Palm of Hand Flashcards
proximal carpals of wrist
scaphoid
lunate
triquetrum
pisiform
distal carpals of wrist
trapezium
trapezoid
capitate
hamate
bones of hand
metacarpals
phalanges (proximal, middle, distal) (thumb only has 2 rest have 3)
metacarpophalangeal joints (MCP) actions
- condyloid joint
flexion
extension
abduction
adduction
Interphalangeal joints actions
flexion
extension
(hinge joint)
extrinsic muscles of hand are located… and perform what functions?
located in the anterior and posterior compartments of the forearm
- control crude movements and produce a forceful grip - bigger movements
what type of movements do intrinsic muscles of the hand perform, and where are they found
located within the hand
- responsible for fine motor movements
instrinsic muscles of hand compartments
thenar compartment
adductor compartment
hypothenar comp.
lumbricals (central compartment)
interossei
thenar compartment muscles
abductor pollicis brevis, flecor pollicis brevis, opponens pollicis
adductor compartment muscles
adductor pollicis
hypothenar compartment muscles
abductor digiti minimi, flexor digiti minimi brevis and opponens digiti minimi
lunbricals (central comp.) muscles
1-4 and associated with long flexor tendons
interossei compartment
located between metacarpals
dorsal and palmar
what are the major compartments
thenar and hypothenar
movements of the fingers
abduction/adduction occurs at MCP
flexion/extension occurs at MCP and IP joints
movements of the thumb
abduction
adduction
extension
flexion
opposition
repositon
what is palmar aponeurosis and what does it do
thickened fascia
provides a barrier between skin and underlying neurovasculatur structures
what does palmaris brevis do
cups the hand
superficial layer of muscles of palm
thenar compartment (abductor pollicis brevis and flexor pollicis brevis)
hypothenar comp. (abdcutor digiti minimi and flexor digiti minimi)
2nd layer of muscles of palm
lumbricals 1 and 2 (innervated by median nerve
lumbircals 3 and 4 (innervated by ulnar nerve
proximal attachment of 2nd layer of palm muscles
tendons of the flexor digitorum profundus
distal attachment of 2nd layer of palm
extensor expansions of digits 2-5
lumbricals can
simultaneouslt flex at MCP joints and extend at PIP and DIP joints
extensor expansion includes
tendonds of the long extensor muscles of the posterior forearm (extensor, digitorum, extensor indicis, extensor digiti minimi)
3rd layer of muscles of palm
adductor pollicis
opponens digiti minimi (hypothenar
opponens pollicis (thenar)
4th layer (deepest) of muscles of palm
interossei muscles:
3 palmar interossesous muscles (abduct = PAD)
4 dorsal interossesous muscles (abduct = DAB)
arteries of the palm of hand
ulnar and radial arteries supplie the palm
branches from both vessels anastomose to make superficial palmar and deep palmar arches
nerves in palm
median nerve
ulnar nerve
median nerve in the palm
enters the hand through the carpal tunnel
- recurrent branch of median nerve (motor)
- palmar branches of median nerve
- sensory to lateral 3.5 digits
ulnar nerve in the palm
superficial branch (sensory
deep branch (motor)
- hypothenar muscles, medial 2 lumbricals, adductor pollicis, all the interossei