Lecture 6: The hand Flashcards
What do grips of the hand provide us with?
Manipulation of objects, dexterity
Precise application of force from the upper limb
What are the 5 joints of the hand?
Distal interphalangeal (DIP)
Proximal interphalangeal (PIP)
Interphalangeal joint of the thumb
Metacarpophalangeal (MCP)
Carpometacarpal (CMC)
What are the bones of the hand?
- Distal phalanges
- Intermediate phalanges
- Proximal phalanges
- Metacarpals
- Carpals
Which groups of muscles are the movements of the fingers and thumbs brought about by?
- Extrinsic
- Intrinsic
What are the extrinsic muscles?
muscles in the anterior and posterior forearm whose tendons travel down into the hand. The tendons of these muscles are vulnerable to injury at the wrist or in the hand.
What are the intrinsic muscles?
muscles located in the hand; their origins and insertions are within the hand. These are, by definition, short, or small muscles. Many of them have the term ‘brevis’ in their name.
Where do the intrinsic muscles lie?
Almost all of them lie in the palm of the hand (the dorsum of the hand has just one set)
What are the groups of muscles and one singular muscle in the intrinsic muscles?
- thenar eminence
- hypothenar eminence
- The lumbrical muscles
- The interosseous muscles
Single muscle: Adductor pollicis
What is the thenar eminence?
3 muscles, lie in the palm below the thumb, move the thumb
What are the 3 muscles in the thenar eminence?
Opponens pollicis (deeper)
Flexor pollicis brevis
Abductor pollicis brevis
Where does the thenar eminence originate?
Origins = carpal bones (centred on the trapezium and scaphoid)
Where does the thenar eminence insert?
OP = 1st metacarpal
APB and FPB = base of the proximal phalanx of the thumb
what innervates the thenar eminence?
recurrent branch of
the median n.
What is the hypothenar eminence?
3 muscles, lie in the palm below the little finger, move the little finger. They mirror the thenar eminence muscles
What are the 3 muscles in the hypothenar eminence?
Opponens pollicis (deeper)
Flexor pollicis brevis
Abductor pollicis brevis
Where does the hypothenar eminence originate?
carpal bones
(centred on the hamate and pisiform)
Where does the hypothenar eminence insert?
ODM on the 5th metacarpal
ADM and FDM = base of the proximal phalanx of the 5th digit
What innervates the hypothrnar eminence?
deep branch of the ulnar n.
What are the lumbrical muscles?
4 of these; each one is attached to an FDP tendon
where do the lumbrical muscles originate?
tendons of FDP