L12_The Forearm and Hand (1) Flashcards
General aspects of the anterior compartement of the forearm
- “flexor compartment” flexors and pronators of the wrist and flexors of the digits
- Innervated by Median and Ulnar nerves
Explain the movement of supination
- when the bone are parallel to one another
- palm is facing forward (up)
what are the ligaments limiting the movement of the wrist joint?
Radial collateral ligament: between the radius and the carpal bones (prevent too much ulnar deviation)
Ulnar collateral ligament: between the styloid process of ulna and the carpal bones (prevent too much radial deviation)
Describe the metacarpophalangeal joint (MCP) Joints I-V (classification, articulation, functions)
Classification: Synovial, condyloid/ellipsoid joint
Articulation: between the metacarpal and proximal phalange
Functions: flexion/extension, abduction/adduction
Superficial layer of the anterior compartment of the forearm
Describe the pronator teres muscle (origin, insertion, functions, innervation)
Origin: Medial epicondyle of the humerus
Insertion: Lateral Radius
functions: Pronation of the forearm
Innervation: Median nerve (C6-C7)
The median nerve gives innervation to which muscles?
- anterior compartment of the forearm
- Except : medial 1/2 of FDP and FCU
Superficial layer of the anterior compartment of the forearm
Describe the Palmaris longus muscle (origin, insertion, functions, innervation)
Origin: medial epicondyle of the humerus
Insertion: palmar aponeurosis
functions: flexion of the hand at the wrist
Innervation: median nerve (C8)
The Ulnar nerve gives innervation to which muscles?
- flexor carpu ulnaris (FCU)
- medial 1/2 of FDP
(minority innervation)
The anterior interosseous of the median nerve gives innervation to which muscles?
Deep muscles:
- FDP lateral 1/2
- Flexor Pollicis Longus
- Pronator Quadratus
Explain the movement of pronation
- The radius will turn and it’s going to crisscross over top of the ulna
- the bones aren’t parallel anymore
- the palm is facing down
Describe the Carpometacarpal (CMC) joint II-V (classification, articulations, functions)
classification: synovial condyloid/ellipsoid joints
articulations: distal row of carpal bone and metacarpals II-V
Functions: movement very limited - CMC IV and V facilitate opposition of thumb
Name the bones identified by the numbers and the triangle (9)
So= 1. Scaphoid -> Common wrist injury (scaphoid fractures)
Long= 2. Lunate
To= 3. Triquetrum
Pinky= 4. Pisiform
Here= 5. Hamate
*Hook of hamate
Comes= 6. Capitate
The= 7. Trapezoid
Thumb= 8. Trapezium
- Triangular Fibrocartilagenous Disc
Deep layer of the anterior compartment of the forearm
Describe the Flexor digitorum Profundus (FDP) muscle (origin, insertion, functions, innervation)
Origin: Anterior proximal ulna and interosseous membrane
Insertion: Four tendons to base of distal phalanges of digits II-V
Functions: Flexion of the wirst, MCP, DIP and PIP joints
Innervation: Ulnar nerve -> medial 1/2 (Digit V + half of IV)
Anterior interosseous of the median nerve -> lateral 1/2
FDP runs deep to FDS (under it)
Deep layer of the anterior compartment of the forearm
Describe the Flexor pollicis longus muscle (origin, insertion, functions, innervation)
Origin: anterior radius and interosseous membrane
Insertion: base of 1st dital phalanx of digit 1 (thumb)
pollicis=thumb
Functions: flexion of the wrist amd MCP joint, and IP joints of the thumb
Innervation: anterior interosseous of median nerve (C8-T1)
Describe the Proximal Radioulnar joint (classification, articulations, reinforcing ligaments and structures, function)
Classification: synovial pivot joint
Articulations: Heah of the radius and radial notch of ulna
Reinforcing structures and ligaments: annular ligament, quadrate ligament, synovial membrane
Functions: Pronation/Supination and flexion/extension