Week 3 Flashcards
How many bones are in the human wrist?
27 in each wrist
How many carpals are there?
8 in each hand
Name the bones here
How many metacarpals in each hand?
5
How many phalanges in each hand? Distrbution?
14
3 in each digit, 2 in thumb
Name the different joints in the hand
Carpometacarpal joint
Metacarpalphalangeal joint
Interphalangeal joint
What do proximal carpal bones form? What do they articulate with?
Proximal carpal bones form convex surface
Articulate with concave surface of radius and articular disc NOT ulna
Function of fascia in hand?
Hold tendons, nerves and Blood vessels close to bones
Name of fascia in hand? Function? Structure? prevents?
Retinacula
Thick deep fibrous band of connective tissue
Holds tendons down and prevents bowstringing during flexion and extension
Which retinaculum covers anterior carpal bones? What passes under this?
Flexor retinaculum
FLexor tendons and median nerves pass under (carpal tunnel)
Which retinaculum covers dorsal carpals? What passes under here?
Extensor retinaculum
Extensor tendons of hand and digits pass under
What is the floor of the carpal tunnel made from? Covered by?
Concave arch of carpal bones
Covered by extrinsic palmar ligaments
What is the roof of the carpal tunnel made from? Attached to?
Flexor retinaculum
Scaphoid, trapezium, pisiform, hamate
Contents of carpal tunnel?
9 flexor tendons
vascular synovium
median nerve (superficial to tendons)
Which flexor tendons are in the carpal tunnel?
Flexor pollicus longus tendon
4 flexor digitorum profundus tendons from forearm and attaches to fingers
4 flexor digitorum superficialis tendons to fingers
Non prehensile movements of the hand? Meaning of this?
Not specialised for humans e.g. chimps can do it too
Pushing
Hitting with flat hand
Prehensile movements of the hand?
Grasp and grip
Fundamental movements
Depends on positioning of fingers and thumb
2 types of grip?
Power and precision
What is a power grip? Allows? Strong or weak? Muscles involved? Wrist position?
Grasp in palm of hand
Allows holding of tool or punching with fist
Strong
Long extrinsic flexors of fingers and intrinsic muscles in palm
Wrist extended for strength, allows tendon strength
What is a precision grip? Between what? Muscles involved?
Fine control of manipulative movements - holding pen
Grips between tips of fingers and thumb (opposition)
Often between thumb and index finger, may involve middle e.g. holding pen
Holding of pen: extrinsic flexors and extensors
Precision from intrinsic muscles
What is between carpals and ulna?
Articular disc
What bones are involved at metacarpophalangeal joints? Movements?
Metacarpals and proximal phalanges
Flexion/extension = waving bye
Abduction/adduction = move fingers apart
What bones are involved at interphalangeal joint? Movements?
Proximal = proximal and middle
Distal = middle and distal
Flexion/extension = curl and straighten digits
Name each of these movements