Unit 1_The Wrist & Hand Flashcards
What is the 1st digit in the hand?
The thumb
How many fingers do humans have according to therapists?
4 fingers, 1 thumb
How many digits do humans have according to therapists?
5 digits
What are the palmer creases in the hand?
Distal transverse
Proximal transverse
Thenar
Middle
What contains the thenar muscles in the hand?
The Thenar eminence
What contains the hypothenar muscles in the hand?
The Hypothenar eminence
What are the wrist creases?
Distal wrist crease
Middle wrist crease
Proximal wrist crease
*It’s possible to have only 1 wrist crease
What motions does the wrist give us?
Extension/Flexion
Ulnar Deviation (abduction)/Radial Deviation (adduction)
Circumduction
What kind of motion is a Dart Thrower’s Motion?
Circumduction
What are the joints of the wrist?
Radiocarpal Joint
Intercarpal Joint
Distal Radioulnar Joint
What is a pivot joint in the wrist, has an articular capsule with anterior/posterior thickenings and the Triangular Fibrocartilage Complex (TFCC)?
Distal Radioulnar Joint
What is made up the radius and proximal carpal bones and has an articular capsule “a thick, tough, pliable membrane”?
Radiocarpal Joint (Condyloid)
What ligaments are included in the radiocarpal joint and hold the wrist together?
Ulnar and radial collateral ligaments
What is the midcarpal joint also known as?
Intercarpal Joint
What are the carpal bones?
Some (Scaphoid)
Lovers (Lunate)
Try (Triquetrum)
Positions (Pisiform)
That (Trapezium)
They (Trapezoid)
Can’t (Capitate)
Handle (Hamate)
What are the most commonly fractured bones in the wrist?
Scaphoid (#1) and Lunate (#2)
What bones are included in the proximal row of carpal bones?
Scaphoid
Lunate
Triquetrum
Pisiform
What bones are included in the distal row of carpal bones?
Trapezium
Trapezoid
Capitate
Hamate
What is the most frequently fractured carpal bone?
Scaphoid (70%)
What carpal bone is trapped under the thumb?
Trapezium
What carpal bone is at the base of the 5th metacarpal?
Hook of the Hamate
What carpal bone is on top of the triquetrum?
Pisiform
What makes up the Metacarpal bones?
Metacarpals
Base
Shaft
Head
What is the full finger/digit/metacarpal known as?
Ray
What is the 1st Carpalmetacarpal (CMC) Joint known as?
A saddle joint
What are the 2-5 CMC Joints known as?
Gliding joints
What makes up the phalanges?
Proximal phalangeal bones
Middle phalangeal bones
Distal phalangeal bones
Base
Shaft
Head
What is the 1st Metacarpophalangeal (MCP) joint known as?
Hinge Joint
What are the 2-5 MCP joints known as?
Condyloid joints
What digit is only an IP joint?
The thumb; missing Middle Phalanx
What ligaments prevent abduction and adduction in the MCP joint?
Collateral ligaments
What are the joints of the fingers?
Proximal Interphalangeal Joints (PIP)
Distal Interphalangeal Joint (DIP)
Interphalangeal Joints (IP)
Hinge Joints
What are the ligaments of the MCP joint?
Collateral ligaments
Have an articular capsule
What are the ligaments of the PIPs, DIPs, IPs (Hinge)?
Medial/Collateral Ligaments
All have a joint capsule
Preventing/limiting the amount of abduction/adduction
What covers the Thenar and Hypothenar Eminence?
Thenar and Hypothenar fascial sheaths
What is a sheet of pearly white fibrous tissue that takes the place of a tendon in flat muscles having a wide area of attachment?
Palmer aponeurosis
Where the Palmerus Longus attaches
What ligaments are holding everything together at the wrist?
Palmar carpal ligament
Flexor retinaculum
*when a tendon breaks, bowstringing occurs
What ligament is under the Palmar carpal ligament, holding our flexor tendon in place and preventing bowstringing, and the roof of the carpal tunnel?
Flexor retinaculum of the wrist
What occurs during carpal tunnel surgery?
The flexor retinaculum of the wrist is cut, leading to bowstringing to more easily occur
Where do injuries occur in the wrist where the ulnar artery and ulnar nerves pass through?
Guyon’s Canal
What are the compartments of the hand?
Thenar Eminence
Hypothenar Eminence
Intermediate Compartment
What muscles are included in the Hypothenar Compartment of the hand and are intrinsic muscles (origins/insertions in the hand)?
Abductor digiti minimi
Flexor digiti minimi brevis
Opponens digiti minimi (medial, deep to the others)
What nerve innervates the Hypothenar muscles?
Deep Ulnar Nerve
What is the space at the wrist between the pisiform bone and the hamate bone through which the ulnar artery and nerve travel into the hand?
Guyon’s Canal
Why can profusion occur from either side of the hand?
The ulnar and radial arteries wrap around the hand on deep and superficial branches
What joint controls movements of the thumb?
CMC Joint (Carpometacarpal Joint)
What muscles are included in the Thenar Compartment of the hand?
Abductor Pollicis Brevis
Flexor Pollicis Brevis
Opponens Pollicis
Adductor Pollicis
What muscle in the Thenar Compartment wraps around the 1st Metacarpal?
Opponens Pollicis
What muscle in the Thenar Compartment wraps around the 5th Metacarpal?
Opponens Digiti Minimi
What nerves innervate the Thenar muscles?
Recurrent branch-median nerve
Deep branch of the Ulnar nerve supplies Adductor Pollicis
What muscles in the hand are included in the Intermediate Compartment?
4 Lumbricals
4 Dorsal Interossei (Abduct MCP’s) - DAB
3 Palmer Interossei (Adduct MCP’s) - PAD
What muscles flex MCP’s and Extend DIP’s/PIP’s?
Lumbricals
What has more individual muscles in the hand: Dorsal Interossei or Palmer Interossei?
Dorsal Interossei
What nerves innervate the muscles in the Intermediate Compartment of the hand?
Lateral 2 Lumbricals: Median nerve
Medial 2 Lumbricals: Deep branch-ulnar nerve
All Interossei: Deep branch-ulnar nerve
What arteries are included in the hand?
Superficial Palmer Arch (Superficial branch of Ulnar Artery/Superficial Palmer branch of Radial Artery)
Deep Palmer Arch (Radial Artery/Deep branch of Ulnar Artery)
Common Palmer Digital arteries
Proper Palmer Digital arteries
What are included in a sheath with ligaments, hold everything together in the hand, and can result in bowstringing?
Tendons
What injury to the hand is caused by inflammation to the tendon and a bulge is created resulting in the inability for the tendon to fit under the ligaments?
Trigger finger
What structures are included in the carpal tunnel?
Flexor Digitiorum Superficialis Tendons (4)
Median Nerve (Laterally)
Flexor Pollicis Longus Tendon (Laterally)
Flexor Digitorum Profundus Tendons (4)
What is called the amount of movement a tendon moves?
Excursion
What is the roof of the carpal tunnel holding everything in place, and cut during carpal tunnel surgery to relieve pressure?
Flexor Retinaculum
What are the flexor tendons in the hand?
Flexor digitorum profundus tendon (tip of finger)
Flexor digitorum superficialis tendon (middle phalanx)
What is an injury to the attachment of the collateral bands (distal phalanx)?
Mallet Finger Injury