T2 L6: Anatomy of the hand Flashcards

1
Q

What are the 3 types of bone in the hand?

A

The carpals, metacarpals, and phalanges bones

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2
Q

What are the 8 carpel bones?

A
Scaphoid 
Lunate 
Triquetral 
Pisiform 
Trapezium
Trapezoid
Capitate
Hamate
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3
Q

What are some complications of a scaphoid fracture?

A

There is poor radial blood supply to the proximal part of the bone so there will be avascular necrosis id the injury is not fixed

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4
Q

What are the 6 joints in the hand?

A
  • Saddle joint at the thumb
  • Radiocarpal joint at the wrist
  • Midcarpal/ intercarpal
  • Carpometacarpal
  • Metacarpophalangeal
  • Interphalangeal
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5
Q

Which ligaments reinforce the radiocarpal joint?

A

Ulnar and radial collateral ligaments limit abduction/adduction

Ligaments on the palmar/dorsal surface limit extension/flexion

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6
Q

What types of joints are carpometacarpal joints?

A

plane joints apart from the saddle joint between trapezius and metacarpal d1

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7
Q

What types of joints are metacarpophalangeal joints?

A

Condyloid joints

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8
Q

What is the deep transverse metacarpal ligaments?

A

They unify the metacarpals but not between d1 and d2

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9
Q

What types of joints are interphalangeal joints?

A

Hinge joints

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10
Q

What is the clinical significance of the palmar aponeurosis?

A

It’s composed from longitudinal and transverse fibres and is continuous with palmaris longus

It’s where Dupuytren’s contracture occurs

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11
Q

In which digits is flexor digitorum and profundus found?

A

D2-D5 (all except thumb)

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12
Q

How do flexor digitorum profundus and superficialis interact?

A

They pass through eachother at the proximal interphalangeal joint

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13
Q

What are vinculae?

A

Bands of connective tissue that attach tendons to phalangeal bones

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14
Q

What are fibrous annular and cruciate ligaments?

A

They attach the finger tendons to the phalangeal bones

Annular are simple rounded, cruciate cross over the phalangeal joints

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15
Q

What are the names of the long extensor tendons to the digits?

A

D1

  • Extensor pollicis longus
  • Extensor pollicis brevis
  • Abductor pollicis longus

D2-D5

  • Extensor digitorum
  • Extensor indicis
  • Extensor digit minimi

They extend from muscles in the posterior forearm

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16
Q

What muscles attach to the extensor hood of fingers?

A

Intrinsic muscles of the hand (the lumbricals and the interossei)

17
Q

What is the clinical significance of the anatomical snuff box?

A

To palpate the scaphoid bone and the radial pulse

18
Q

What are the boundaries of the anatomical snuff box?

A

Extensor pollicis brevis and extensor pollicis longus

19
Q

What is the function of the lumbricals?

A

They extend the interphalangeal joints and flex metacarpophalangeal joints

They’re for precision grip Eg. pinching

20
Q

Which digits have bifennate lumbricals?

A

d3,d4, and d5 (ring and pinky finger)

21
Q

What is the function of palmar interossi?

A

They adduct metacarpalphalangeal joints (bring finger together)

There are none on d1 and d3 because they don’t adduct (all fingers move away from d3)

22
Q

How many palmar interossei muscles are there?

A

3

23
Q

How many lumbricals are there?

A

4 (2 are bifennate)

24
Q

What is the function of dorsal interossei?

A

They abduct at the metacarpalphalangeal joint (bring fingers apart)

25
Q

How many dorsal interossei muscles are there?

A

4 (d2, d3 x2, and d4)

26
Q

Why are there no interossei muscles on d1 and d5?

A

Abduction is performed by thenar and hypothenar muscles instead

27
Q

What is the origin of thenar and hypothenar bones?

A

Flexor retinaculum and adjacent carpal bones

28
Q

Which muscles make up the thenar group?

A

Opponens pollicis (deepest)
Abductor pollicis brevis
Flexor pollicis brevis

29
Q

Which muscles make up the hypothenar group?

A

Opponens digiti minimi (deepest)
Abductor digiti minimi
Flexor digiti minimi

30
Q

What are the intrinsic muscles of the hand?

A
Thenar
Hypothenar
Lumbricles
Interossei
Adductor pollicis
31
Q

Which muscles performs adduction of the thumb?

A

Adductor pollicis

It has an oblique head based on 2nd and 3rd metacarpal and carpal bones and it has a transverse head attaches to the 3rd metacarpal

It attaches to the proximal phalanx

32
Q

Which artery supplies d1 and 1/2 d2?

A

Radial artery

33
Q

Which artery forms the deep palmar arch?

A

Radial artery

34
Q

Which artery forms the superficial palmar arch?

A

Ulnar artery

35
Q

Which artery supplies 1/2 d4 - d5?

A

Ulnar artery

36
Q

Which nerve passes through the carpal tunnel?

A

The median nerve

37
Q

What causes a clawed hand?

A

Damage to the ulnar nerve at the wrist