The Wrist and Hand Flashcards
Origin, insertion and action of Flexor carpi ulnaris
Origin- Medial epicondyle of humerus, olecranon and posterior border of ulna
Insertion- Pisiform bone, hamate bone, base of metacarpal bone 5
Action- Wrist joint: Wrist flexion, wrist adduction
Origin, insertion and action of Flexor carpi radialis
Origin- Medial epicondyle of humerus
Insertion-Bases of metacarpal bones 2-3
Action- Wrist joint: Wrist flexion, wrist abduction
Origin, insertion and action of Palmar Interossei
Origin- Ulnar side of metacarpal bone 2, Radial side of metacarpal bones 4 and 5
Insertion- 1: Ulnar base of proximal phalanx/extensor expansion of digit 2
-2 & 3: Radial base of proximal phalanges/extensor expansions of digits 4 and 5
Action- Metacarpophalangeal joints 2,4 & 5: Finger adduction, Finger flexion; Interphalangeal joints 2,4 & 5: Finger extension
Mnemonic: PAD DAB (‘Use your hand to dab with a pad’) - Palmar interossei ADduct, Dorsal interossei ABduct
Origin, insertion and action of Extensor carpi radialis brevis
Origin- Lateral epicondyle of humerus (common extensor tendon)
Insertion- Posterior aspect of base of metacarpal bone 3
Action- Wrist joints: Hand extension, hand abduction (radial deviation)
Origin, insertion and action of Flexor digitorum superficialis
Origin- Humeroulnar head: Medial epicondyle of humerus, coronoid process of ulna
- Radial head: Proximal half of anterior border of radius
Insertion- Sides of middle phalanges of digits 2-5
Action- Metacarpophalangeal and proximal interphalangeal joints 2-5: Finger flexion
Origin, insertion and action of Extensor carpi radialis longus
Origin- Lateral supracondylar ridge of humerus, lateral intermuscular septum of arm
Insertion- Posterior aspect of base of metacarpal bone 2
Actions- Wrist joints: Hand extension, hand abduction (radial deviation)
Origin, insertion and action of Palmaris longus
Origin- Medial epicondyle of humerus (common flexor origin)
Insertion- Flexor retinaculum, palmar aponeurosis
Action- Wrist joint: Wrist flexion;
Tenses palmar aponeurosis
Origin, insertion and action of Extensor carpi ulnaris
Origin- Lateral epicondyle of humerus, posterior border of ulna (common extensor origin)
Insertion- Base of metacarpal bone 5
Action- Wrist joint: Hand extension and adduction
Origin, insertion and action of Flexor digitorum profundus
Origin- Proximal half of anterior surface of ulna, interosseous membrane
Insertion- Palmar surfaces of distal phalanges of digits 2-5
Action- Metacarpophalangeal and interphalangeal joints 2-5: Finger flexion
Origin, insertion and action of Flexor Digiti Minimi Brevis
Origin, insertion and action of Extensor digitorum
Origin, insertion and action of Extensor digiti minimi
Origin, insertion and action of Extensor indicis
Origin, insertion and action of Flexor pollicis longus
Origin, insertion and action of Flexor pollicis longus
Origin, insertion and action of Flexor pollicis brevis
Origin, insertion and action of Extensor pollicis longus
Origin, insertion and action of Extensor pollicis brevis
Origin, insertion and action of Abductor pollicis longus
Origin, insertion and action of Thenar eminence
Origin, insertion and action of Hypothenar eminence
Origin, insertion and action of Dorsal Interossei
Origin, insertion and action of Lumbricals
What are the Stabilising features of the wrist?
What is a retinaculum?
What is the Close packed position of the wrist?
Extension with radial deviation
Identify and explain the end feel for radial deviation and how this can contribute to your clinical reasoning.
State the range of movement for ulnar deviation and state which muscles are involved in this movement.
Identify and explain the attachments of extensor digitorum.
Identify and explain findings of testing the ligaments of the wrist and how they will influence your clinical reasoning.
Identify and explain which structures limit movement of wrist flexion.
When testing the flexor digitorum superficialis in longitudinal stretch which other structures re also under stretch?
Identify and explain which structures lie in close proximity to the carpal tunnel
Why is the longitudinal stretch for Extensor pollicis longus?
Identify and explain which other structures may be under stretch when doing thumb
Identify and explain the end feel for MCP flexion for all digits 2-5 and how this can contribute to your clinical reasoning.
Identify and explain which structures limit movement of finger extension.
State the range of movement for finger abduction and state which muscles are involved in this movement.
Identify and explain the attachments of Opponens Pollicis.
Identify and explain findings of the longitudinal stretch for the lumbricals and how this can contribute to your clinical reasoning
Identify and explain which structures lie in close proximity to the pisiform.
Identify and explain the different types of grips that are available in the hand.
Identify and explain the stabilising features of the wrist joint
Identify and explain the end feel concept for radial deviation of the wrist and how this can contribute to your reasoning
Identify and explain the attachments of flexor digitorum profundus in detail
Identify and explain the other structures that insert around the lateral collateral ligament of the wrist
Identify and explain how shortness of flexor digitorum superficialis could affect active and passive movements at both the wrist and fingers.
Identify and explain normal and abnormal findings of the lateral collateral ligament of the wrist testing and how this can contribute to your reasoning
Identify and explain the muscles involved in finger flexion.
Identify and explain how shortness of flexor digitorum profundus could affect active and passive movements at the fingers.
Identify and explain the other structures that insert around the lateral collateral ligament of the wrist
Identify and explain the role of the flexor pollicis longus in thumb flexion.
What is the close packed position for the wrist joint
Identify and explain which structures limit normal movement of finger extension.
