Starred Lecture Items L12 Flashcards
what side is listers tubercle on
dorsal
what uses listers tubercle to change directions
EPL
what carpal is above scaphoid
trapezium (bc easy to fracture)
what carpal is above lunate
capitate (cap on the moon)
column of carpals most ulnar
triquetrum, pisiform, hamate
rum pisi ham
three palmar arches
distal transverse
proximal transverse
longitudinal
wrist creases and what do they match up with
proximal, middle, distal
match up with carpals
what joint does thumb abduction
CMC (carpal metacarpal)
extrinsic muscles of the hand originate….
originate proximal to the wrist
generate greater force
intrinsic muscles of the hand are found where
contained entirely withIN the hand
precise control
superficial layer of the flexors
flexor carpi radialis (FCR)
flexor carpi ulnaris (FCU)
palmaris longus
intermediate layer of flexors
flexor digitorum superficialis (FDS)
deep layer of flexors
flexor digitorum profundus
flexor pollicis longus
pronator quadratus
which flexor muscle does not go to the wrist/hand
pronator teres
which nerve enervates flexor carpi radialis
median C6 and C7*
which nerve enervates flexor carpi ulnaris
ulnar nerve (C7 and C8*)
which is not true about FCU/FCR (slide 19)
they are both enervated by the median nerve
FCU/FCR dual actions
both flex the wrists
each try to deviate
FCU/FCR dual attachments
medial epicondyle of humerus (common flexor tendon)
bases of 2nd and 3rd (FCR) and 5th (FCU) metacarpals
which splits FDS or FDP
FDS: s=splits
does FDS flex DIP joint
no
what joints does FDS flex
PIP MCP
what joints does FDP flex
PIP MCP DIP
what is the only muscle that flexes DIP
FDP
what nerve enervates FDP
2-3 digits: median (AIN) (C8* and T1)
4-5: ulnar (C8 and T1*)
what goes through the split of FDS
FDP: “profundus penetrates”
where does FDP insert after emerging through FDS & what does it do there
on distal phalanx to flex DIP joint
flexor tendon zone TI
flexor tendon zone TII
flexor tendon zone TIII
flexor tendon zone TIV
flexor tendon zone TV
which flexor tendon zone is “no mans zone” and why
zone II because it has the FDS/FDP split so its intricate to fix injuries here
how many annular pulleys on each finger
5
how many cruciate pulleys on each finger
4
annular meaning
cruciate meaning
annular: circular (horizontal)
cruciate: cross (diagonal)
which pulleys are most important and where are they found?
A4 (middle of middle phalanx) and A2 (middle of proximal phalanx)
use them while rock climbing