kinesiology wrist and hand Flashcards
What is the closed pack position of the radiocarpal joint?
Full extension with radial deviation
What is the capsular pattern of the radiocarpal joint?
Flexion = extension
What typical dislocation occurs in the radiocarpal joint?
Lunate moves anteriorly into carpal tunnel; most carpals move posteriorly
What type of joint is the radiocarpal joint?
Biaxial condyloid synovial
Which collateral ligament is stronger in the radiocarpal joint?
Radial/lateral collateral ligament
What is the closed pack position of the midcarpal joint?
Extension with radial deviation
What is the capsular pattern of the midcarpal joint?
Flexion = extension
What typical dislocation occurs in the midcarpal joint?
Most carpals dislocate posteriorly
What type of joint is the midcarpal joint?
Non-axial plane synovial joint
In the midcarpal joint, which direction does the distal row move during radial deviation?
Toward the side of deviation
What is the maximum deviation achieved with the wrist in?
Neutral flexion – extension
How many joints are there to consider in the hand?
Three
List the three joints of the hand.
- Carpometacarpal
- Metacarpophalangeal
- Interphalangeal
What is the closed pack position of the carpometacarpal joint for the thumb?
Full opposition
What is the closed pack position of the carpometacarpal joint for the digits?
Full flexion
What is the capsular pattern of the carpometacarpal joint for the thumb?
Abduction > extension
What is the capsular pattern of the carpometacarpal joint for the digits?
All motions equally
What is the typical dislocation of the carpometacarpal joint?
Uncommon, carpal dislocation or metacarpal fracture
What type of joint is the 1st carpometacarpal joint?
Biaxial saddle synovial
What does the incongruence at the 1st carpometacarpal joint account for?
Increased incidence of osteoarthritis
Name the main ligaments of the 1st carpometacarpal joint.
- Lateral collateral ligament
- Anterior CMC ligament
- Posterior CMC ligament
- Interosseous CMC ligaments
What type of joint are the 2nd to 5th carpometacarpal joints?
Plane synovial (2nd - 4th) and saddle synovial (5th)
What is the closed pack position of the metacarpophalangeal joint for the thumb?
Full opposition
What is the closed pack position of the metacarpophalangeal joint for the digits?
Full flexion
What is the capsular pattern of the metacarpophalangeal joint?
Flexion > extension
What is the typical dislocation of the metacarpophalangeal joint?
Proximal phalanx moves posterosuperior; 2nd and 5th digits are most commonly dislocated
What is the closed pack position of the interphalangeal joints?
Full extension
What is the capsular pattern of the interphalangeal joints?
Flexion > extension
What is the typical dislocation of the interphalangeal joints?
Posterior displacement of the phalanx
What type of joint are the interphalangeal joints?
Hinge synovial
What is the main ligament associated with the interphalangeal joints?
Volar fibrocartilagenous plate
What is involved in a power grip?
Flexion of all fingers
What is precision handling?
Fingers and thumb grasp an object with the objective of manipulating
1st CMC joint Flexion/Extension, slide and glide occur..
concave on convex: same direction
1st CMC joint ab/adduction, slide and glide occur..
Convex on concave: opposite direction
5th CMC joint Flex/extension, slide and glide occur..
Concave on convex: same direction
5th CMC joint ab/adduction, slide and glide occur..
Convex on concave: opposite direction
MCP and IPs joint flex/extension, slide glide occur..
Same direction
PREHENSION
refers to activities of the hand involving grasping or taking hold of an object between any
two surfaces in the hand; the thumb may or may not participate
_______ are more powerful MCP flexors, ________ are stronger IP extensors
interossei : MCP flex
lumbricals IP extensor