Unit 1: Lecture 15 Flashcards

1
Q

The motions of pronation/supination are augmented by what motions AT the wrist?

A
  • flexion/extension

- ulnar/radial deviation

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2
Q

Name the carpal bones

A
  • Pisiform
  • Triquetrum
  • Hamate
  • Capitate
  • Scaphoid
  • Trapezium
  • Trapezoid
  • Lunate
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3
Q

Which carpal bone is most often broken?

A

Scaphoid

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4
Q

Which carpal bone is most often dislocated?

A

Lunate

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5
Q

Where does the triangular fibrocartilage covering the distal radioulnar joint originate?

A

Styloid process of ulna

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6
Q

What type of joint is the radiocarpal?

A

Ellipsoidal

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7
Q

On either side of the hand (radial and ulnar), what are the two ligaments connecting to the carpals?

A

Ulnar and radial collateral ligaments

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8
Q

What type of joints are the intercarpals?

A

Plane/gliding

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9
Q

Which joint capsule encloses an articular disk?

A

Distal Radioulnar joint

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10
Q

What motion do the radio/ulnar collateral ligaments limit?

A

Radio/ulnar deviation

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11
Q

Joints of the of the proximal carpal row

A

Joints between scaphoid, lunate, triquetrum, and pisiform

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12
Q

Joints of the of the distal carpal row

A

Joints between capitate, hamate, trapezoid, and trapezium

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13
Q

Midcarpal joints

A

Joints between proximal and distal rows

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14
Q

What’s to note about the pisiform?

A
  • Forms the attachment of the flexor and extensor retinaculum on the ulnar side of the wrist
  • The ulnar nerve passes between it and the hamate as it enters the palm, creating the Guyon’s Canal
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15
Q

What is the second most broken carpal bone?

A

Triquetrum

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16
Q

What is the third most broken carpal bone?

A

Trapezium

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17
Q

What kind of joints are the carpometacarpals (2-5)?

A

Gliding/plane

18
Q

What kind of joint is the carpometacarpal of the thumb?

A

Saddle

19
Q

What kind of joints are the metacarpal joints (2-5)?

A

Condyloid

20
Q

What kind of joint is the MCP of the thumb?

A

Hinge

21
Q

Deep transverse metacarpal ligament

A

Thick ligamentous band interconnecting the 2nd - 5th MCP joints

Keeps them from “overspreading”

22
Q

Palmar ligament (plate)

A

The palmar/volar portion of the joint capsule, thickened with fibrocartilage

23
Q

Collateral ligaments

A
  • encase MCP, PIP, and DIPs

- tight during flexion; loose in extension to allow for ABduction/ADduction

24
Q

Palmar aponeurosis

A

Triangular expansion of the palmar fascia covering the carpal tunnel and extending to the MCP joints

25
Q

Thenar/Hypothenar Muscle Sheathes

A

Covers thenar/hypothenar muscles

26
Q

Flexor retinaculum

A
  • covers carpal tunnels
  • connects thenar and hypothenar eminences
  • originates from trapezium and inserts on hook of hamate
27
Q

Intrinsic muscles of the hand

A
  • Thenar muscles
  • Hypothenar muscles
  • Middle compartment muscles
28
Q

Hypothenar muscles

A

Originate at flexor retinaculum or pisiform bone, act of 5th digit, and innervated by deep branch of ulnar nerve

  • Abductor Digiti Minimi
  • Flexor Digiti Minimi
  • Opponens Digiti Minimi
29
Q

Thenar muscles

A

Originate at carpal bone, flexor retinaculum, or the metacarpal bones – act on the thumb – and most are innervated by recurrent branch of median nerve

  • Abductor pollicis brevis
  • Flexor pollicis brevis
  • Opponens pollicis
  • Adductor pollicis (deep branch of ULNAR n.)
30
Q

Middle compartment muscles of hand

A

Originate between 2-5 metacarpals and act on the same digits

  • Interossii muscles (4 dorsal, 4 palmar - all deep branch of ULNAR n.)
  • Lateral 2 lumbricals (median n.)
  • Medial 2 lumbricals (deep branch of ulnar n.)
31
Q

Ulnar artery crosses wrist…

Ulnar artery travels with…

A

DEEP to palmar aponeurosis, but SUPERFICIAL to flexor retinaculum

Ulnar nerve

32
Q

What is the primary blood supply to the hand?

A

Ulnar nerve

33
Q

Princeps pollicis artery (thumb) and radialis indicis artery (index finger) arise from what artery?

A

Radial artery

34
Q

From where does the recurrent radial artery first arise?

A

Superior margin of the supinator muscle

35
Q

Canal of Frohse

A

The canal the deep radial nerve passes through before it enters forearm

36
Q

What passes THROUGH carpal tunnel?

A
  • Median nerve
  • Flexor Digitorum superficialis tendons (all 4)
  • Flexor Digitorum profundus tendons (all 4)
  • Flexor Pollicuc Longus tendon
37
Q

Extensor Retinaculum: Compartment 1 structures

A

Abductor pollicis longus

Extensor pollicis brevis

38
Q

Extensor Retinaculum: Compartment 2 structures

A

Extensor carpi radialis brevis

Extensor carpi radialis longus

39
Q

Extensor Retinaculum: Compartment 3 structures

A

Extensor pollicis longus

40
Q

Extensor Retinaculum: Compartment 4 structures

A
Extensor digitorum (pre-split)
Extensor indicis
41
Q

Extensor Retinaculum: Compartment 5 structures

A

Extensor digiti minimi

42
Q

Extensor Retinaculum: Compartment 6 structures

A

Extensor carpi ulnaris