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PTAP 125 Clinically Kinesiology > Unit 4 Wrist And Hand > Flashcards

Unit 4 Wrist And Hand Flashcards

0
Q

Metacarpals

Phalanges

A 
5 mc
5 proximal
4 middle
5 distal 
Thumb-prox distal, no middle
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1
Q

Carpals
Lateral-medial
Proximal-distal rows

A

8
Scaphoid lunate triquetrum pisiform
Trapezium trapezoid capitate hamate

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2
Q

Radiocarpal joint

Wrist

A

Radius to prox carpals

Biaxial condyloid joint w synovial fluid

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3
Q

Medial ulnar collateral ligament

A

Ulnar styloid- triquetrum hamate

Limits radial deviation

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4
Q

Lateral radial collateral ligament

A

Radial styloid- scaphoid trapezium

Limits ulnar deviation

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5
Q

Midcarpal joint

A

Nonaxial plane joint

Prox-distal rows

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6
Q

Dorsal/Palmar

Intercarpal ligament

A

Radius- prox carpals
Dorsal-Posterior stabilizes carpals during wrist flexion
Palmar-Anterior stabilizes carpals during wrist extension

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7
Q

CMC JOINT

A

Distal rows-metacarpals

Biaxial modified saddle joint- limited mobility except 5th finger opposition.

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8
Q

Dorsal carpometacarpal ligament

A

Carpal-metacarpal

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9
Q

Intermetacarpal joint

A

Between metacarpals

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10
Q

Dorsal intermetacarpal ligament

A

Metacarpal- metacarpal

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11
Q

MCP joint

A

Metacarpals-prox phalanges
1st- uniaxial hinge joint
2nd- biaxial condyloid joint

Medial/ ulnar collateral ligaments

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12
Q

PIP joints

A

Prox- middle phalanges
No thumb
Uniaxial hinge joint

Medial/ ulnar collateral ligament

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13
Q

IP joint

A

Prox- distal phalanx of thumb

Uniaxial hinge joint

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14
Q

Carpal tunnel

A 
Flexor retinaculum- carpal bones
Flexor digitorum superficialis 
Flexor digitorum profundus
Flexor pollicis Longus
Median nerve
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15
Q

Carpal tunnel syndrome

A

Impingement of the four structures mostly median nerve

Surgically needs to be released to relieve pressure.

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16
Q

Extensor retinaculum

A

Stabilizes posterior wrist and thumb muscle

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17
Q

Wrist drop

A

Radial nerve damage

Unable to actively extend wrist

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18
Q

Ape hand

A

Median nerve damage
No thumb opposition
Unable to flex dip of 2 & 3 finger
Atrophy of thenar eminence

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19
Q

Claw hand

A

Ulnar nerve damage
Atrophy of interosseous muscle
Atrophy of hypothenar eminence

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20
Q

Extensor carpi radialis Longus

A

Distal 1/3 of lateral supracondylar ridge of humerus
Base of 2
Extend wrist radial deviate assist flex elbow
Radial

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21
Q

Extensor carpi radialis brevis

A

Common extensor tendon from the lateral epicondyle
Base of 3
Extend wrist radial deviate assist to flex elbow
Radial

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22
Q

Extensor carpi ulnaris

A

Common extensor tendon from lateral epicondyle
Base of 5
Extends wrist ulnar deviates
Radial

23
Q

Extensor digitorum

A

Common extensor tendon from the lateral epicondyle
Middle and distal phalanges of finger 2-5
Extend mcp pip dip of fingers 2-5 assist to extend wrist
Radial

24
Q

Extensor indicis

A 
Posterior surface of distal radius, interosseous membrane 
Tendon of extensor indicis @ 2 
Extend and adduct 2 finger 
Assist extend wrist
Radial
25
Q

Flexor carpi radialis

A

Common flexor tendon from medial epicondyle
Base of 2 & 3
Flex wrist radial deviate assist to flex elbow
Median

26
Q

Palmaris Longus

A

Common flexor tendon from medial epicondyle
Flexor retinaculum palmar aponeurosis
Flex wrist tense palmar fascia assist flex elbow
Median

27
Q

Flexor carpi ulnaris

A

Common flexor tendon from medial epicondyle
Posterior surface of proximal 2/3 of ulna
Flex wrist ulnar deviate assist flex elbow
Ulnar

28
Q

Flexor digitorum superficialis

A

Common flexor tendon from medial epicondyle, ulnar collateral ligament, coronoid process of ulna, prox radial shaft, interosseous membrane
Sides of middle phalanges of fingers 2-5
Flex mcp pip of fingers 2-5 flex wrist
Median

29
Q

Flexor digitorum profundus

A

Anterior medial surface of prox 3/4 of ulna
Palmar surface of base of distal phalanges of fingers 2-5
Flex mcp dip fingers 2-5 assist to flex wrist
Median 2-3 ulnar 4-5

30
Q

Anatomical snuff box

A

Abductor pollicis Longus
Extensor pollicis Longus
Extensor pollicis brevis
Scaphoid

31
Q

Abductor pollicis Longus

A 
Extrinsic 
Posterior surface of radius and ulnar, interosseous membrane 
Base of 1 mc
Abduct and extend thumb 
Radial deviates wrist
Radial
32
Q

Extensor pollicis Longus

A 
Extrinsic
Posterior surface of ulna, interosseous membrane 
Distal phalange of thumb
Extends thumb radial deviates
Radial
33
Q

Extensor pollicis brevis

A 
Extrinsic 
Posterior surface of radius, interosseous membrane 
Prox phalange of thumb
Extends thumb radial deviates 
Radial
34
Q

Opponens pollicis

A

Intrinsics
Opposition of thumb
Median

35
Q

Adductor pollicis

A

Intrinsics
Adduct thumb CMC MCP
Assist thumb flex MCP
Ulnar

36
Q

Abductor pollicis brevis

A

Intrinsic
Abduct thumb CMC MCP
Assist thumb opposition
Median

37
Q

Flexor pollicis brevis

A 
Intrinsic 
Flex thumb CMC MCP
assist thumb opposition 
Median superficial head
Ulnar deep head
38
Q

Flexor pollicis Longus

A 
Extrinsic 
Anterior surface of radius, interosseous membrane 
Distal phalange of thumb
Flex thumb assist flex wrist 
Median
39
Q

Abductor digiti minimi

A

Abduct 5th finger MCP
assist in 5th finger opposition
Ulnar

40
Q

Flexor digiti minimi

A

Flex 5th finger MCP

Assist 5th finger opposition

41
Q

Opponens digiti minimi

A

Opposition of 5th finger

Ulnar

42
Q

Extensor digiti minimi

A

Extends 5th finger

Radial

43
Q

Lumbricals

A

Extend pip and dip of fingers 2-5
Flex MCP fingers 2-4
Median 2-3 ulnar 4-5

44
Q

Palmar interossei

PAD

A

Adduct fingers towards 3rd finger
Assist finger flexion MCP
Assist finger extension PIP DIP
Ulnar

45
Q

Dorsal interossei

DAB

A

Abduct fingers MCP
Assist finger flexion MCP
Assist finder extension pip dip
Ulnar

46
Q

Wrist flexion/ extension

Goni

A 
80, 70
Sitting 
Triquetrum 
Olecranon 
5 metacarpal
47
Q

Wrist radial/ ulnar deviation

Goni

A 
20, 30
Sitting
Capitate
Midline forearm, lat epicondyle
3rd metacarpal
48
Q

Wrist flexion radial deviation

MMT

A

Flexor carpi ulnaris
Sitting AG supination
Sitting elbow on table GE neutral

49
Q

Wrist flexion ulnar deviation

MMT

A

Flexor carpi ulnaris
Sitting AG supination
Sitting arm on table GE neutral

50
Q

Wrist extension radial deviation

MMT

A

Extensor carpi radialis Longus/ brevis
Sitting AG pronation
Sitting arm on table GE neutral

51
Q

Wrist Extensor ulnar deviation

MMT

A

Extensor carpi ulnaris
Sitting AG pronation
Sitting Arm on table GE neutral

52
Q

Finklestein test

A

Test de quervain’s
Tenosynovitis found on radial border of anatomical snuffbox.
Inflammation of abductor pollicis Longus extensor pollicis brevis.
Pain in tendons indicating Tenosynovitis.

53
Q

Phalens test

A

Carpal tunnel syndrome

Numbness and tingling in median nerve

54
Q

Retinacular test

A

Tightness of Retinacular ligaments

Dip joint does not flex with pip joint in neutral. Dip joint does flex when pip joint is slightly flexed.

PTAP 125 Clinically Kinesiology (5 decks)

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