the hand and wrist Flashcards

1
Q

describe the articulation of wrist?

A

distal end of radius and articular disc of distal radio-ulnar joint articulate with proximal row of carpal bones (except pisiform)

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2
Q

name the bones in the carpus

some lovers try positions that they cant handle

A
scaphoid
lunate
triquetrum
pisiform
trapezium
trapezoid
capitate
hamate
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3
Q

what makes the carpal tunnel?

A

carpal bones (posteriorly) and flexor retinaculum (anteriorly)

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4
Q

what nerve is compressed in carpal tunnel syndrome?

A

median nerve

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5
Q

why is the palmar cutaneous branch of median nerve not affected in carpal tunnel syndrome?

A

because it branches off proximal to the tunnel and travels superficially to reach skin of palm

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6
Q

name 2 tests you can do for carpal tunnel syndrome?

A

Tinel’s test

Phalen’s test

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7
Q

name the joints in the hand?

A

carpometatarsal
metacarpophalangeal
prox and dist interphalangeal

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8
Q

what are the fatty pad bits on the hand called?

A

`thenar and hypothenar eminence

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9
Q

what is dupuytren’s contracture?

A

progressive, shortening, thickening and fibrosis of palmar fascia

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10
Q

name the 3 nerves which innervate the hand (sensory)?

A

radial nerve
ulnar nerve
median nerve

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11
Q

on the palmar aspect of the hand, what nerve innervates the skin over the base of thumb?

A

radial nerve

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12
Q

on the palmar aspect of the hand, what nerve innervates the central/lateral palm, half of the ring finger, the thumb, index and middle finger?

A

median nerve

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13
Q

on the palmar aspect of the hand, what nerve innervates the medial part of palm, the little finger and the medial half of ring finger?

A

ulnar nerve

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14
Q

on the dorsal aspect of the palm, what nerve innervates the skin over anatomical snuff box, lateral dorsum of hand and prox index and middle fingers?

A

radial nerve

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15
Q

on the dorsal aspect of the palm, what nerve innervates the skin over distal phalanges and nail beds of the thumb, index, middle finger?

A

median nerve

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16
Q

on the dorsal aspect of the palm, what nerve innervates the medial dorsum of hand, teh little finger and medial half of ring finger?

A

ulnar nerve

17
Q

which nerve enters the thenar muscles?

A

recurrent branch of median nerve

18
Q

what are the 4 groups of intrinsic hand muscles?

A

thenar
hypothenar
lumbricals
interossei

19
Q

what nerve supplies the first and second lumbricals?

A

median nerve

20
Q

what nerve supplies the 3rd and 4th lumbricals?

A

deep branch of ulnar

21
Q

what nerve supplies the 1st-4th dorsal interossei an dthe 1st-3rd palmar interossei?

A

deep branch of ulnar nerve

22
Q

which nerve supplies the hypothenar muscles?

A

deep branch of ulnar nerve

23
Q

where would you find palmaris brevis muscle?

A

in hypothenar subcutaneous tissue

it aids palmar grip by wrinkling skin to deepen hollow in plam

24
Q

name the thenar muscles supplied by the recurrent branch of median nerve?

A

opponens pollicus
abductor pollicus brevis
flexor pollicus brevis
superficial head

25
Q

name the thenar muscles supplied by the deep branch of ulnar nerve?

A

deep head
adductor pollicus
oblique head
transverse head

26
Q

name the hypothenar muscles?

A

abductor digiti minimi
flexor digiti minimi brevis
opponens digiti

27
Q

what 2 main arteries supply the hand?

A

radial and ulnar

28
Q

what makes the superficial palmar arch?

A

superficial branches of radial and ulnar arteries

29
Q

what makes the deep palmar arch?

A

the deep branches of radial and ulnar arteries

30
Q

name the arteries which supply the fingers?

A

proper digital arteries

31
Q

explain the venous drainage of the hand?

A

dorsal digital veins drain to 3 metacarple veins which unite to form venous plexus and then join cephalic vein

the basilic vein arises from the medial side of dorsal venous network

32
Q

where does the lymph in the hands drain to?

A

cubital and axillary nodes