The forearm, wrist, and hand 2 Flashcards

1
Q

The innervation of the hand is provided by the

A

Median and ulnar nerves

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2
Q

The primary motor nerve to the intrinsic hand muscles

A

Ulnar nerve

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3
Q

The primary sensory nerve to the palmar hand

A

Median nerve

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4
Q

The eight carpal bones are arranged in two rows of four. In the proximal row, the scaphoid and lunate bones articulate with the

A

Distal radius

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5
Q

Lies within the tendon of the flexor carpi ulnaris muscle

A

Pisiform bone

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6
Q

The eight carpal bones are arranged in two rows of four. In the distal row, the trapezium articulates with the

A

Thumb metacarpal

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7
Q

In the distal row, the ulnar nerve and artery pass lateral to the

A

Hook of the hamate bone

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8
Q

The hand bones include 5 metacarpel bones and

A

14 phalanges (finger bones)

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9
Q

The only finger with 2 phalanges instead of three

A

Thumb

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10
Q

What are three joints of the hand?

A
  1. ) Thumb carpometacarpel
  2. ) Metacarpophalangeal (MCP)
  3. ) Interphalangeal
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11
Q

The metacarpal bones articulate with the proximal phalanges of the digits forming the

A

“Knuckles” of the hand

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12
Q

The articulation of the proximal and middle phalanges

A

Proximal interphalangeal joint (PIP)

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13
Q

The articulation between the middle and distal phalanges

A

Distal interphalangeal joint (DIP)

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14
Q

What are the movements seen at the thumb carpometacarpel joint?

A

Flexion/extension, abduction/adduction, and opposition/reposition

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15
Q

What are the movements seen at the metacarpophalangeal (MCP) joints?

A

Flexion/extension, abduction/adduction, and circumduction

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16
Q

What are the movements seen at the interphalangeal joints?

A

Flexion/extension

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17
Q

The fascia of the wrist and hand greatly facilitates

A

Hand function

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18
Q

Protects the palmar surface and adheres to the skin improving grip

A

Palmar aponeurosis

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19
Q

Prevents “bowstringing” of flexor tendons and forms the roof of the carpal tunnel

A

Flexor retinaculum

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20
Q

The passageway for nine flexor tendons and the median nerve into the hand

A

The carpal tunnel

21
Q

Provide fine movement of the digits and occupy primarily the palmar aspect of the hand

A

Intrinsic hand muscles

22
Q

The intrinisic hand muscles can be compartmentalized into

A
  1. ) Thenr muscles
  2. ) Hypothenar muscles
  3. ) Lumbricales and interossei muscles
23
Q

Muscles that move the thumb

A

Thenar muscles

24
Q

Muscles that move the small finger

A

Hypothenar muscles

25
Muscles that move the digits
Lumbricales and interossei muscles
26
What are the three muscles of the thenar eminence and what are their functions?
1. ) Pollicis brevis: Thumb flexion 2. ) Abductor pollicis brevis: Thumb ABduction 3. ) Opponens ollicis: Thumb opposition
27
The muscles of the thenar eminence are innervated by the
Recurrent median nerve
28
What are the three muscles of the hypothenar eminence and what are their functions?
1. ) Flexor digiti minimi: Small finger extension 2. ) Abductor digiti minimi: Small finger ABduction 3. ) Opponens digiti minimi: Small finger opposition
29
The muscles of the hypothenar eminence are innervated by the
Deep ulnar nerve
30
What are the 4 intrinsic muscles?
1. ) Adductor pollicis 2. ) Lumbrical 3. ) Dorsal interossei 4. ) Palmar interossei
31
The adductor pollicis muscle function in
Thumb ADduction
32
The Lumbrical muscle functions in
Flexion at MP and extension at IP
33
The dorsal interossei muscle functions in
ABduction of digits 2-4
34
The palmar interossei functions in
ADduction of digits 2, 3, and 5
35
The intrinsic (lumbricale and interossei) muscles are innervated by the
Deep ulnar nerve for most | 2 Radial lumbricals innervated by median nerve
36
Supplies sensory innervation to the palmar surface of the skin covering the radial three and one-half digits and supplies motor innervation to 5 intrinsic hand muscles
Median nerve
37
Which hand muscles does the median nerve supply?
2LOAF 2 radial Lumbricals Opponens pollicis Abductor Pollicis brevis Flexor pollicis brevis
38
Supplies sensory innervation to the palmar surface of the skin covering the ulnar one and one-half digits and supplies motor innervation to the remaining 13 intrinsic hand muscles
Ulnar nerve
39
The radial and ulnar arteries anastomose forming palmar arterial arches. The superficial palmar arch is primarily
Ulnar artery
40
The radial and ulnar arteries anastomose forming palmar arterial arches. The deep palmar arch is primarily
Radial artery
41
Fracture that most commonly results from a fall on an outstretched extended hand
Colles' Fracture
42
Dorsal view shows a radial deviation of hand with ulnar prominance of styloid process
Colles' fracture
43
Usually caused by fall on outsretched hand with impact on thenar eminance
Scaphoid Fracture
44
When dealing with forearm muscles, if a muscle crosses more than one joint, its primary action is at the
Distal-most joint it crosses
45
Carpel tunnel syndrome is the result of
Inflammation in the carpel tunnel that causes median nerve compression
46
Which spinal nerves are responisble for the motor function of the hand?
C8 and T1
47
Which spinal nerves are responsible for the sensory function of the hand?
C6, C7, C8
48
Which digits receive sensory innervation from the Ulnar nerve?
Ulnar 1.5 digits
49
Which digits receive sensory innervation from the Median nerve?
Radial 3.5 digits