Forearm and Hand Flashcards
3 functions of the interosseous membrane
Hinge
Muscle attachment
Force transmission
3 joints of the wrist
Radio-carpal
Mid-carpal
Carpo-metacapal
Radio-carpal joint location
Between radius and fibrous articular disc proximally
Between scaphoid, lunate and triquetral distally
Mid-carpal joint location
Between two rows of carpal bones
Carpo-metacarpal joint location
Between distal row of carpals and medial 4 digits
8 carpal bones
Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate
The hand only has 4:
Middle phalanges
Flexor retinaculum
Fibrous band on the palmar side of the hand near the wrist
Forms the carpal tunnel by arching over and covering the carpal bones
4 superficial muscles in the anterior forearm
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Humeral head of pronator teres origin
Medial supracondylar ridge
Ulnar head of pronator teres origin
Coronoid process
Pronator teres insertion
Lateral surface of radius
Flexor carpi radialis origin
Medial epicondyle
Flexor carpi radialis insertion
Anterior aspect of base of second metacarpal
Palmaris longus origin
Medial epicondyle
Palmaris longus insertion
Palmar aponeurosis
Flexor carpi ulnaris origin
Medial epicondyle
Flexor carpi ulnaris insertion
The pisiform and the hamate
1 intermediate muscle in the anterior forearm
Flexor digitorum superficialis
Flexor digitorum superficialis origin
Common flexor tendon
Flexor digitorum superficialis insertion
Anterior margins on the bases of the middle phalanges of the fingers
3 deep muscles in the anterior forearm
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus
Flexor digitorum profundus origin
Anterior ulna and interosseous membrane
Flexor digitorum profundus insertion
Distal phalanges of fingers
Flexor pollicis longus origin
Anterior radius and interosseous membrane
Flexor pollicis longus insertion
Base of distal phalynx of thumb
Pronator quadratus origin
Medial anterior ulna
Pronator quadratus insertion
Lateral anterior radius
Muscles of the anterior forearm innervated by median nerve
Pronator teres Flexor carpi radialis Palmaris longus Flexor digitorum superficialis Flexor pollicis longus Pronator quadratus Lateral half of flexor digitorum profundus
Muscles of the anterior forearm innervated by ulnar nerve
Flexor carpi ulnaris
Medial half of flexor digitorum profundus
Muscles of the anterior forearm innervated by the anterior interosseous branch of the median nerve
Pronator quadratus
Flexor pollicis longus
Lateral half of flexor digitorum profundus
Muscles innervated by recurrent branch of median nerve
Thenar muscles
1st and 2nd lumbricals
3 posterior compartment muscles that act upon the wrist
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
3 posterior compartment muscles that act upon the thumb
Abductor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus
3 posterior compartment muscles that extend the fingers
Extensor digitorum
Extensor indicis
Extensor digiti minimi
3 posterior compartment muscles that act upon the forearm only
Anconeus
Brachioradialis
Supinator
Brachioradialis origin
Lateral supracondylar ridge of the humerus
Brachioradialis insertion
Radial styloid process
Brachioradialis function
Flexes elbow
Brachioradialis innervation
Radial nerve
7 superficial muscles of the posterior compartment
Brachioradialis Anconeus Extensor carpi ulnaris Extensor digiti minimi Extensor digitorum Extensor carpi radialis longus Extensor carpi radialis brevis
5 deep muscles of the posterior compartment
Extensor indicis Extensor pollicis longus Abductor pollicis longus Extensor pollicis brevis Supinator
4 muscles that attach to the common extensor tendon
Extensor carpi radialis brevis
Extensor digitorum
Extensor digiti minimi
Extensor carpi ulnaris
The common extensor tendon attaches to the:
Lateral epicondyle of the humerus
The common flexor tendon attaches to the:
Medial epicondyle of the humerus
5 muscles that attach to the common flexor tendon
Pronator teres Flexor carpi radialis Palmaris longus Flexor digitorum superficialis Flexor carpi ulnaris
Extensor carpi ulnaris insertion
Base of 5th metacarpal
Extensor carpi radialis brevis insertion
Base of 3rd metacarpal
Extensor digiti minimi insertion
Dorsal digital expansion hood
Extensor digitorum insertion
Dorsal digital expansion hood
Extensor carpi radialis longus insertion
Base of 2nd metacarpal
Extensor carpi radialis longus origin
Lateral supracondylar ridge
Anconeus origin
Lateral epicondyle of humerus
Anconeus insertion
Olecranon of ulna
Supinator deep head origin
Proximal ulna
Supinator superficial head origin
Lateral epicondyle
Supinator insertion
Radial shaft
Abductor pollicis longus origin
Ulna, radius and interosseous membrance
Abductor pollicis longus insertion
Base of 1st metacarpal
Extensor pollicis brevis origin
Ulna and radius
Extensor pollicis brevis insertion
Base of proximal phalanx of thumb
Extensor pollicis longus origin
Ulna and interosseous membrane
Extensor pollicis longus insertion
Base of distal phalanx of thumb
Extensor indicis origin
Ulna and interosseous membrane
Extensor indicis insertion
Dorsal digital expansion hood
Deep transverse metacarpal ligaments location
Between the heads of 2nd and 3rd, 3rd and 4th and 4th and 5th metacarpals
Deep transverse metacarpal ligaments function
Stops fingers spreading too widely
Palmar ligaments location
Travel up the metacarpals and form the floor of fibro-osseus tunnels at the joints
Palmar aponeurosis
Triangular fibrous sheet fanning out from distal edge of flexor retinaculum
The tendon of _______ _____ inserts into the palmar aponeurosis
Palmaris longus
Dorsal interossei innervation
Deep branch of ulnar nerve
Dorsal interossei insertion
Midline of middle 3 digits - dorsal hood and base of digit
Dorsal interossei function
Abduction of fingers
Palmar interossei innervation
Deep branch of ulnar nerve
Palmar interossei insertion
Dorsal expansion hood of digits 1, 2, 4 and 5 directing away from midline
Palmar interossei function
Adduction of fingers
Adductor pollicis innervation
Deep branch of ulnar nerve
First and second lumbricals
Unipennate
Median nerve innervation
Attach laterally to dorsal hood
Third and fourth lumbricals
Bipennate
Ulnar nerve innervation
Attach laterally to dorsal hood
Extensor hood function
Holds extensor digitorum tendon on the knuckle
Attachment of extensor digitorum
Base of distal phalanx
Attachment of middle slip of extensor expansion
Base of middle phalanx
Attachment of flexor digitorum profundus
Base of distal phalanx
Attachment of flexor digitorum superficialis
Sides of anterior surface of the middle phalanx
When the flexor digitorum profundus contracts while the interossei and lumbricals relax:
The metacarpophalangeal and interphalangeal joints flex
When the flexor digitorum profundus contracts while the interossei and lumbricals contract:
The metacarpophalangeal joins flex and the interphalangeal joints extend
3 thenar muscles
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
3 hypothenar muscles
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi
The superficial branches of the ulnar nerve in the hand innervate:
The little finger and the ulnar side of the ring finger
The deep branches of the ulnar nerve in the hand innervate:
The hypothenar muscles, the interossei, the medial two lumbricals and adductor pollicis
The ulnar nerve passes ____ the flexor retinaculum
Over
Then lies on the ulnar side of the ulnar artery
The median nerve passes ____ the flexor retinaculum
Under
Then lies under the palmar aponeurosis
The thenar muscles are supplied by:
The recurrent branch of the median nerve
Deep muscles of the forearm are supplied by:
Anterior interosseous membrane from the short common interosseous artery from the ulnar artery