Session 9- Functional Anatomy Of The Hand And Wrist Flashcards

1
Q

What are the muscles in the posterior compartment of the forearm commonly known as? What is the general function of the muscles?

A

The extensor muscles, the general function of the muscles is to produce extension at the wrist and fingers.

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2
Q

What are the extensor muscles innervated by?

A

Radial nerve.

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3
Q

The brachioradialis is a superficial extensor muscle with its origin and innervation being characteristic, what makes this muscle different?

A

It actually doesn’t extend, it flexes the elbow!

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4
Q

What are the actions of Carpi radialis longus and brevis?

A

Extension and abduction of the wrist.

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5
Q

What are the attachments of the ECRL and the ECRB?

A

THE ECRL originates from the supracondylar ridge, while the ECRB originates from the lateral epicondyle, their tendons attach to metacarpal bones 2 and 3.

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6
Q

What are the attachments actions and innervation of the supination?

A

The origin is the lateral epicondyle of humerus and the insertion is the anterior, lateral and posterior surfaces of the proximal third of radius.

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7
Q

What is the action and neurovascular supply of the supinator?

A

SUPINATION of the forearm at the radioulnar joints.

The nerve supply is a deep branch of a radial nerve.

The arterial supply is recurrent interosseous artery, interosseous artery, radial recurrent artery.

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8
Q

What is the origin, insertion, action, neurovascular supply of the deep muscle extensor indices?

A

The extensor indices is inserted in the posterior surface of distal half of ulna; interosseous membrane. The insertion is the dorsal digital expansion of the 2nd digit (index finger).

The action is the extension of the wrist, extension of the metacarpophalangeal, proximal, proximal interphalangeal and distal interphalangeal joints of the 2nd digit.

The nerve supply is the POSTERIOR INTEROSSEOUS NERVE and the arterial supply is the POSTERIOR INTEROSSEOUS ARTERY.

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9
Q

What is the origin, insertion, action, nerve and arterial supply of the extensor pollicis brevis?

A

The origin is again the posterior surface of the distal half of the radius and the adjacent interosseous membrane. The insertion is the dorsal surface of base of proximal phalanx of 1st digit (thumb).

Action is the extension of the thumb at the interphalangeal joint, it can also extend the metacarpophalangeal and carpometacarpal joints of the thumb.

The nerve supply is the posterior interosseous nerve and the arterial supply is the posterior interosseous artery, anterior interosseous artery.

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10
Q

What is the origin, insertion, neurovascular supply of the extensor pollicis longus?

A

The origin is the posterior surface of the middle third of the ulna and adjacent interosseous membrane.
The insertion is the dorsal surface of base of distal phalanx of the 1st digit ie: thumb.
The action is the extension of the thumb, it extends the interphalangeal joints of the 1st digit, extends the metacarpophalangeal and the carpometacarpal joint of the 1st digit.

The nerve supply is the posterior interosseous nerve.

The arterial supply is the posterior interosseous artery.

It is just above the extensor pollicis brevis.

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11
Q

Give the origin, insertion, action, nerve supply and arterial supply of the abductor pollicis longus.

A

The abductor pollicis longus is on the right to the extensor pollicis longus.
The origin in the posterior surface of the middle third of the radius, ulna and interosseous membrane.
The insertion is the base of the 1st metacarpal.
The action is the abduction of the carpometacarpal joint of the 1st digit, the accessory extensor of the 1st digit.

The nerve supply is the posterior interosseous nerve and the artery is the posterior interosseous artery.

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12
Q

Give the origin, insertion, action, nerve and arterial supply of the extensor digiti minimi.

A

The origin: The lateral epicondyle of humerus via common extensor tendon, inserts onto the dorsal digital expansion of the 5th digit.

Action: Extension and ulnar abduction of the wrist, abduction and extension of the metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints of the 5th digit.

The nerve supply is the radial nerve
The arterial supply is recurrent interosseous artery, posterior, anterior.

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13
Q

What are the origin, insertions, actions, nerve and arterial supply of the extensor digitorum.

A

Origin- lateral epicondyle of the humerus.
Insertion- dorsal digital expansions of the 2nd-5th digits.
Action- extension of the wrist, extension of the metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints of the 2nd-5th fingers, abduction of the fingers.
The nerve supply is the deep branch of radial nerve.
The arterial supply is recurrent interosseous artery.

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14
Q

What are the origins, insertions, actions and neurovascular structures of the anconeus?

A

Origin- posterior surface of lateral epicondyle of humerus.
The insertion of the lateral surface of the olecranon; posterior surface of superior surface of superior part of ulna.
Action- extension of the forearm.
Nerve supply- radial nerve
Arterial supply- reccurent interosseous artery.

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15
Q

What are the bones of the hand and what is the eunomic to remember the metacarpals?

A

You have the distal phalanges, middle phalanges, proximal phalanges, metacarpals, carpsals.

It is Some lovers try positions that they cant handle...
SCAPHOID 
LUNATE 
TRIQUETAL + (PITIFORM)
TRAPEZIUM 
TRAPEZOID
CAPITATE 
HARNATE
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16
Q

What is the wrist joint stabilised by?

A

Ligaments attaching the radius to the carpal bones on the dorsal and palmar surfaces (The dorsal and palmar radiocarpal ligaments) and by the ulnar and radial collateral aligaments on the ulnar and radial aspects of the joint respectively.

17
Q

What are the major muscles responsible for the flexion of the wrist?

A

The flexor Carpi ulnaris
Flexor Carpi radialis
Palmaris longus (very weak)
Long flexors which cross the wrist also assist with flexion at that joint ie: flexor digitorum superficialis, flexor digitorum profundus and flexor pollicis longus.

18
Q

What is extension of the wrist usually produced by?

A

Extensor Carpi radialis longus

Extensor Carpi radialis brevis

Extensor Carpi ulnaris

19
Q

What is abduction and abduction produced by?

A

Adduction
Extensor Carpi ulnaris
Flexor Carpi ulnaris

Abduction
Extensor Carpi radialis longus
Extensor Carpi radialis brevis
Flexor Carpi radialis.

20
Q

What is the blood supply of the scaphoid and why is this important?

A

The blood supply to the scaphoid is via a dorsal carpal branch of the radial artery, this enters the dorsal surface of the scaphoid distally and supplies the proximal 80% of the scaphoid by retrograde flow (flow which goes back to the wrist).

21
Q

How many metacarpals is there and what do they consist of?

A

There are 5, they consist of a a base, a shaft and a head. The medial and lateral surfaces are concave and accommodate the interosseous muscles.

22
Q

What are the movements of the thumb?

A

Flexion- bending your thumb both at the interphalangeal and metacarpophalangeal joint.
Extension- returns the flexed thumb to normal position
Radial abduction- the continuation of extension beyond the anatomical position in the same plane as the palm.
Opposition- rotator movement of the thumb over the palm
Retroposition is the returning of the thumb to an atomically position
Palmar abduction
Adduction
Circumduction

23
Q

The thumb muscles are split into intrinsic and extrinsic muscles, what are the subdivisions of the intrinsic muscles of the hand?

A

The arterial compartment (thumb)
Adductor compartment
Hypothenar compartment (little finger)
Central compartment

24
Q

What is the thenar eminence and what muscles are involved in this?

A

The muscular prominence on the radial aspect of the palm

25
Q

What is the origin of the extensor muscles?

A

The lateral epicondyle of the humerus

26
Q

What are the borders and contents of the anatomical snuffbox?

A

So we can use the eunomic ‘brevis sandwich’ and remember that the snuffbox is right near the thumb so it must be the thenar muscles…
Lateral border=
Tendons of the abductor pollicis longus
Tendons of the extensor pollicis brevis

Medial border= Tendons of the extensor pollicis longus

Proximal border= styloid process of radius

Floor= scaphoid and trapezium

Roof= skin

The contents are radial artery, cephalic vein (this is the superficial branch of the radial nerve).