Hand Flashcards

1
Q

what do you call the tips of the fingers?

A

pulp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

describe the arthrokinematics of the fingers

A

open chain concave on convex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

describe the orientation of the first MC

A

medially rotated 90 degrees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the three palmar arches?

A
  1. proximal transverse
  2. distal transverse
  3. longitudinal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what do the palmar arches do? generally

A

maximize contact with the objects we grasp for dexterity and sensory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the proximal transverse arch?

A

distal row of carpals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the keystone of the proximal transverse arch?

A

capitate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what does the proximal transverse arch do?

A

forms a rigid arch and the carpal tunnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the distal transverse arch?

A

MCP joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the keystone of the distal transverse arch?

A

MCP joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what does the distal transverse arch do?

A

mobile arch for hand flexibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the longitudinal arch?

A

the 2nd and 3rd rays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the keystone of the longitudinal arch?

A

2nd and 3rd MCP joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

is the longitudinal arch stable or mobile?

A

both: stable proximally (CMC) mobile distally (phalanges)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the “central pillar” of cmc joint mobility?

A

CMC 2 and 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

describe CMC joint mobility (3)

A
  1. 2 and 3 very stable
  2. 2 and 4 have one degree of freedom
  3. 1 and 5 have two degrees of freedom
17
Q

what permits a cupping shape of your hand?

A

greater ulnar mobility at CMC

18
Q

describe pistol grip

A

broader grip around the pinky area to avoid active insufficiency of ulnar side finger flexors

19
Q

Which 1st CMC motions are convex on concave? concave on convex?

A
  • vex on cave
    • abd/add
  • cave on vex
    • flx/ext
  • ***flx/ext is similar to how our fingers work!***
20
Q

what are the 2.5 component motions of thumb opposition?

A
  • abduction
  • flexion/medial rotation
21
Q

what increases MCP joint congruence?

A

volar/palmar plate

22
Q

what is the MCP closed pack position?

A

flexed

23
Q

what are MCP flexion and extension ROM?

A

flexion 90, extension 45

24
Q

what are PIP and DIP ROM

A

PIP 100, DIP 90

25
Q

what are the two major features of the flexor mechanism?

A
  1. bursae reduce friction
  2. annular ligs maintain tendons from bowstringing
26
Q

what happends if the flexor tendons bowstring?

A

reduced flexion ROM

27
Q

what needs to happen for isolated PIP flexion?

A

extensor stabilization

28
Q

what are the three primary finger extensors?

A

ED, EI, EDM

29
Q

what hand deformities result from loss of intrinsic muscle function?

A

claw hand and intrinsic minus hand

30
Q

how do intrinsics aid finger extension?

A

they stabilize the MCP and extend the PIP and DIP through the extensor hood

31
Q

what is the intrinsic plus position?

A

lumbricals and interossei co-contracting - lego hand