Lecture 15: Upper limb 4- Forearm flexor aspect and wrist Flashcards

1
Q

What is the function of the quadrate ligament?

A

to prevent supination and pronation of the elbow

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2
Q

what does the the interossesous membrane do?

A

1) act as a hinge for the radius to pull across
2) act as muscle attachment
3) force transmission from one bone to the next.

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3
Q

What are the pivot points that allow the radius to rotate medially around the ulna (i.e. pronation) and laterally (i.e. supination).

A

Proximal and distal ends of the radio-ulna joints

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4
Q

What are the three rotatory muscles of the radius?

A

pronator teres
pronator quaratus
supinator muscle

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5
Q

Where does the interrosseous memebrane attach to?

A

medial side of radius and lateral side of ulna

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6
Q

what distal ends of the ulna are covered by fibrous articular cartilage?

A

head of ulna and the ulnar styloid process

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7
Q

what distal ends of the radius are covered by articular cartilage?

A

ulna notch, radial styloid process, and the fibrous articular disc

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8
Q

the fibrous articular disc seperates the _____ from the _____.

A

wrist joint proper; radius and ulna.

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9
Q

What are the three attachment points for the radius and ulna ?

A

1) annular ligament
2) triangular fibrocartilage complex (TFFC, which is basically the fribrocartilage disc)
3) interrosseous membrane

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10
Q

On the mid forearm, the lateral intermuscular septa blends in with the _____

A

anterbrachial facscia and the periosteum of the radius

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11
Q

On the mid forearm, the _______ acts like the medial intermuscular septa

A

posterior boarder

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12
Q

What muscle forms the first part of the posterior surface of the forearm?

A

brachioradialis

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13
Q

what muscle forms the first part of the most lateral anterior surface of forearm?

A

pronator teres

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14
Q

The muscle that is posterior to the ulna in the posterior surface is ______

A

extensor carpi ulnaris

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15
Q

The muscle that is medial to the ulna in the anterior surface is ______

A

flexor carpi ulnaris

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16
Q

what are the anterior (flexor) muscles of the forearm?

4 superficial, 1 intermediate, and 3 deep

A

1) pronator teres
2) flexor carpi ulnaris
3) palmaris longus
4) flexor carpi radialis
5) flexor digitorum superficialis
DEEPER MUSCLES
6) flexor digitorum profundus (ulna origin)
7) pronator quadratus (ulna origin)
8) flexor pollicis longus (radial origin)

17
Q

what are the posterior surface muscles of the forearm?

A

1) brachioradialis
2) extensor carpii ulnaris
3) extensor digitorus

18
Q

What bones make up the carpals (wrist)?

some lovers try positions that they can’t handle

A
scaphoid 
lunate
triquetrum
pisiform
trapezium
trapezoid
capitate
hamate
19
Q

What bones make up the metacarpals?

A

I, II, III, IV, V

20
Q

What makes up a digit bone?

A
metacarpalphalangeal joint
proximal phalanx
proximal interphalangeal joint
middle phalanx
distal interphalangeal joint
distal phalanx
21
Q

What are the three joints of the wrist?

A

1) radiocarpal joint
2) midcarpal joint
3) carpometacarpal joint

22
Q

The radiocarpal joint can perform…

A

the most flexion and extension out of the 3 wrtist joints.

23
Q

The carpometacarpal joint doesnt move EXCEPT ____

A

the thumb!

24
Q

the extensor retinaculum is more on the ___

A

posterior end of the wrist

25
Q

The flexor retinaculum is more on the (a) and forms (b)

A

(a) anterior side of the wrist bones, between the pisiform and hook of hamate medially and scaphoid and trapezium laterally.
(b) carpal tunnel

26
Q

why is the flexor retinaculum thicker?

A

it houses more tendons

27
Q

What is the origin of the muscles of the anterior compartment

A

Origin: common flexor tendon that is attached to the anterior aspect of the medial epicondyl of humerus

28
Q

What is the insertion of the flexor carpi radialis?

A

2nd metacarpal

29
Q

What is the insertion of the flexor carpi ulnaris?

A

pisiform bone, which is attached to the base of the 5th metacarpal

30
Q

What muscle helps the FCR and FCU to flex the wrist?

A

palmaris longus

31
Q

the tendons of the FDS FDP and FPL pass under the…

A

flexor retinaculum through a synovial sheath of the palm.

32
Q

the pronator quandratus inserts into the

A

lower end of the radius

33
Q

what does the pronator quandratus do?

A

pulls the ulna in pronatory movement

34
Q

What is the palmer aponeurosis

A

a fibrous sheet that connects the tendon of the palmaris longus and extend it to the 4 digits.

35
Q

Palmaris longus attaches ___ the flexor retinaculum, while the FCR attaches ____.

A

over; under