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
Q

Muscles that move the digits

A

Lumbricales and interossei muscles

26
Q

What are the three muscles of the thenar eminence and what are their functions?

A
  1. ) Pollicis brevis: Thumb flexion
  2. ) Abductor pollicis brevis: Thumb ABduction
  3. ) Opponens ollicis: Thumb opposition
27
Q

The muscles of the thenar eminence are innervated by the

A

Recurrent median nerve

28
Q

What are the three muscles of the hypothenar eminence and what are their functions?

A
  1. ) Flexor digiti minimi: Small finger extension
  2. ) Abductor digiti minimi: Small finger ABduction
  3. ) Opponens digiti minimi: Small finger opposition
29
Q

The muscles of the hypothenar eminence are innervated by the

A

Deep ulnar nerve

30
Q

What are the 4 intrinsic muscles?

A
  1. ) Adductor pollicis
  2. ) Lumbrical
  3. ) Dorsal interossei
  4. ) Palmar interossei
31
Q

The adductor pollicis muscle function in

A

Thumb ADduction

32
Q

The Lumbrical muscle functions in

A

Flexion at MP and extension at IP

33
Q

The dorsal interossei muscle functions in

A

ABduction of digits 2-4

34
Q

The palmar interossei functions in

A

ADduction of digits 2, 3, and 5

35
Q

The intrinsic (lumbricale and interossei) muscles are innervated by the

A

Deep ulnar nerve for most

2 Radial lumbricals innervated by median nerve

36
Q

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

A

Median nerve

37
Q

Which hand muscles does the median nerve supply?

A

2LOAF

2 radial Lumbricals
Opponens pollicis
Abductor Pollicis brevis
Flexor pollicis brevis

38
Q

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

A

Ulnar nerve

39
Q

The radial and ulnar arteries anastomose forming palmar arterial arches. The superficial palmar arch is primarily

A

Ulnar artery

40
Q

The radial and ulnar arteries anastomose forming palmar arterial arches. The deep palmar arch is primarily

A

Radial artery

41
Q

Fracture that most commonly results from a fall on an outstretched extended hand

A

Colles’ Fracture

42
Q

Dorsal view shows a radial deviation of hand with ulnar prominance of styloid process

A

Colles’ fracture

43
Q

Usually caused by fall on outsretched hand with impact on thenar eminance

A

Scaphoid Fracture

44
Q

When dealing with forearm muscles, if a muscle crosses more than one joint, its primary action is at the

A

Distal-most joint it crosses

45
Q

Carpel tunnel syndrome is the result of

A

Inflammation in the carpel tunnel that causes median nerve compression

46
Q

Which spinal nerves are responisble for the motor function of the hand?

A

C8 and T1

47
Q

Which spinal nerves are responsible for the sensory function of the hand?

A

C6, C7, C8

48
Q

Which digits receive sensory innervation from the Ulnar nerve?

A

Ulnar 1.5 digits

49
Q

Which digits receive sensory innervation from the Median nerve?

A

Radial 3.5 digits