Hand and Wrist Flashcards
Movements of the wrist occur at which 2 joints
Radiocarpal and Midcarpal
The Radiocarpal Joint articulates with the convexity formed by the 3 proximal carpal bones:
Scaphoid, Lunate, Triquetrum
Lunate and Triquetrum articulate with the
Cartilaginous Disc
Disc goes
from ulnar side of radius to ulna at the base of the ulnar styloid process
Purpose of Disc
Adds Stability and Acts as a Cushion for Wrist Joint
FOOSH means
Falling on outstretched hand
FOOSH injuries cause fractures of
Scaphoid or Lunate
Injury to Ulnar Disc
Which joints have Palmar Ligaments?
All of them (Radiocarpal, Midcarpal, Intermetacarpal, Carpometacarpal, MCPS, PIPs, DIPs)
Which joints have Dorsal Ligaments?
Radiocarpal, Midcarpal, Intermetacarpal, Carpometacarpal
Which joints have Collateral Ligaments?
Radiocarpal, MCPS, PIPs, DIPs
Which joints have Interosseous Ligaments?
“Metacarpals”- Intermetacarpal, Carpometacarpal, Metacarpalphalangeal or Deep Transverse
Verse for the Hand, Meaning, and Locate them
She Look Too Pretty, Try To Catch Her
What does Rue the day Mr. F mean?
RUE: Radiocarpal Joint Ulnar Deviates and Extends
Mr F: Midcarpal Joint Radial Deviates and Flexes
Disc is damaged by
Forced Wrist Extension and Forearm Pronation
Disc is made up of
Fibrocartilage
Muscles Acting on Wrist Flexion
Flexor Carpi Ulnaris, Flexor Carpi Radialis, Palmaris Longus
Muscles acting on Wrist Extension
Extensor Carpi Ulnaris, Extensor Carpi Radialis Longus, Extensor Carpi Radialis Brevis
MCP joint movements are
Flexion/Extension, Abduction/Adduction
IP Movements are
Flexion/Extension
Thumb Movements are
Flexion, Extension, Abduction, Adduction, Opposition
Muscles acting on the Hand
Flexor Digitorum Superficialis, Flexor Digitorum Profundus, Flexor Pollicis Longus
5 Intrinsic Muscles of the Hand which assist the forearm muscles to close the hand, acting on the thumb and little finger:
Flexor Digiti Minimi, Opponens Digiti Minimi, Flexor Pollicis Brevis,
Opponens Pollicis,
Adductor Pollicis
Sesamoid Bones
Often form in response to strain and acts like pulleys and increase the tendon’s ability to transmit muscle force; they provide a smooth surface for tendons to go over
Muscles Opening the Hand
Extensor Digitorum, Extensor Digiti Minimi, Extensor Digiti Minimi, Extensor Indicis
2 Intrinsic Muscles of the Hand assist to the forearm muscles in opening the hand, acting on thumb and little finger:
Abductor Pollicis Brevis, Abductor Digiti Minimi
Forearm Thumb Muscles or the Muscles in the Anatomical Snuff Box
Abductor Pollicis Longus, Extensor Pollicis Longus, Extensor Pollicis Brevis
Instrinsic Muscles-3 Sets
Lumbricals-4 Small Muscles
Dorsal Interossei-4
Palmar Interossei-3
In the Extensor Expansion: Tendon of Extensor Digitorum Divides into
3 after it crosses the MCPS joints, middle band inserts into base of middle phalanx, outer bands reunite and insert into base of distal phalanx, outer bands receive insertions of lumbricals and interossei
What are the two types of Grips
Power and Precision
Act out Lumbricals, Pad, and Dab and tell me what they mean
Lumbricals form L: MCPs are flexed while PIPs and DIPs are extended
Dab-abduction of fingers
Pad-adduction of thumb, index, ring, and little finger towards the middle finger
What are the 4 Power Grips CBHH and their descriptions
Cylinder, Ball, Hook, Hammer
What are the 4 Precision Grips PPKP and describe them
Plate, Pinch, Key, Pincer
What are the Connective Tissues of the Hand
Flexor Retinaculum, Palmar Aponeurosis, Flexor Tendon Sheaths
How do you palpate the Scaphoid
Answer verbally
How do you palpate the Lunate
Answer verbally
How do you palpate the Pisiform and Triquetrum
Answer verbally
How do you palpate the Trapezium
Answer Verbally
How do you palpate the Trapezoid
Answer Verbally
How do you palpate the Capitate
Answer Verbally
How do you palpate the Hamate
Answer Verbally
How do you palpate the Hook of Hamate
Answer Verbally
Can you find in the Anatomical Snuff Box?
APL, EPL, EPB + RS
How do you find the Radial Pulse
Angle fingers 2, 3, 4 across lateral side of anterior surface of forearm proximal to wrist
How do you find the Ulnar Pulse
Angle fingers 2, 3, 4 across medial side of anterior surface of forearm proximal to wrist
What is the difference between Intrinsic and Extrinsic Muscles
Instrinsic Muscle is one that originates and inserts in the hand (below wrist); Extrinsic Muscle originates above the wrist and inserts in hand (below wrist)
What is the difference between Pincer and Pinch
Pincer is FFF
Pinch is FFE