The Forearm/Wrist/Hand Flashcards
where do digitorum muscles connect to
fingers
where do digiti minimi muscles connect to
little finger
where do indicis muscles connect to
index finger
where do pollicis muscles connect to
thumb
where do carpi muscles connect to
wrist
where do carpi radialis muscles connect to
radial deviation of wrist (abduction)
where do carpi ulnaris muscles connect to
ulnar deviation of wrist (adduction)
what flexors are in the deep layer of the forearm
- flexor pollicis longus
- flexor digitorum profundus
where does the flexor pollicis longus originate and insert
- origin: anterior surface of radius and adjacent interosseous membrane of forearm
- insertion: palmar aspect of base of distal phalanx of thumb
where does the flexor digitorum profundus originate and insert
- origin: medial aspect of coronoid process of ulna and superior three quarters of anterior and medial surfaces of body of ulna
- insertion: palmar aspects of bases of the distal phalanges of index, middle, ring and little fingers
what flexors are in the intermediate layer of the forearm
- flexor digitorum superficialis
where does the flexor digitorum superficialis originate and insert
- origin: medial epicondyle of humerus, via the common flexor tendon, sublime tubercle of ulna and proximal half of anterior border of radius
- insertion: palmar aspects of the bodies of middle phalanges of the index, middle, ring and little finger
what flexors are in the superficial layer of the forearm
- flexor carpi radialis
- palmaris longus
- flexor carpi ulnaris
where does flexor carpi radialis originate and insert
- origin: medial epicondyle of humerus, via common flexor tendon
- insertion: palmar aspects of bases of second and third metacarpal bones
where does the palmaris longus originate and insert
- origin: medial epicondyle of humerus, via common flexor tendon
- insertion: palmar aponeurosis and flexor retinaculum of hand
where does the flexor carpi ulnaris originate and insert
- origin: medial epicondyle of humerus via common flexor tendon, proximal two thirds of body of ulna and olecranon of ulna
- insertion: pisiform, hook of hamate and palmar aspect of base of fifth metacarpal bones
what extensors are in the superficial layer
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitorum
- extensor digiti minimi
- extensor carpi ulnaris
where does extensor carpi radialis longus originate and insert
- origin: inferior one third of lateral supracondylar ridge of humerus
- insertion: dorsal aspect of base of second metacarpal bone
where does extensor carpi radialis brevis originate and insert
- origin: lateral epicondyle of humerus, via common extensor tendon
- insertion: dorsal aspect of base of third metacarpal bone
where does extensor digitorum originate and insert
- origin: lateral epicondyle of humerus via common extensor tendon
- insertion: dorsal aspects of bases of both the middle and distal phalanges of the index, middle, ring and ,little fingers
where does extensor digiti minimi originate and insert
- origin: lateral epicondyle of humerus via common extensor tendon
- insertion: extensor expansion of little finger
where does extensor carpi ulnaris originate and insert
- origin: lateral epicondyle of humerus, via common extensor tendon, and posterior border of ulna
- insertion: medial aspect of base of fifth metacarpal bone
what extensors are in the deep layer
- extensor indicis
- extensor pollicis longus
- extensor pollicis brevis
- abductor pollicis longus
where does the extensor indicis originate and insert
- origin: posterior surface of distal one third of ulna and adjacent interosseous membrane of forearm
- insertion: extensor expansion of index finger
where does extensor pollicis longus originate and insert
- origin: posterior surface of middle one third of ulna and adjacent interosseous membrane of forearm
- insertion: dorsal aspect of base of distal phalanx of thumb
where does extensor pollicis brevis originate and insert
- origin: posterior surface of distal half of radius and adjacent interosseous membrane of forearm
- insertion: dorsal aspect of base of proximal phalanx of thumb
where does abductor pollicis longus originate and insert
- origin: posterior aspects of proximal half of ulna and middle one third of radius adjacent interosseus membrane of forearm
- insertion: lateral aspect of base of first metacarpal bone
which muscles make up the thenar eminence
- abductor pollicis brevis
- flexor pollicis brevis
- opponens pollicis
which muscles make up the hypothenar eminences
- abductor digit minimi
- flexor digit minimi
- opponens digiti minimi
- palmaris brevis
what are all the finger muscles
- third palmar interosseous
- second palmar interosseous
- first palmar interosseous
- fourth dorsal interosseous
- third dorsal interosseous
- second dorsal interosseous
- first dorsal interosseous
- fourth lumbrical
- third lumbrical
- second lumbrical
- first lumbrical
what are the hands manipulation tasks
- non-contact / contact
- prehensile / non-prehensile
- no motion / motion
- motion within hand / motion not within hand
- motion at contact / no motion at contact
what are all the bones in the hand and wrist
- distal phalanges
- intermediate phalanges
- proximal phalanges
- metacarpals
- carpals
- scaphoid
- lunate
- triquetrum
- pisiform
- trapezium
- trapezoid
- capitate
- hamate
what is the carpal tunnel
- formed by transverse carpal ligament or flexor retinaculum
- between pisiform / hamate and trapezium / scaphoid
- pulley for long flexor tendons
- stabilises arch of wrist
what movements are possible at the wrist
- extension
- flexion
- radial deviation
- ulnar deviation
- pronation
- supination
what movements are possible at the thumb
- flexion
- extension
- abduction
- adduction
- opposition
what movements are possible at the fingers
- hyperextension
- extension
- flexion
- abduction
- adduction
- circumduction
- opposition
what are the different joints in the wrist and hand
- radiocarpal
- carpometacarpal
- metacarpophalangeal
- proximal interphalangeal
- distal interphalangeal
what joint type is radiocarpal and what movements are possible
- condyloid
- flexion / extension
- abduction / adduction
what type of joint is carpometacarpal and what movements are possible
- thumb (1st CMCJ)
- saddle
- flexion / extension
- abduction / adduction
- opposition
- fingers (2nd - 5th CMCJ)
- plane joints
- minimal amounts of movement
- flexion / extension
what type of joint is metacarpophalangeal and what movements are possible
- condyloid
- flexion / extension
- abduction / adduction
- circumduction
what type of joint is proximal interphalangeal and what movements are possible
- hinge joint
- flexion / extension
what type of joint is distal interphalangeal and what movements are possible
- hinge
- flexion / extension