Lecture 9 - Muscles Acting on the Hand Flashcards

1
Q

functions of the hand

A
  • > grasp power
  • > pinch precision
  • > feel
  • > comunicate
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2
Q

the hand must have…

A
  • > strong mobile framework
  • > non slip, pliable gripping surface
  • > strong muscles without bulk
  • > sensitivity to internal and external environments
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3
Q

characteristics of the skin

A
  • > ridges
  • > sweatglands in the ridges
  • > fibrous septa (connects dermis to underlying fascia)
  • > fat between septa (no room for expansion if infected)
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4
Q

bones and joints of the hands

A

thumb only has two phalanx but digets 2-5 have 3

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5
Q

finger movements

A

Add/Abduction

Flex/Extend

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6
Q

intrinsic vs extrinsic muscles of the hand

A

Extrinsic muscles have their origin on the forearm and have long tendons than insert into the hand

Intrinsic muscles originate inside the hand and insert on the hand

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7
Q

main groups of intrinsic muscles

A
  • > interossei
  • > lumbricals
  • > thenar muscles
  • > hypothenar muscles
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8
Q

muscles that flex the fingers from the forearm

A

AKA extrinsic finger flexors

  • > flexor digitorum superficialis
  • > flexor digitorum profundus
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9
Q

OIIA of flexor digitorum superficialis

A

Origin

Humeroulnar head: med epicondyle of humerus, ulnar collateral ligament, coronoid process of the ulna

Radial head: superior half of the ant border of the radius

Insertion

  • > shafts of the middle phalanges of digits 2-5

Innervation

  • > median nerve

Action

  • > flexes the middle phalanges at the proximal IP joints, can also flex MCP joints and wrist with stronger contractions
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10
Q

OIIA of flexor digitorum profundus

A

Origin

  • > prox ¾ of medial and ant surface of ulna and interosseous membrane

Insertion

  • > base of distal phalanx of digits 2-5

Insertion

  • > Medial part: ulnar nerve Lateral part: interosseus branch of median nerve

Action

  • > flexes distal phalanges at distal IP joints of medial 4 digits, assists with wrist flexion
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11
Q

muscles that extend the fingers from the forearm

A

AKA extrinsic finger extensors

  • > extensor digitorum
  • > extensor indicis
  • > extensor digiti minimi
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12
Q

OIIA of extensor digitorum

A

Origin

  • > lateral epicondyle of humerus

Insertion

  • > extensor expansions of medial four digits

Innervation

  • > deep branch of the radial nerve

Action

  • > extends d2-5 at metacarpophalangeal joints, extends hand at wrist joint
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13
Q

OIIA of extensor digiti minimi

A

Origin

  • > lateral epicondyle of humerus

Insertion

  • > extensor expansion of the 5th digit

Innervation

  • > deep branch of radial nerve

Action

  • > extends D5 at the metacarpophalangeal joints
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14
Q

OIIA of extensor indicis

A

Origin

  • > posterior surface of ulna and interosseous membrane

Insertion

  • > extensor expansion of 2nd digit

Innervation

  • > post interosseous nerve and the continuation of the deep branch of the radial nerve

Action

  • > extends 2nd digit and helps extend hand at the wrist joint
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15
Q

thumb movements

A
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16
Q

muscles that act on the thumb from the forearm

A

AKA extrinsic thumb muscles

  • > flexor pollicis longus
  • > abductor pollicis longus
  • > extensor pollicis longus
  • > extensor pollicis brevis
17
Q

OIIA of flexor pollicis longus

A

Origin

  • > ant surface of radius and adjacent interosseous membrane

Insertion

  • > base of distal phalanx of thumb

Innervation

  • > anterior interosseous nerve from median nerve

Action

  • > flexes thumb phalanges
18
Q

OIIA of abductor pollicis longus

A

Origin

  • > post surface of ulna, radius and interosseous membrane

Insertion

  • > base of 1st metacarpal

Innervation

  • > posterior interosseous nerve, the continuation of the deep branch of the radial nerve

Action

  • > abducts thumb and extends it at the carpometacarpal joint
19
Q

OIIA of extensor pollicis longus

A

Origin

  • > post surface of middle ⅓ of ulna and interosseous membrane

Insertion

  • > base of distal phalanx of thumb

Innervation

  • > post interosseous nerve, the cont of the deep branch of the radial nerve

Action

  • > extends distal phalanx of thumb at CM and IP joints
20
Q

OIIA of extensor pollicis brevis

A

Origin

  • > post surface of radius and interosseous membrane

Insertion

  • > base of proximal phalanx of thumb

Innervation

  • > post. interosseous nerve, the continuation of the deep branch of the radial nerve

Action

  • > extends proximal phalanx of thumb at CM joint
21
Q

anatomical snuff box

A
  • > radial artery passes through it
22
Q

OIIA of interossei

A

7 muscles

  • > 3 Palmar
  • > 4 dorsal

Origin

  • > shafts of metacarpals

Insertion

  • > bone and extensor expansion of the proximal phalanges 2-5

Innervation

  • > deep branch of the ulnar nerve

Action

the abduct and adduct the fingers

23
Q

OIA of lumbricals

A

4 lumbricals

Origins

  • > 1 and 2: lat tendons of Flexor Digitum Profundus; unipennate
  • > 3 and 4: medial three tendon of FDP; bipennate

Insertion

  • > lat sides of the extensor expansion of D2-5

Innervation

  • > median nerve and deep branch of ulnar nerve

Action

  • > flexes MCP and extend IP joints of D2-5
24
Q

Hypothenars

A
  • > Abductor digiti minimi
  • > flexor digiti minimi
  • > opponens digiti minimi

~ palmaris brevis

25
Q

what is the palmaris brevis and what does it do?

A
  • > muscle located in the subcutaneous tissue of the hypothenar eminence
  • > deppens the hallow of the palm to aid in a palmar grip
  • > protects ulnar artery
26
Q

thenar muscles

A
  • > abductor pollicis
  • > flexor pollicis brevis
  • > opponens pollicis

~ adductor pollicis

27
Q

adductor pollicis

A

adducts and flexes thumb MP joint

  • > 2 heads; transverse and oblique
28
Q

MCP joints have what kind of ligaments

A

collateral

29
Q

stability/mobility of CMC joints

A

D1 - Mobile

D2 - Stable

D3 - Stable

D4 - Mobile (15-30 degs of flexion)

D5 - Mobile

30
Q

palmar aponeurosis

A

thick triangle of long flattened tendon

  • > thenar, hypothenar, and adductor compartment
31
Q

mallet injury

A

caused by direct force to the tip of the finger

  • > results in damage/injury to the extensor digitorum tendon
32
Q

nerves of the hand

A

Median

Ulnar

Radial