radioulnar, wrist and hand joints Flashcards
what type of joint is proximal radioulnar joint
pivot type of synovial joint
articulates with head of radius in PRU joint
articulates with radial notch of ulna in PRU joint
annular ligament forms?
osteo-ligamentous ring
blood supply to proximal radioulnar joint
anterior and posterior interosseus arteries
proximal radioulnar joint innervated by
musculocutaneous, median, radial and ulnar nerves
what type of joint is distal radioulnar joint
pivot type synovial joint
articulates with distal head of ulna in DRU joint
articulates with ulnar notch of radius in DRU joint
blood supply to distal radioulnar joint
anterior/posterior interosseus arteries
innervation of distal radioulnar joint
anterior/posterior interosseus nerves
when palm is supinated radius and ulna are
parallel
when palm is pronated radius and ulna are?
crossed over each other
form X shape
what bone stabilises the forearm
ulna
is ulna lateral or medial?
medial
which of ulna and radius pivot around which
radius pivots around ulna
is radius lateral or medial?
lateral
what joints move when rotating palm?
proximal and distal radioulnar joints
pronation/supination action at the elbow
superior articular surface of radial head spins on capitulum
pronation/supination action at PRU joint
radial head slides against radial notch of ulna and adjacent areas of the joint capsule and anular ligament
pronation/supination action at DRU joint
ulnar notch of radius slides anteriorly over convex surface of head of ulna
what holds radius and ulna together during supination/pronation at PRU joint?
anular ligament of the radius
what holds the lengths radius and ulna together during supination/pronation?
interosseus membrane
what holds radius and ulna together during supination/pronation at DRU joint?
articular disc
muscles used in supination
supinator and biceps brachii (most effective at supination when arm bent)
muscles of pronation
pronator teres and pronator quadratus
what carpal bones articulate with radius to form wrist joint?
scaphoid and lunate
radiocarpal joint =
wrist joint =
what strengthens capsule of wrist
ulnar and radial collateral ligaments
ulnar deviation
adduction
radial deviation
abduction
what type of joint is the wrist?
ellipsoid synovial (condyloid)
location of wrist
- distal end of radius
- articular disc at distal end of ulna
- scaphoid and lunate
what is the midcarpal joint
joint between proximal and distal rows of carpal bones
carpal bones form?
carpal arch
what fills the carpal arch
carpal tunnel
carpal bones of medial side of carpal arch
pisiform and hamate
carpal bones of lateral side of carpal arch
scaphoid and trapezium
anterior wall of carpal tunnel
flexor retinaculum
nerve passing down carpal tunnel
median nerve
what is/causes carpal tunnel syndrome
entrapment of median nerve within carpal tunnel
potential causes of carpal tunnel
overuse
swelling of tendons and tendon sheaths
cysts arising for carpal joints
symptoms of carpal tunnel syndrome
- numbness
- tingling
- wasting of thenar muscles
therapy for carpal tunnel syndrome
- splinting
- anti-inflammatories
- surgery
carpometacarpal joints
articulation of carpal bones with base of metacarpals
intermetacarpal joints
articulation between metacarpals
metacarpophalangeal joints
articulations of heads of metacarpals with proximal phalanges
metacarpal fracture
boxers/brawlers fracture
carpometacarpal joint type
saddle joint
metacarpophalangeal joint type
condylar/ellipsoid/ovoid
reinforcement of joint capsule of MCP joint
palmar ligament and medial and lateral collateral ligaments
what do deep transverse metacarpal ligaments do
connect the palmar ligaments together
restrict movement of bones relative to each other
interphalangeal joint type
uniaxial hinge joints
reinforcement of IP joints
medial and lateral collateral ligaments and palmar ligaments