Week 10 Wrist and flexors (anterior compartment of the forearm) Flashcards
distal carpal bones from lateral to medial
tripezium: most irregular bone
in the carpus, four sided, tubercle
tripezoid: wedge shaped
capitate: largest bone in the carpus
hamate: wedge shaped
, hook of hamate
flexor retinaculum
laterally, medially
laterally: scaphoid tubercle, tubercle of trapezium
medially: pisiform, hook of hamate
Flexor retinaculum is a strong fibrous band which bridges the anterior concavity of the carpal bones thus converts it into a tunnel, the carpal tunnel.
joint classification of proximal row and distal row of carpal bones
synovial plane joint
bone and articular surfaces of proximal row and distal row of carpal bones (individual joints between)
scaphoid, lunate, triquetrum, pisiform
tripezium, tripezoid, capitate, hamate
ligaments and movements of proximal row and distal row of carpal bones
ligaments:
- interosseous intercarpal
–> proximal row: scapholunate ligament, lunotriquetral ligament
- palmar intercarpal
- dorsal intercarpal
movements:
minimal
joint classification of mid carpal joint
- synovial plane joint
- acts as functional unit
- slightly convex (laterally), slightly concave (medially)
- anatomically separate from the wrist (radiocarpal) joint
bones and articular surfaces, fibrous capsule of midcarpal joint
bones and articular surfaces:
proximally: scaphoid, lunate, triquetrum
distally: trapezium, trapezoid, capitate, hamate
fibrous capsule: continuous synovial lining
ligaments of midcarpal joint
palmar intercarpal
dorsal intercarpal
interosseous intercarpal
radial collateral
ulnar collateral
movements of midcarpal joint
flexion/ extension
abduction/ adduction (radial/ ulnar deviation)
proximal and distal attachment of pronator teres (PT)
ulnar and humeral head
proximal:
ulnar head: coronoid process
humeral head: medial epicondyle of humerus (common flexor origin)
distal:
middle of convexity of lateral surface of radius
innervation of PT
median nerve (C6, C7)
main action of PT
pronates and flexes forearm (at elbow)
proximal and distal attachment of flexor carpal radialis (FCR)
proximal:
medial epicondyle of humerus (common flexor origin)
distal:
base of 2nd metacarpal
innervation of FCR
median nerve (C6, C7)
main action of FCR
flexes and abducts hand (at wrist)
proximal and distal attachment of palmaris longus (PL)
proximal:
medial epicondyle of humerus (common flexor origin)
distal:
distal half of flexor retinaculum and apex of palmar aponeurosis