Hand Flashcards

1
Q

Finger Flexion

A

Curling fingers down toward palm

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2
Q

Finger Extension

A

Straightening fingers

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3
Q

Abduction and Adduction of fingers

A

Defined in reference to middle digit (3)
Abduction = spreading fingers away
Adduction = spreading fingers towards

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4
Q

Thumb Flexion

A

Curling thumb towards palm

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5
Q

Thumb Extension

A

Straightening thumb

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6
Q

Thumb abduction

A

Moving thumb anteriorly away from fingers

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7
Q

Thumb adduction

A

Moving thumb back towards the fingers (posteriorly)

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8
Q

Thumb Oppostiion

A

Moving tip of thumb to touch finger tips
Complex movement
Involves flexion, abduction and adduction and rotation of MC1

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9
Q

Anterior Compartments of the Hand

A

Thenar

Hypothenar

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10
Q

Thenar compartment
Functio
Innervation

A
Function = flexion, abduction, opposition
Innervation = Recurrent branch of the median nerve
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11
Q

Hypothenar compartment
Function
Innervation

A
Function = flexion, opposition, and abduction of 5th digit
Innervation = deep branch of ulnar nerve
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12
Q

Posterior compartment of the hand

A

All extensor muscles of the hand are extrinsic!

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13
Q

All intrinsic muscles of the hand arw

A

anterior

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14
Q

Thenar muscles

A
Mobilize the thumb
Innervated by recurrent of median
Abductor Pollicis Brevis
Flexor Pollicis Brevis (deep head by deep branch of ulnar) 
Opponens Pollicis
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15
Q

Hypothenar Muscles

A

Innervated by deep branch of ulnar
Abductor Digiti Minimi
Flexor Digiti Minimi Brevis
Opponens Digiti Minimi

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16
Q

Lumbricals

A

Flex MCP joint
Extend IP joint
Lateral 2 innervated by median
Medial 2 innervated b deep branch of ulnar

17
Q

All other hand muscles..

A

Innervated by deep branch of ulnar
Dorsal interossei = DAB
Palmar interossei = PAD
Adductor Pollicis = NOT A THENAR MUSCLE

18
Q

Ulnar Nerve Compression in the Ulnar Canal

A

Numbness, parasthesia of medial 1 1/2 digits and/or weakness of the intrinsic hand muscles

19
Q

Ulnar Nerve Laceration in the ulnar canal

A

Loss of cutaneous innervation to the medial 1 1/2 digits, loss of innervation of intrinsic hand muscles
Loss of lumbricals = clawing of 4 and 5, wasting of 1st DAB
Long flexors remain intact

20
Q

Median Nerve compression in carpal tunnel

A

Numbness.parasthesia of lateral 3 1/2 digits and/or weakness of muscles in thenar eminence

21
Q

Median Nerve Laceration in carpal tunnel

A

Loss of cutaneous innervation to hand
Loss of lumbricals = clawing of 2 and 3, Wasting of thenar eminence
Long flexors remin intact

22
Q

Recurrent branch of median nerve

A

Loss of thenar muscles only = ape hand

THumb is adducted and laterally rotated

23
Q

Carpal Tunnel

A

btw carpals posteriorly
flexor retinaculum anteriorly
Contains median nerve and tendons of FDS (4) and FDP (4) and flexor pollicis longus (1)

24
Q

Anatomical Snuffbox

A

Triangular fossa on lateral dorsum of hand
Lateral (ant) = tendons of abductor pollicis longus and ext pollicis brevis
Medial (post) = tendon of extensor pollicis long
Contains the radial artery