MS: elbow, wrist, hand Flashcards
What is the concave/convex relationship of radius in relation to the ulna
Convex radius proximally, concave radius distally.
UCL
triangular;
three parts
RCL
fan shaped;
stronger than UCL histologically
Annular ligament
attaches to medial ulna, encircles radial head;
protects radial head in semiflexion;
taut at extremes of pronation and supination
Quadrate ligament
radial notch (on ulna) to neck of radius; reinforces inferior joint capsule; limits spin of supination/pronation
Why does the UCL provide better functional stability than RCL
RCL attaches to soft tissue (annular ligament).
UCl requires more strength because functional activities stress medially and compress laterally
How does the ulna glide (medially vs laterally) during flexion
laterally
(medial glide occurs during extension)shaped
How does the ulna rotate during flexion?
external rotation (supination)
opposite for extension
How is the first CMC shaped?
saddle shape, with trapezium being convex M/L and concave A/P
Finger concave on convex
Convex proximal aspect, concave distal.
Applies to all joints of fingers
Collateral ligaments of the fingers-when are they taut.
All fibers tighten with flexion, volar fibers tighten with extension
What does the ulnar nerve innervate in the hand
hypothenar, 5th digit, and medial 4th digit
What does the median nerve innervate in the hand
palm thats not innervated by ulnar, dorsal 2nd, 3rd, lateral 4th (from DIP to tip)
What does the radial nerve innervate in the hand
dorsal aspects not innervated by ulnar or median