Hand Therapy Flashcards
What are the main joints in the hand.
Distal interphalangeal joint, Proximal interphalangeal joint, Metacarpophalangeal joint, Carpmetacarpal joint, Radiocarpal joint.
What are the main joints in the thumb
- Interphalangeal joint,
- metacarpophalangeal joint,
- carpometacarpal joint,
- Radiocarpal joint.
What are the bones in the fingers and hand
Distal phalange, Middle phalange, Proximal phalange, Metacarpals, Carpals, Radius, Ulna
Main bones in the thumb
Distal phalange, Proximal phalange, Metacarpals, Carpals. Radius, Ulna
What are the 8 carpal bones
Bottom 3 Left to Right:
- Scaphold,
- Lunate,
- Triquetrum
Top 5 left to Right:
- Trapezium,
- Trapezoid,
- Capitate,
- Hamate,
- Pisiform.
What are the 9 creases of the hand
DIP crease, PIP crease, IP crease, Palmar digital crease, Distal palmar crease, Proximal palmar crease, Median crease, Thenar crease, Wrist crease.
What are the 3 main arches of the hand
1) Proximal transverse arch,
2) Distal transverse arch,
3) Longitudinal arch.
What is a tendon.
-A tendon is a fibrous connective tissue that attaches muscle to bone
What is the role of a ligament
- Ligaments are bands of tissue that help connect bones, joints and organs and hold them in place,
- Hold bones together,
- Stabilise muscles and bones + strengthen joints.
- Allow joint to move in direction it’s meant too.
What are the two sides of the hand
Palmar and dorsal
What is the role of the Volar plate
- Volar plate is a small piece of ligament on the palm side of the middle phalanx on your finger.
- Helps support middle joint of your finger and prevents it from being able to dislocate or over straighten.
What are the 3 main nerves in the hand
Ulnar nerve
Median nerve
Radial nerve
Key things about the median nerve
- Originates at shoulder,
- Controls the muscles we need to perform fine precision hand movements and pinching functions,
- Enters through carpal tunnel,
- controls sensation in the thumb, middle finger and one side of the ring finger.
Key things about ulnar nerve
- Runs Through the arm into the hand
- Largest unprotected nerve in the body,
- Connects little finger and adjacent side of the ring finger,
- Provides sensation to the palm side of the hand,
- Enables us to grasp objects
- Enters palm of the hand through Guyons canal
Key things about Radial nerve
- Nerve Runs through our arm and controls our ability to extend our wrist and control the position of our hand.
- Provides sensory feedback from the back of the little finger and adjacent side of the ring finger.
What does SOAP stand for
Subjective,
Objective,
Analysis,
Plan.
Things to include in an objective assessment
- Your observation,
- Patients wound and it’s condition,
- Patients scar and it’s condition,
- Palpation,
- Tendons,
- Oedema,
- ROM, Grip, Sensation.
Key things about mallet finger injuries
- It’s an injury to the end of your finger that causes it too bend inwards towards your palm.
- Will not be able to straighten the end of your finger because tendon connecting muscle to finger bone is stretched or torn.
- Finger will be painful and swollen.
- Extensor tendon is affected.