Week 8: Hand Flashcards
Actions (3) of ED?
- Extend finger 2-5 @ MCP
- Extend hand at wrist
- Extend PIP and DIP
Origin of ED?
lateral epicondyle of the humerus
via the common extensor tendon
Insertions (2) of ED?
- Base of each phalynx of digits 2-5
2. Dorsal expansion of 2-5
Innervation of ED?
Posterior interosseous N. (Part of Radial N.)
Actions (2) of EDM?
- Extends little finger at MCP, PIP an DIP
2. Extends hand at the wrist
Origin of EDM?
Lateral epicondyle of the humerus
via the common extensor tendon
Insertions (2) of EDM?
- Base of proximal phalynx of digit 5
2. Dorsal expansion of digit 5
Innervation of EDM?
Posterior interosseous N. (Part of Radial N.)
Actions (2) of APL?
- Abducts the thumb @ CMC
2. Extends thumb @ CMC
Origins (2) of APL?
Posterior ulna and radius
Insertion of APL?
1st metacarpal
Innervation of APL?
Posterior interosseous N. (Part of Radial N.)
Actions (2) of EPB?
- Extends the thumb @ the CMC & MCP
2. Abducts the thumb @ CMC
Origins (2) of EPB?
- Posterior radius
2. Interosseous membrane
Insertion of EPB?
base of the 1st proximal phalynx
Innervation of EPB?
Posterior interosseous N. (Part of Radial N.)
Action (1) of EPL?
Extends thumb @ CMC, MCP and IP joints
Origin (2) of EPL?
- Middle posterior 1/3 of ulna
2. Interosseous membrane
Insertion of EPL?
Base of 1st distal phalynx
Innervation of EPL?
Posterior interosseous N. (Part of Radial N.)
Action (1) of EI?
Extend 2nd phalange @ MCP, PIP, and DIP
Origin (2) of EI?
- Proximal part of the lower 1/3 of the ulna
2. interosseous membrane
insertions (2) of EI?
- Base of proximal phalynx on 2nd digit
2. Dorsal expansion of digit 2
Innervation of EI?
Posterior interosseous N. (Part of Radial N.)
Actions (2) of FDS?
- Flexes fingers 2-5 @
MCP and PIP - Flexes the hand at the wrist joint
Origin (3) of FDS?
- Medial epicondyle of humerus via common flexor tendon
- Coronoid process of the ulna
- Oblique line of the radius
Insertion of FDS?
Medial and lateral aspects of the middle phalynx of digits 2-5
Innervation of FDS?
Median N.
Actions (3) of FDP?
- Flexes fingers 2-5 @ DIP
- Assists with flexion @ PIP and MCP
- Flex hand @ wrist
Origins (2) of FDP?
- Proximal 2/3 of anterior surface of ulna
2. Interosseous membrane
Insertion of FDP?
Base of distal phalanx of digits 2-5
Innervation of FDP?
Median branch → Ulnar N. to medial FDP (3 and 4)
Radial branch → Median N. to lateral FDP (2 and 3)
Actions (2) of FPL?
- Flex thumb @ CMC, MCP, and IP
2. Flex hand @ wrist
Origins (3) of FPL?
Anterior surface of radius, ulna, and medial epicondyle
Insertion of FPL?
Distal phalanx of thumb
Innervation of FPL?
Anterior Interosseous N.
Action of APB?
Abduct thumb @ CMC
Origin (3) of APB?
- Flexor retinaculum
- Scaphoid
- Trapezium
Insertion of APB?
Base of 1st PP, lateral aspect
Innervation of APB?
Median N.
Action of FPB?
Flex thumb @ CMC and MCP
Origin (2) of FPB
- Flexor retinaculum
2. Trapezium
Insertion of FPB?
Base of 1st PP, lateral aspect
Innervation of FPB?
Median N.
Action of OP?
oppose thumb @ CMC
Origins (2) of OP?
- Flexor retinaculum
2. Trapezium
Insertion of OP?
Lateral aspect of 1st metacarpal
Innervation of OP?
Median N.
Origin of ADM?
abduct 5th phalange @ MCP
Origin of ADM?
pisiform
Insertion of ADM?
medial aspect of 5th PP
Innervation of ADM?
Ulnar N.
Action of FDM?
Flex 5th phalange @ MCP
Origins (2) of FDM?
- Flexor retinuaculum
2. Hamate
Insertion of FDM?
Medial aspect of 5th phalanx
Innervation of FDM?
Ulnar N
Action of ODM?
opposes 5th phalange @ CMC1
Origin (2) of ODM?
- Flexor retinuaculum
2. Hamate
Insertion of ODM?
Medial border of 5th metacarpal
Innervation of ODM?
Ulnar N.
Which digits are used for dexterity and fine motor?
1 and 2
Which digits are used for more strength and gross motor
3, 4, 5
The base of the thumb attaches to which carpal bone?
trapezium
which CMC joints allow for movement
4 and 5
what kind of joint is the thumb?
saddle
3 movements of the thumb joint
abduction/adduction
flexion/extension
opposition/reposition
What two things meet at the MCP joint
head of the metacarpal and the proximal phalanx
movements of the MCP joint
abduction/adduction
flexion/extension
How is the MCP joint supported?
medial and lateral collateral ligaments
What is the ligaments called that hold the volar plate of the MCP joints together with the nearby metacarpal
Deep Transverse Metacarpal Ligaments
What do the extrinsic muscles of the hand move? Why?
Wrist
they originate on the humerus or FA and attach at the hand
Functions (2) of the extrinsic muscles of the hand?
strength
gross motor
Primary finger extensor muscle?
extensor digitorum