Hand And Wrist Flashcards
Which is teh radial side of the hand
Radial - thumb
Ulnar - little finger
What are the bones of the hand?
Radius
Lunate, scaphoid, trapezium, trapezoid, capitate, hamate, triquetral, pisiform
Metacarpals
Phalanges
What are the joints of teh hand
• RADIOCARPAL • MIDCARPAL • CARPO-METACARPAL • METACARPO-PHALANGEAL • INTER-PHALANGEAL NO NUMBERING DIGITS!
What are the movements o the wrist
- FLEXION
- EXTENSION
- RADIAL DEVIATION
- ULNAR DEVIATION
- PRONATION
- SUPINATION
- “DART THROWING MOTION”
What are the movements of the fingers
- FLEXION
- EXTENSION
- ABDUCTION
- ADDUCTION
- OPPOSITION (thumb and little finger)
What are the movements of the thumb
• FLEXION / EXTENSION • ABDUCTION (PALMAR OR RADIAL)
/ADDUCTION
• OPPOSITION / RETROPOSITION /
RETROPULSION
What is the test for the flexor policies longus
Place hand flat Dow, lift thumb (retropulsion)
What are the fucntions of the hand
- Index and middle finger – STABILITY
- Ring and little finger - STRENGTH
- Thumb - PRECISION
Name the carpals
Hamate capitate trapezium trapezoid
scaphoid lunate triquetal pisiform
What is the purpose of the hook of hamate
Protect ulnar nerve
What is the function of the carpals
• 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
How are muscles named
- WHAT MOVEMENT? • FLEXOR • EXTENSOR • ABDUCTOR • ADDUCTOR • PRONATOR • SUPINATOR
- WHAT PART OF THE HAND? • CARPI (CARPAL BONES –
WRIST) • DIGITORUM (DIGIT –
FINGER) • INDICIS – INDEX FINGER • MINIMI – LITTLE FINGER • POLLICIS - THUMB - EXTRA DESCRIPTOR
• LONGUS (LONG) • BREVIS (SHORT) • RADIALIS (RADIAL SIDE) • ULNARIS (ULNAR SIDE) • SUPERFICIALIS (SUPERFICIAL) • PROFUNDUS (DEEP)
What are the extrinsic and intrinsic muscles of the hand
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
What are the characteristics of the extrinsic flexors
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
What are the muscles in layer 1
- ORIGINATE FROM MEDIAL EPICONDYLE
- FLEXOR-PRONATOR GROUP
- PRONATOR TERES
- FLEXOR CARPI RADIALIS
- PALMARIS LONGUS
- FLEXOR CARPI ULNARIS