Hand And Wrist Flashcards

1
Q

Which is teh radial side of the hand

A

Radial - thumb

Ulnar - little finger

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2
Q

What are the bones of the hand?

A

Radius
Lunate, scaphoid, trapezium, trapezoid, capitate, hamate, triquetral, pisiform
Metacarpals
Phalanges

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3
Q

What are the joints of teh hand

A
• RADIOCARPAL 
• MIDCARPAL 
• CARPO-METACARPAL 
• METACARPO-PHALANGEAL 
• INTER-PHALANGEAL
NO NUMBERING DIGITS!
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4
Q

What are the movements o the wrist

A
  • FLEXION
  • EXTENSION
  • RADIAL DEVIATION
  • ULNAR DEVIATION
  • PRONATION
  • SUPINATION
  • “DART THROWING MOTION”
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5
Q

What are the movements of the fingers

A
  • FLEXION
  • EXTENSION
  • ABDUCTION
  • ADDUCTION
  • OPPOSITION (thumb and little finger)
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6
Q

What are the movements of the thumb

A

• FLEXION / EXTENSION • ABDUCTION (PALMAR OR RADIAL)
/ADDUCTION
• OPPOSITION / RETROPOSITION /
RETROPULSION

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7
Q

What is the test for the flexor policies longus

A

Place hand flat Dow, lift thumb (retropulsion)

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8
Q

What are the fucntions of the hand

A
  • Index and middle finger – STABILITY
  • Ring and little finger - STRENGTH
  • Thumb - PRECISION
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9
Q

Name the carpals

A

Hamate capitate trapezium trapezoid

scaphoid lunate triquetal pisiform

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10
Q

What is the purpose of the hook of hamate

A

Protect ulnar nerve

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11
Q

What is the function of the carpals

A
• No muscle attachments
• Intercalated segment – movement (muscle cross tehse bones and insert distally) - the bones adapt the shape depending on the muscles beyond them 
• Hand can conform to shape the task
• Protected from abnormal movements
• Scaphoid susceptible to avascular
dictated by muscles acting distally
requires by strong ligaments
necrosis because of retrograde blood supply
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12
Q

How are muscles named

A
  1. WHAT MOVEMENT? • FLEXOR • EXTENSOR • ABDUCTOR • ADDUCTOR • PRONATOR • SUPINATOR
  2. WHAT PART OF THE HAND? • CARPI (CARPAL BONES –
    WRIST) • DIGITORUM (DIGIT –
    FINGER) • INDICIS – INDEX FINGER • MINIMI – LITTLE FINGER • POLLICIS - THUMB
  3. EXTRA DESCRIPTOR
    • LONGUS (LONG) • BREVIS (SHORT) • RADIALIS (RADIAL SIDE) • ULNARIS (ULNAR SIDE) • SUPERFICIALIS (SUPERFICIAL) • PROFUNDUS (DEEP)
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13
Q

What are the extrinsic and intrinsic muscles of the hand

A

EXTRINSICS (FOREARM)
• FLEXORS (VOLAR) • EXTENSORS (DORSAL) GIVES RISE TO THE TENODESIS

INTRINSICS (HAND)
• THENAR MUSCLES (THUMB) • HYPOTHENAR MUSCLES (LITTLE FINGER) • INTEROSSEI • LUMBRICALS • THUMB ADDUCTOR
EFFECT

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14
Q

What are the characteristics of the extrinsic flexors

A
CHARACTERISTICS
• EXTRINSIC – PROXIMAL TO WRIST 
• VOLAR ASPECT OF FOREARM 
• PRONATE FOREARM 
• FLEX WRIST AND FINGERS
MUSCLES
• ARRANGED IN THREE LAYERS IN
THE FOREARM
• THE DEEPER YOU GO, THE MORE
DISTAL THEIR ACTION
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15
Q

What are the muscles in layer 1

A
  • ORIGINATE FROM MEDIAL EPICONDYLE
  • FLEXOR-PRONATOR GROUP
  • PRONATOR TERES
  • FLEXOR CARPI RADIALIS
  • PALMARIS LONGUS
  • FLEXOR CARPI ULNARIS
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16
Q

What muscles are in layer 2 f the forearm

A

Flexor digitorum superficialis • ORIGINATES FROM MEDIAL
• INSERTS INTO MIDDLE PHALANGES
• INDIVIDUAL MUSCLE BELLIES • MAY NOT HAVE FDS TO THE LITTLE
EPICONDYLE/ RADIUS AND ULNA
OF THE FINGERS
FINGER

17
Q

What muscles are in layer 3 of the forarm

A
  • FDP ORIGINATES FROM THE ULNA AND INSERTS INTO DISTAL PHALANGES OF THE FINGERS
  • SINGLE MUSCLE BELLY (ALL FINGERS
  • FPL ARISES FROM RADIUS AND TOGETHER) INSERTS INTO THUMB DISTAL PHALANX
18
Q

What are the extensors of the wrist

A
• EXTENSOR CARPI RADIALIS
LONGUS – 2nd METACARPAL
• EXTENSOR CARPI RADIALIS BREVIS
– 3rd METACARPAL
• EXTENSOR CARPI ULNARIS – 5th
METACARPAL
19
Q

Describe the finger extensors

A
• CENTRAL SLIP – INSERTS INTO BASE • 2 LATERAL SLIPS – INSERT INTO
• WORK TOGETHER BUT CAN BE
OF MIDDLE PHALANX
BASE OF DISTAL PHALANX
DAMAGED IN ISOLATION
20
Q

What are the other finger extensors

A

• EXTENSOR INDICIS (PROPRIUS)
(LIBRARIAN SHUSH MUSCLE) • EXTENSOR DIGITI MINIMI
(MACHIAVELLIAN LAUGH)
• TOGETHER – SHOOTS A WEB

21
Q

What are the thumb extensors

A
• EXTENSOR POLLICIS BREVIS – BASE
OF PROXIMAL PHALANX
• EXTENSOR POLLICIS LONGUS –
BASE OF DISTAL PHALANX (RETROPULSION)
• ABDUCTOR POLLICIS LONGUS
22
Q

What are the 5 groups of hand muscle s

A

• LUMBRICALS • INTEROSSEI • THENAR EMINENCE • HYPOTHENAR EMINENCE • THUMB ADDUCTOR
(AND PALMARIS BREVIS – YEAH, WHO CARES)

23
Q

What is the function of the lumbar I also

A
  • CROSS THE NEUTRAL AXIS BETWEEN FLEXION AND EXTENSION OF THE DIGITS
  • ARISE FROM FDP TENDONS AND INSERT INTO EXTENSOR EXPANSIONS

• ALLOW OPPOSING MOVEMENTS AT
NEIGHBOURING JOINTS

24
Q

Wha are the interossei

A
  • DORSAL ABDUCT BIPENNATE (dab)
  • PALMAR ADDUCT UNIPENATE (pad)
  • ALSO CROSS THE NEUTRAL AXIS \ THEREFORE ASSIST LUMBRICALS IN FLEXION AT MCPJs AND EXTENSION AT IPJs
25
Q

What are the The are muscles

A

• FLEXOR POLLICIS BREVIS • ABDUCTOR POLLICIS BREVIS • OPPONENS POLLICIS BREVIS
BULK UP THE THUMB CHIEF FUNCTION IS OPPOSITION

26
Q

What are the hypothecate muscles

A

• FLEXOR DIGITI MINIMI • ABDUCTOR DIGITI MINIMI • OPPONENS DIGITI MINIMI
BULK UP HYPOTHENAR EMINENCE CHIEF FUNCTION IS POWER GRIP

27
Q

Describe the thumb adductor

A

• CLOSES OFF GAP BETWEEN THUMB
AND INDEX METACARPALS
• KEY COMPONENT OF PINCH GRIP • BASIS OF FROMENT’S TEST

28
Q

What is palmaris brevis

A

• INVOLUNTARY CONTROL • CAN LOSE CONTROL GIVING RISE

TO A TWITCHY PATIENT

29
Q

Describe the nerve supply to the extrinsic muscle

A
  • RADIAL NERVE – POSTERIOR COMPARTMENT
  • ULNAR NERVE – FCU, ULNAR HALF OF FDP
  • MEDIAN NERVE – EVERYTHING ELSE
30
Q

How to check never function to the hand

A

-

31
Q

Describe teh blood supply to the hand

A

0