three palmar interossei
• Four dorsal interossei
• Four lumbrical muscles
Wrist flexion agonists
• Flexor carpi radialis
• Flexor carpi ulnaris
• Palmaris longus
• Flexor digitorum superficialis
• Flexor digitorum profundus
• Flexor pollicis longus
Wrist extension agonists
• Extensor carpi radialis longus
• Extensor carpi radialis brevis
• Extensor carpi ulnaris
• Extensor digitorum
• Extensor indicis
• Extensor digiti minimi
• Extensor pollicis longus
• Extensor pollicis brevis
Wrist abduction agonists
• Flexor carpi radialis
• Extensor carpi radialis longus
• Extensor carpi radialis brevis
• Abductor pollicis longus
• Extensor pollicis longus
• Extensor pollicis brevis
Wrist adduction agonists
• Flexor carpi ulnaris
• Extensor carpi
ulnaris
Phalangeal flexion agonists
• Flexor digitorum superficialis
• Flexor digitorum profundus
• Flexor pollicis longus
Phalangeal extension agonists
• Extensor digitorum
• Extensor indicis
• Extensor digiti minimi
• Extensor pollicis longus
• Extensor pollicis brevis