The Wrist, Carpal Tunnel and Hand (AP) Flashcards
Which structures form the carpal tunnel?
- Carpal bones
- Flexor retinaculum
Contents of the carpal tunnel
- Median nerve
- Tendons of flexor pollicis longus, flexor digitorum superficialis and flexor digitorum profundus
What causes carpal tunnel syndrome?
Compression of the median nerve
Symptoms of carpal tunnel syndrome
- Painful paraesthesia
- Numbness in thumb, index, middle and medial side of ring fingers
Phalanges of digits 2-5
- Proximal
- Middle
- Distal
Phalanges of the thumb
- Proximal
- Distal
What movements are attainable at the metacarpophalangeal joints?
- Flexion
- Extension
- Abduction
- Adduction
- Circumduction
- Limited rotation
What movements are attainable at the interphalangeal joints?
- Flexion
- Extension
What are extrinsic muscles of the hand?
Muscles that originate outside of the hand and insert into hand structures
What are intrinsic muscles of the hand?
Muscles with origin and insertion in the hand
What do extrinsic muscles of the hand control?
Gross movement of the hand and wrist
What do intrinsic muscles of the hand control?
Fine motor movements
8 carpal bones (lateral to medial for each row, proximal then distal row)
- Scaphoid
- Lunate
- Triquetrum
- Pisiform
- Trapezium
- Trapezoid
- Capitate
- Hamate
What is the thenar eminence?
Fleshy mound at base of the thumb
Which muscles form the thenar eminence?
- Opponens pollicis
- Abductor pollicis brevis
- Flexor pollicis brevis