Forearm and Hand Flashcards
Proximal Row of Carpal Bones (lat-med)
Scaphoid, lunate, triquetral, pisiform
Distal Row of Carpal Bones (lat-med)
Trapezium, trapezoid, capitate, hamate
3 Parts of Metacarpal
Base, body, head
3 Phalanges
Proximal, middle, distal
Extensor Retinaculum (2)
Transverse ligament on posterior surface of wrist that holds tendons down
Has 6 tendon compartments w/ synovial sheaths
Transverse carpal ligament
Ligament on anterior surface of wrist that forms the carpal tunnel that tendons + median nerve run through
3 Phalangeal Joints
Metacarpophalangeal, proximal interphalangeal, and distal interphalangeal
4 Muscles of the Superficial Group of Flexor Forearm (lat-med)
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Origin of Superficial Flexor Forearm Muscles
Common tendon at the medial epicondyle
Palmar Aponeurosis
Thickening on palm
Middle Group Muscle of Flexor Forearm
Flexor digitorum superficialis
3 Muscles of Deep Group of Flexor Forearm (lat-med)
Flexor pollicis longus
Flexor digitorum profundus
Pronator quadratus muscles
Origin of Deep Group of Flexor Forearm (2)
Ulna and interosseus membrane
Innervation of Flexors of the Forearm (3)
By the median n.
Exceptions: flexor carpi ulnaris and ulnar half of the flexor digitorum profundus (ulnar nerve)
Superficial and middle group innervated directly by median n., deep by anterior interosseous branch of median n.
5 Branchings of Radial Artery
Radial recurrent artery Muscular branch - superficial extensors Palmar carpal branch Superficial palmar branch Deep palmar arch
Radial Pulse
Can feel pulse from radial a. as it dives deep on lateral side to go to deep palmar arch
Common interosseous artery
Comes off ulnar a., splits around interosseous membrane to form anterior and posterior interosseous arteries. Supplies deep part of flexor and all of extensor region (via posterior interosseous)
6 Branchings of Ulnar Artery
Ulnar recurrent arteries (ant. and post.) Common interosseous a. Muscular Branches - superficial flexors Dorsal and Palmar Carpal Branches Superficial Palmar Arch Deep Palmar Arch
Posterior Interosseous Artery (3)
Comes off common interosseous artery, supplies deep extensors, and gives off interosseous recurrent artery
Anterior Interosseous Artery (3)
Comes off common interosseous artery, has post. and ant. branch, and supplies deep flexors
Median Artery
Anomalous a. that sometimes comes off brachial or radial a. and follows median nerve down
6 Muscles of Superficial Group of Extensor Forearm (lat-med)
Brachioradialis Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris
Origin of Superficial Group of Extensor Forearm
Common tendon at lateral epicondyle
5 Muscles of Deep Group of Extensor Forearm (lat-med)
Supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, and extensor indicis muscles
3 Structures of the Phalangeal Insertions (& descriptions)
Extensor expansion - tendons going into the phallanges
Extensor hood - sheath covering these tendons
Intertendinous connections - connections between tendons of adjacent digits that impede individual movement
Innervation of Extensor Forearm (4)
Radial nerve innervates all extensor forearm muscles
Superficial nerve - cutaneous
Deep nerve - muscular
Posterior interosseous nerve - muscular
Radial Artery Supplies and Branches in Hand (4)
Superficial extensor muscles
Dorsal carpal artery
1st dorsal metacarpal artery
Deep palmer arch
Radial Artery Activities in Hand (3)
Gives off dorsal carpal arch that gives off dorsal metacarpal arteries (supplying digits) and dives through to form deep palmar arch
3 Thenar Compartment Muscles
Lateral: abductor pollicis brevis
Medial: flexor pollicis brevis
Deep: Opponens pollicis
Innervation of Thenar Compartment Muscles
Recurrent branch of median nerve
5 Items of the Central Compartment
Tendons of Flexor Digitorum Superficialis/Profundus Vincula longa and brevia Lumbrical muscles Adductor pollicis muscle Interosseous muscle
Palmar interosseous muscles
Unipenate adductors on 2nd, 4th, and 5th digits
Dorsal interosseous muscles
Bipenate abductors for 2nd, 3rd (2), and 4th digits
3 Muscles of Hypothenar Compartment
Abductor digiti minimi, flexor digiti minimi brevis, opponens digiti minimi
Cutaneous Innervation of Hand - Median Nerve (3)
Radial half of palm to radial side of 4th digit
Overlaps digits to nailbeds on dorsal hand
Palmar cutaneous branch innervates thenar eminence
4 Muscular Innervations of Median Nerve in Hand
Lateral lumbrical muscles
Thenar muscles - opponens pollicis, abductor pollicis brevis, flexor pollicis brevis
Cutaneous Innervation of Hand - Ulnar Nerve - (2)
All of 5th digit and medial half of 4th digit
On both palmar and dorsal hand
6 Muscular Innervations of Ulnar Nerve in Hand
Medial lumbrical muscles
Hypothenar muscles - abductor digiti minimi, flexor digiti minimi brevis, opponens digiti minimi
Adductor pollicis muscle
7 Interosseous Muscles
Ulnar Artery Blood Supply to the Hand (5)
Has palmar and dorsal carpal branches. and a deep palmar branch. The rest mainly forms the superficial palmar arch, which gives rise to the common palmar digital arteries going to the digits which split into the proper palmar digital arteries lining the digits
Radial Artery Blood Supply to the Hand (6)
Has a palmar carpal branch, and a superficial palmar branch that anastomoses with superficial palmar arch from the ulnar artery. Mainly forms the deep palmar arch which gives rise to the palmar metacarpal arteries. Also has two specialized branches: princeps pollicis artery and radialis indicis artery.
Pronator teres nerve
Median
Pronator teres origin
Medial epicondyle of humerus
Pronator teres insertion
Lateral surface of radius
Pronator teres action
Pronates forearm
Pronator quadratus nerve
Median - anterior interosseous nerve
Pronator quadratus origin
Medial, anterior, distal ulna
Pronator quadratus insertion
Lateral, anterior, distal radius
Pronator quadratus action
Primary pronator of forearm
Flexor carpi radialis nerve
Median
Flexor carpi radialis origin
Medial epicondyle of humerus
Flexor carpi radialis insertion
Base of 2nd and 3rd metacarpals
Flexor carpi radialis action
Flexes wrist and abducts hand
Flexor carpi ulnaris nerve
Ulnar
Flexor carpi ulnaris origin (2)
Humeral head - medial epicondyle
Ulnar head - olecranon process and proximal posterior ulna
Flexor carpi ulnaris insertion (3)
Pisiform, hook of hamate, and base of 5th metacarpal
Flexor carpi ulnaris action
Flexes wrist and adducts hand
Palmaris longus nerve
Median
Palmaris longus origin
Medial epicondyle
Palmaris longus insertion
Flexor retinaculum/palmar aponeurosis
Palmaris longus actions
Tenses palmar fascia
Flexor digitorum superficialis nerve
Median
Flexor digitorum superficialis origin (2)
Humeral head: medial epicondyle and medial margin of coronoid process
Flexor digitorum superficialis insertion
4 tendons - 2 slips each which enter into sides of middle phalanges of digits 2-5
Flexor digitorum superficialis action
Flexes wrist and middle phalanges
Flexor digitorum profundus nerves
Ulnar and Median
Flexor digitorum profundus origin
Anterior, medial, proximal ulna and interosseous membrane
Flexor digitorum profundus insertion
Four tendons into anterior surface of digits 2-5
Flexor digitorum profundus actions
Flexes distal phalangeal joints and assists in wrist flexion
Flexor pollicis longus nerve
Median
Flexor pollicis longus origin (2)
Anterior surface of radius, interosseous membrane
Flexor pollicis longus insertion
Palmar surface of base of distal phalanx of thumb
Flexor pollicis longus action
Flexes thumb
Supinator nerve
Radial
Supinator origin
Lateral epicondyle, radial collateral and annular ligaments
Supinator insertion
Lateral upper radius
Supinator action
Supinates forearm
Extensor carpi radialis longus nerve
Radial
Extensor carpi radialis longus origin
Lateral epicondyle
Extensor carpi radialis longus insertion
Base of 2nd metacarpal
Extensor carpi radialis longus action (2)
Extends wrist and abducts hand
Extensor carpi radialis brevis nerve
Radial
Extensor carpi radialis brevis origin
Lateral epicondyle, radial collateral ligament
Extensor carpi radialis brevis insertion
Base of 3rd metacarpal
Extensor carpi radialis brevis action (2)
Extends wrist and abducts hand
Extensor carpi ulnaris nerve
Radial
Extensor carpi ulnaris origin
Lateral epicondyle and posterior sulface of the ulna
Extensor carpi ulnaris insertion
Base of 5th metacarpal
Extensor carpi ulnaris action (2)
Extends wrist and adducts hand
Extensor digitorum nerve
Radial
Extensor digitorum origin
Lateral epicondyle
Extensor digitorum insertion
Extensor expansions of digits 2-5
Extensor digitorum actions
Extends fingers and hands
Extensor indicis nerve
Radial
Extensor indicis origin
Post. surface of ulna and interosseous membrane
Extensor indicis insertion
Extensor expansion of index finger
Extensor indicis action
Extends middle finger at metacarpophalangeal joint
Extensor digiti minimi nerve
Radial
Extensor digiti minimi origin
Lateral epicondyle
Extensor digiti minimi insertion
Extensor expansion of small finger
Extensor digiti minimi action
Extends small finger
Abductor pollicis longus nerve
Radial
Abductor pollicis longus origin (2)
Interosseous membrane, middle post. surfaces of radius and ulna
Abductor pollicis longus insertion
Base of 1st metacarpal
Abductor pollicis longus action
Abducts thumb
Extensor pollicis brevis nerve
Radial
Extensor pollicis brevis origin (2)
Post. interosseous membrane and middle radius
Extensor pollicis brevis insertion
Base of proximal phalanx of thumb
Extensor pollicis brevis action
Extends proximal phalanx of thumb
Extensor pollicis longus nerve
Radial
Extensor pollicis longus origin (2)
Post. interosseous membrane and middle ulna
Extensor pollicis longus insertion
Base of distal phalanx of thumb
Extensor pollicis longus action
Extends distal phalanx of thumb
Brachioradialis nerve
Radial
Brachioradialis origin
Lateral supracondylar ridge
Brachioradialis insertion
Styloid process of radius
Brachioradialis action
Flexes forearm
Abductor pollicis brevis nerve
Recurrent branch of median
Abductor pollicis brevis origin
Tubercle of trapezium and scaphoid
Abductor pollicis brevis insertion
Base of proximal phalanx of thumb
Abductor pollicis brevis action
Abducts and assists opposition of thumb
Flexor pollicis brevis nerve
Recurrent branch of the median
Flexor pollicis brevis origin
Flexor retinaculum and trapezium
Flexor pollicis brevis insertion
Radial side of base of proximal phalanx
Flexor pollicis brevis action
Flexes proximal phalanx of thumb
Opponens pollicis nerve
Recurrent branch of the median nerve
Opponens pollicis origin
Flexor retinaculum and trapezium
Opponens pollicis insertion
Anterior radial 1st metacarpal
Opponens pollicis action
Opposes thumb
Abductor digiti minimi nerve
Ulnar