Week 7: Wrist and Hand Flashcards
Actions (2) of ECRL
- Extension
2. Radial deviation of hand at the wrist
Origin of ECRL
Lateral supracondylar ridge of the humerus
Insertion of ECRL
Base of 2nd metacarpal
Innervation of ECRL
Radian N
c6-c7
Actions (2) of ECRB?
- Extension
2. Radial deviation of hand at the wrist
Origin of ECRB?
Lateral epicondyle of the humerus via the common extensor tendon
Insertion of ECRB?
base of 3rd metacarpal
Innervation of ECRB?
Radial N
C7-C8
Actions (2) of ECU?
- Extension
2. Ulnar deviation of the hand at the wrist
Origin of ECU?
Lateral epicondyle of the humerus via the common extensor tendon
Insertion of ECU?
base of 5th metacarpal
Innervation of ECU?
Radial N.
C7-C8
Action of PL?
flexion of hand @ wrist
Origin of PL?
Medial epicondyle of the humerus via the common flexor tendon
Insertion of PL?
Palmar aponeurosis
Innervation of PL?
Median Nerve C7-C8
Actions (2) of FCR?
- Flexion
2. Radially Deviation of the hand at the wrist
Origin of FCR?
Medial epicondyle of the humerus via the common flexor tendon
Insertion of FCR?
base of the 2nd metacarpal
Innervation of FCR?
Median N.
C6-C7
Actions (2) of FCU
- Flexion
2. Ulnar deviation of the hand at the wrist
Origin of FCU
Medial epicondyle of the humerus via the common flexor tendon
Insertion of FCU
Pisiform Bone
Innervation of FCU
Ulnar N. (C7-C8)
What part bones of the hand does the distal ulna articulate with?
none, it does not connect directly; there is a fibrocartilage disk that separates them
What bones (2) of the hand does the distal radius articulate with?
lunate
scaphoid
Which carpal bone does not have 4 articulating surfaces?
pisiform
This carpal bone is located by the distal styloid process of the radius and comes out during UD?
Scaphoid
This carpal bone is located near the capitate and can be seen with PROM when the hand is flexed?
Lunate
This carpal bone is pea shaped
Pisiform
This carpal bone is proximal to the 1st metacarpal joint and joint space
Trapezium
This carpal bone is the hardest to palpate in the hand?
Trapezoid
This carpal bone is in line with the middle finger and is known for its slight depression
Capitate
This carpal bone can be very tender and can be found near the palm of the hand
Hamate
These 4 carpal bones make up the “proximal” row of the hand
scaphoid
lunate
triquetrium
pisiform
These 4 carpal bones make up the “distal” row of the hand
trapezium
trapezoid
capitate
hamate
What 3 tendons make up the anatomical snuff box?
extensor pollicis longus
extensor pollicis brevis
abductor pollicis longus
the radiocarpal joint connects what structures?
distal end of radius to proximal surfaces of scaphoid and lunate
what 2 actions can occurs at the radiocarpal joint?
wrist flexion/extension
UD/RD
at the midcarpal joint, what three carpal bones articulate with the scaphoid?
trapezium
trapezoid
capitate
at the midcarpal joint, which carpal bone articulates with the lunate?
capitate
at the midcarpal joint, which carpal bone articulates with the triquetrium?
hamate
what 2 actions can occurs at the midcarpal joint?
wrist flexion/extension
UD/RD
What structures are connected at the ulnarcarpal articulation?
Distal radius and styloid process of the ulna to the Triquetrium of the hand
What structure functions to keep things together and absorb shock within the ulnarcarpal articulation?
Triangular fibrocartilage complex (TFCC)
What is the function of the extrinsic ligaments of the wrist?
connect radius, ulna, or metacarpal bones to the carpal bones
What is the function of the intrinsic ligaments of the wrist?
connect carpal bones only
Name the ligaments (3) that are responsible for keeps the radius and carpal bones connected
Volar radiocarpal ligaments (VRCL)
Dorsal radiocarpal ligaments (DRCL)
Radial collateral ligaments
4 ligaments that make up the VRCL?
radioscaphoid lunate
radiolunate
radioscaphoid capitate
radiotriquetrium
Which ligament of the the VCRL is the strongest?
radiotriquetrium
Which ligament is most important for motion and stability of the wrist (esp. during rotation?
VCRL
Which ligaments provide passive control for the radiocarpal motion?
radial and ulnar collateral ligaments
What structure forms the border of the carpal tunnel?
flexor retinaculum
What 5 structures make up the carpal tunnel?
FDT FDS FCR FPL Median N.
This provides the origin site for the thumb?
flexor retinaculum
This superficial ligament spans the carpal arch and maintains the arch on the palmar side of the wrist?
flexor retinaculum
What does the flexor retinaculum attach?
hook of hamate and pisiform to the scaphoid and trapezoid
What does the extensor retinaculum attach?
trapezium to the lateral side of radius
Radial N, APL, and EPB make up which compartment of the ER?
1st
ECU makes up which compartment of the ER?
6th
EDM makes up which compartment of the ER?
5th
ECRL and ECRB make up which compartment of the ER?
2nd
EPL makes up which compartment of the ER?
3rd
EI and EDC make up which compartment of the ER?
4th