The Hand And Wrist Flashcards

1
Q

What are the carpal bones of the hand?

A

Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate

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2
Q

Proximal row of carpal bone
Radial to ulnar

A

radial ulnar
Scaphoid Lunate Triquetrum Pisiform

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3
Q

Distal row of carpal bones
Radial to ulnar

A

radial ulnar
Trapezium Trapezoid Capitate Hamate

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4
Q

Articulation of radial carpal joint

A

Scaphoid + lunate articulates with radius

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5
Q

Where is the main blood flow to the scaphoid via?

A

Dorsal carpal branch of radial artery

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6
Q

Direction of flow in scaphoid in relation to wrist

A

Retrograde flow
Flows back towards wrist

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7
Q

Movements of wrist

A

Flexion
Extension
Radial deviation
Ulnar deviation

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8
Q

Movements of fingers

A

Hyperextension
Extension
Flexion
ADduction
ABduction
Circumduction

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9
Q

What is AD/ABduction of fingers relative to?

A

Middle finger

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10
Q

Movements of thumb

A

Extension
Flexion
Opposition
Retropulsion
Palmar + radial ABduction
Palmar + radial ADduction

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11
Q

What does carpi relate to?

A

Wrist

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12
Q

What does digitorum relate to?

A

Fingers

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13
Q

What does pollicis relate to?

A

Thumb

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14
Q

What is the carpal tunnel?

A

Narrow passageway on palmar surface of wrist

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15
Q

Function of carpal tunnel

A

Serves as entrance to palm for numerous tenons + median nerve

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16
Q

Deep border of carpal tunnel

A

Carpal bones

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17
Q

Superficial border of carpal tunnel

A

Flexor retinaculum (transverse carpal ligament)

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18
Q

Attachments of the flexor retinaculum

A

Lateral - scaphoid + trapezium
Medial - pisiform + hook of hamate

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19
Q

Contents of carpal tunnel

A

Flexor pollicis longus tendon
Flexor digitorium superficialis tendons x4
Flexor digitorum profundus tendons x4
Median nerve

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20
Q

What is Guyon’s canal?

A

Semi-rigid longitudinal canal in wrist

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21
Q

Function of Guyon’s canal

A

Allows passage of ulnar nerve + artery to hand

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22
Q

Why is the ulnar nerve not effected by carpal tunnel syndrome?

A

Passes through Guyon’s canal which is superficial to flexor retinaculum (superficial border to carpal tunnel)

23
Q

Where is Guyon’s canal palpated?

A

Just lateral to pisiform bone

24
Q

Roof of Guyon’s canal

A

Palmar carpal ligament

25
Q

Clinical relevance of Guyon’s canal

A

Site of ulnar nerve compression

26
Q

What is the anatomical snuffbox?

A

Triangular depression on radial aspect of dorsum of hand

27
Q

What is another name for the anatomical snuffbox?

A

Radial fossa

28
Q

What is another name for Guyon’s canal?

A

Ulnar canal

29
Q

When is the anatomical snuffbox best seen?

A

When thumb is radially ABducted

30
Q

Lateral border of anatomical snuffbox

A

ABductor pollicis longus tendon
Extensor pollicis brevis tendon

31
Q

Medial border of anatomical snuffbox

A

Extension pollicis longus tendon

32
Q

Proximal border of anatomical snuffbox

A

Styloid process of radius

33
Q

Floor of anatomical snuffbox

A

Scaphoid
Trapezium

34
Q

Roof of anatomical snuffbox

A

Skin

35
Q

Contents of anatomical snuffbox

A

Radial artery
Superficial branch of radial nerve
Cephalic vein

36
Q

Where do the extrinsic muscles of the hand originate and insert?

A

Originated within forearm
Insert within hand

37
Q

Where do the intrinsic muscles of the hand originate and insert?

A

Originate within hand
Insert within hand

38
Q

What are the intrinsic muscle compartments of the hand?

A

Thenar - thumb
ADductor
Hypothenar - little finger
Central

39
Q

Muscles in thenar compartment of arm

A

Flexor pollicis brevis
ABductor pollicis brevis
Opponens pollicis

40
Q

Innervation of muscles in thenor compartment of hand

A

Median nerve
Exc. deep head of FPB - ulnar nerve

41
Q

Muscles in ADductor compartment of arm

A

ADducor pollicis

42
Q

Innervation of muscles of ADductor compartment of hand

A

Ulnar nerve

43
Q

Muscles in hypopthenar compartment of arm

A

Flexor digitorum minimi brevis
ABductor digiti minimi
Opponens digiti minimi

44
Q

Innervation of muscles of hpothernar compartment of hand

A

Ulnar nerve

45
Q

Muscles in central compartment of arm

A

Palmaris brevis
Palmar + dorsal interosseous
4 lumbricals

46
Q

Arterial supply to hand

A

Radial + ulnar artery supply hand via deep + superficial palmar arches

47
Q

Where can you palpate the ulnar artery?

A

Anterior to flexor retinaculum
Lateral to pisiform bone + ulnar nerve

48
Q

Explain the arterial supply to the hand

A
  • Radial and ulnar artery branch into deep and superficial branches
  • The corresponding deep or superficial artery anatomy’s to produced the deep + superficial palmar arches
  • Superficial palmar artery gives off common palmar digital arteries - supply fingers
  • Deep palmar artery supplies radial index finger + thumb
49
Q

What’s the blood supply to the fingers?

A

Common digital arteries from superficial palmar arch

50
Q

What’s the blood supply to the thumb and radial index finer?

A

Deep palmar arch

51
Q

What is the main contribution of the ulnar artery?

A

Supplies fingers
Via common palmar digital arteries

52
Q

What is the main contribution of the radial artery?

A

Supplies thumb + radial index finger
Via deep palmar arch

53
Q

What is the main contribution to the fingers/

A

Ulnar artery
Via common palmar digital arteries

54
Q

What is the main contribution to the thumb and radial index finger?

A

Radial artery
Via deep palmar arch