forearm, hand and wrist Flashcards
how many bones are in the skeleton
206
appendicular skeleton
- supports body weight
- 126 bones
- essential for mobility
- allows for complex movement
- ensures stability
axial skeleton
- forms central axis of body
- 80 bones
- main support structure
- allow for movement, protection of organs, posture and balance
carpal bones (from radius to ulnar)
- scaphoid
- lunate
- triquetrum
- pisiform
- trapezium
- trapezoid
- capitate
- hamate
- s,l,t,p are proximal
- t,t,c,h are distal
what are CMC joints
connect the carpals to the metacarpals
how many phalanges are there
14
ossification of carpal bones
- capitate. 1-3 months
- hamate. 2-4 months
- triquetrum. 2-3 years
- lunate 2-4 years
- scaphoid 4-6 years
- trapezium 4-6 years
- trapezoid. 4-6 years
- pisiform 8-12 years
what are the arteries in the hand and wrist supplied by
- oxygenated blood by the radial and ulnar artery which are branch’s of the brachial arteries
- form a series of interconnected arterial arches in the hand and supply blood to fingers, palms and wrist
radial artery
- supplies lateral hand and forms deep palmer arch
- lateral to the forearm
- gives rise to the palmar metacarpal arteries which gives blood to the metacarpals and contribute to the digital arteries (in fingers)
ulnar artery
- supplies medial hand including middle and ring finger
- forms superficial palmer arch - beneath skin
- gives rise to the common palmar digital arteries and further divide into proper palmar digital arteries
what do both arteries contribute to
- dorsal carpal arch to the back of the hand
what are veins in hand and wrist responsible for
draining blood from this region and returning it to the heart
- venous system consists of superficial and deep veins paired with the corresponding arteries
what do the superficial veins do’
- drain the skin and superficial tissues of hand and wrist
- located at the surface of the skin
cephalic vein
- superficial
- runs along lateral side of forearm and arm
- corresponds to radial artery
basilic vein
- superficial
- runs down the medial side of the forearm and the arm
- corresponds to ulnar artery
basilic and cephalic vein
join to form dorsal venous plexus which drains the dorsal aspect of the hands and fingers
- connects to b and c veins
ulnar and radial veins
- deep
- accompany the arteries & not as visible
- draining deeper structure of the hand and wrist
- ulnar = medial
- radial = lateral
- join to form the palmar venous arch drains blood from palm and fingers
nerves of hand
- crucial for sensory and motor functions, enabling movement and sensation in upper limb
- primary nerves involved are branches of the brachial plexus
(median, ulnar and radial)
D - superficial branch of radial nerve innervates the lateral dorsum of the hand, thumb, index, middle and half of ring
D - dorsal cutaneous branch of the ulnar nerve innervates half of ring and little
P - median nerve innervates the palmer surface of the thumb, index, middle and lateral half of ring finger.
P - ulnar nerve digital branch innervates little, medial half of ring on the palmar surface
what is the hand primarily innervates by
median and ulnar nerve in the palmar aspect
radial and ulnar nerve in dorsal aspect
medial nerve location
runs near the radial artery until reaches carpal tunnel
ulnar nerve location and radial nerve location
U = runs alongside the ulnar artery
R = runs alongside radial artery in forearm but in the hand the superficial branch runs along the lateral side
extensor tendons
- allow you to straighten your wrist and finger
- pass thru compartment in the wrist known as extensor retinaculum
- helps maintain smooth movement at wrist
major tendons
extensor digitorum- extends index, middle, little and ring
extensor indicis- extend index (isolated)
extensor digiti minimi- extend little (isolated)
extensor pollicis brevis- extend thumb at metacarpophalangeal joint
extensor pollicis longus- thumb (interphalangeal joint)
abductor pollicis longus- extend thumb and abduction at some extent
flexor tendons
- responsible for flexing the fingers and thumbs and originate from muscle in forearm, travel thru wrist into hand
- flexor digitorum superficialis (flexes the middle phalanges of the medial four digits at the proximal interphalangeal joints)
- flexor pollicis longus (flexes the thumb- interphalangeal and metacarpophalangeal joint)
- flexor carpi radialis (flexes wrist and ABDucts the wrist)
- flexor carpi ulnaris (flexes wrist and ADDucts the wrist)
- flexor digitorum profundus (flex index, middle, ring and little)
- palmaris longus (flex wrist)
muscles of hand
- intrinsic= originate within the hand and provide fine motor control
- extrinsic= originate in forearm and control broader movement of hand and fingers
intrinsic muscles - thumb
the inner muscles e.g. thumbs
- located at base of the thumb and resp for movements
- abductor pollicis brevis= abducts thumb
- opponens pollicis= opposes thumb
- adductor pollicis= adducts thumb
- flexor pollicis brevis= flexes thumb
- flexor, abductor and opponens are thenar muscles (thumb muscle)
intrinsic muscles - little finger
- opponens digiti minimi ( opposes the little)
- flexor digiti minimi brevis (flexes little)
- abductor digiti minimi (abducts the little)
- all HYPOTHENAR MUSCLES