Week 7

Question 1

True/False
A full hand assessment is bending & straightening their fingers and squeezing your hand.

Answer 1

FALSE
This is NOT a full assessment of the hand.
You have only assessed the extensor digitorum & flexor digitorum profundus. NOT the full hand.

Question 2

Identify these bones

Answer 2

Question 3

Why are the golden arches (of the hand) important to hand function?

Answer 3

They can hold and manipulate objects

Question 4

Where is the Proximal Transverse Arch?

Answer 4

A and E

Formed by distal row of carpal bones, forms the carpal tunnel. Capitate is the center point of this arch

Question 5

Where is the Distal Transverse Arch?

Answer 5

B and D

Passes through the metacarpophalangeal (MCP) joints, the keystone are the MCP joints. Flexible arch

Question 6

Where is the Longitudinal Arch?

Answer 6

C

Keystone are the second and third metacarpal joints (Same as transverse arch).
Proximal end of arch are the carpometacarpal (CMC) joints, distally the metacarpophalangeal (MCP) joints

Question 7

Why are the landmarks of the hand important?

Answer 7

The skin folds itself during movement; marks the location of the related joints

Question 8

What palmar arches need to be considered when splinting a hand?

Answer 8

The distal and proximal arches need considered so the splint will fit well on the hand

Question 9

The BLANK joint movement is needed to complete a firm grasp.
A. PIP
B. CMC
C. DIP
D. MCP

Answer 9

B. CMC
The CMC joint movement is needed to complete a firm grasp

Question 10

The Carpometacarpal (CMC) joint is able to move in how many planes and axes?
A. 1 Plane and 1 Axis
B. 2 Planes and 2 Axes
C. 3 Planes and 3 Axes
D. 4 Panes and 4 Axes

Answer 10

C. 3 Planes and 3 Axes

Question 11

Name each type of thumb ROM

Answer 11

Question 12

The metacarpophalangeal joints (MCP) work in which two planes?

Answer 12

Sagittal Plane: Flexion and Extension
Frontal Plane: Abduction and Adduction

Question 13

When a client has Rheumatoid Arthritis there can be swelling and inflammation primarily in which joints?

Answer 13

Metacarpophalangeal MCP joints

Question 14

What type of deviation happens with rheumatoid arthritis?

Answer 14

Ulnar Deviation

Question 15

In interphalangeal joint (IPJ) BLANK extension is the BLANK packed position.

Answer 15

In interphalangeal joint (IPJ) full extension is the closed packed position.

Joint is congruent

Question 16

What provides stability to the hand?

Answer 16

Transverse Carpal Ligament
Fibrous palmar aponeurosis (Palmer fascia)
Collateral ligaments at the joints
The Extensor Retinaculum

Question 17

Palmar Aponeurosis

Answer 17

Triangular condensation of deep fascia that covers the palm and is anchored to the skin in distal regions

Question 18

What are the intrinsic muscles of the hand?

Answer 18

Muscles of the thenar eminence
Muscles of the hypothenar eminence
Abductor Pollicis
Lumbricals and Interossei

All start at the distal end of the hand

Question 19

What are the muscles of the thenar eminence?

Answer 19

Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
Adductor Pollicis

Question 20

What are the muscles of the hypothenar eminence?

Answer 20

Flexor digiti minimi
Abductor digiti minimi
Opponens digiti minimi
Palmaris brevis

Question 21

What are the extrinsic flexors of the hand?

Answer 21

Flexor digitorum superficialis
Flexor digitorum profundus
Flexor pollicus longus

Start at the medial epicondyle