Movement lecture 5: Hand and wrist joint Flashcards

1
Q

Name the carpal bones.

A

Scaphoid, Lunate, Triquetrum, Pisiform
Trapezium, Trapezoid, Capitate, Hamate

‘Some Lovers Try Positions That They Cannot Handle’

(lateral to medial)

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2
Q

What type of joint is the wrist joint?

A

Synovial ellipsoid joint

no participation by the ulna

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3
Q

Which ligaments strengthen the joint capsule anteriorly and posteriorly?

A

Radiocarpal ligaments

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4
Q

What movements are possible at the wrist joint?

A

Abduction, adduction, circumduction, flexion and extension.

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5
Q

How do the extrinsic muscles of the hand enter?

A

The carpal tunnel

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6
Q

Which nerve supplies most of the intrinsic muscles of the hand? What are the exceptions to this?

A

Ulnar nerve

Excluding the thenar muscles and 1st and 2nd lumbricals – these are supplied by the median nerve

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7
Q

Which part of the hand is supplied by the palmar cutaneous branch of the median nerve?

A

Lateral palm

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8
Q

Which part of the hand is supplied by the recurrent branch of the median nerve.

A

Thenar muscles

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9
Q

Which part of the hand is supplied by the digital branch of the median nerve?

A
  • 1st and 2nd lumbricals
  • Palmar - lateral 3 ½ digits
  • Dorsal - distal half of lateral 3 ½ digits
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10
Q

What is the function of the lumbricals?

A

Flexion at metacarpophalangeal joint and extension at interphalangeal joint.

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11
Q

What are the attachments of the flexor retinaculum?

A
  • Medial attachments pisiform and hook of hamate

- Lateral attachments scaphoid tuberosity and trapezium

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12
Q

Which part of the hand is supplied by the palmar branch of the ulnar nerve?

A

Medial side of the palm.

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13
Q

Which part of the hand is supplied by the dorsal branch of the ulnar nerve?

A

Medial side of dorsum and medial 1 1/2 digits.

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14
Q

Which part of the hand is supplied by the superficial branch of the ulnar nerve?

A

Palmar surface of medial 1 1/2 digits

Palmaris brevis

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15
Q

Which part of the hand is supplied by the deep branch of the ulnar nerve?

A

Hypothenar muscles, adductor pollicis, interossei and 4th + 5th lumbricals.

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16
Q

Where does the ulnar nerve enter the hand along with the ulnar artery?

A

Guyon’s canal

17
Q

What happens as a result of compression of the ulnar nerve at the wrist?

A

Sensory loss palmer surface of medial 1 ½ digits

Motor weakness in the intrinsic muscle of the hand (except thenar eminence and lateral 2 lumbricals)

Hyperextension of metacarpophalangeal joints of digits 4 and 5 (extension is unopposed due to paralysis of lumbricals) - hand of benediction.

18
Q

What is the most common way of getting a scaphoid fracture?

A

FOOSH

19
Q

What is a Colles fracture?

A

Fracture of the distal end of the radius
Most common in old people, particularly women due to osteoporosis
Usually the result of falling on an outstretched upper limb
Often, the ulnar styloid process is avulsed