Week 7 Flashcards
True/False
A full hand assessment is bending & straightening their fingers and squeezing your hand.
FALSE
This is NOT a full assessment of the hand.
You have only assessed the extensor digitorum & flexor digitorum profundus. NOT the full hand.
Identify these bones
Why are the golden arches (of the hand) important to hand function?
They can hold and manipulate objects
Where is the Proximal Transverse Arch?
A and E
Formed by distal row of carpal bones, forms the carpal tunnel. Capitate is the center point of this arch
Where is the Distal Transverse Arch?
B and D
Passes through the metacarpophalangeal (MCP) joints, the keystone are the MCP joints. Flexible arch
Where is the Longitudinal Arch?
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
Why are the landmarks of the hand important?
The skin folds itself during movement; marks the location of the related joints
What palmar arches need to be considered when splinting a hand?
The distal and proximal arches need considered so the splint will fit well on the hand
The BLANK joint movement is needed to complete a firm grasp.
A. PIP
B. CMC
C. DIP
D. MCP
B. CMC
The CMC joint movement is needed to complete a firm grasp
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
C. 3 Planes and 3 Axes
Name each type of thumb ROM
The metacarpophalangeal joints (MCP) work in which two planes?
Sagittal Plane: Flexion and Extension
Frontal Plane: Abduction and Adduction
When a client has Rheumatoid Arthritis there can be swelling and inflammation primarily in which joints?
Metacarpophalangeal MCP joints
What type of deviation happens with rheumatoid arthritis?
Ulnar Deviation
In interphalangeal joint (IPJ) BLANK extension is the BLANK packed position.
In interphalangeal joint (IPJ) full extension is the closed packed position.
Joint is congruent
What provides stability to the hand?
Transverse Carpal Ligament
Fibrous palmar aponeurosis (Palmer fascia)
Collateral ligaments at the joints
The Extensor Retinaculum
Palmar Aponeurosis
Triangular condensation of deep fascia that covers the palm and is anchored to the skin in distal regions
What are the intrinsic muscles of the hand?
Muscles of the thenar eminence
Muscles of the hypothenar eminence
Abductor Pollicis
Lumbricals and Interossei
All start at the distal end of the hand
What are the muscles of the thenar eminence?
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
Adductor Pollicis
What are the muscles of the hypothenar eminence?
Flexor digiti minimi
Abductor digiti minimi
Opponens digiti minimi
Palmaris brevis
What are the extrinsic flexors of the hand?
Flexor digitorum superficialis
Flexor digitorum profundus
Flexor pollicus longus
Start at the medial epicondyle
