Wrist Flashcards

1
Q

benefits of a 2 joint system in wrist

A

large ROM
less tendency for pinch
more capable of withstanding pressure

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2
Q

RC joint

A

convex on concave

OKC

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3
Q

wrist ligs help with

A

maintain intercarpal alignmetn

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4
Q

extensor retinaculum

A

fx to prevent bowstringing

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5
Q

palmar carpal lig

A

stabilizes wrist FL tendons to prevent bowstringing

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6
Q

carpal tunnel syndrome

A

9 extrinsic FL muscles plus median nerve can be compresed

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7
Q

wrist closed packed

A

Full EX with radial deviation

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8
Q

wrist open packed

A

neutral FL EX with slight ulnar dev

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9
Q

capsular pattern wrist

A

FL=EX, slight ulnar and radial deviatino

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10
Q

main Fx of wrist EX

A

act to counterbalance wrist FL during grip/fist

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11
Q

Length tension relationship with grip

A

max grip with slight EX (30 degrees)

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12
Q

Wrist Fl Fx FCU vs FCR

A

FCU ahs greatest toque potential

FCU and FCR act synergistically to FL wrist

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13
Q

peak wrist FL

A

peak rist FL toque in 40 degrees of wrist FL

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14
Q

Radial and ulnar dev coupling

A

wrist EX typically coupled with radial dev

ulnar dev couple with slight FL
but will remain in slight EX to maintain grip

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15
Q

injury to ulnar collateral lig in wrist

A

occurs secondary to excessive valgus on thumb MCP

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16
Q

Thumb FL EX arthro

A

concave on convex

OKC

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17
Q

Thumb AB AD arthro

A

convex on concave

OKC

18
Q

opposition coupling

A

AB FL IR

19
Q

reposition coupling

A

AD EX ER

20
Q

thumb closed packed

A

full oppositino

21
Q

thumb open packed

A

mid FL/EX and mid AB/AD

22
Q

thumb capsular pattern

A

AB

23
Q

2-5 CMC closed packed

A

full EX

24
Q

2-5 CMC open packed

A

mid FL EX

25
Q

MCP closed packed

A

Full FL

26
Q

MCP open packed

A

slight FL

27
Q

capsular pattern MCP

A

FL = EX

28
Q

MCP arthro

A

concave on convex

OKC

29
Q

IP arthro

A

concave on convex
OKC
uses Palmar and Dorsal directional terms

30
Q

IP closed packed

A

Full EX

31
Q

IP ope packed

A

slight FL

32
Q

capsular pattern IP

A

FL=EX

33
Q

FL mech major pulleys

A

A2 and A4

34
Q

FL mech minor pulleys

A

A1 and 3 and 5

35
Q

FL mech secondary pulley

A

C1-3

36
Q

FL mech

A

prevent bowstringing

37
Q

trigger finger which pulley

A

A1 pulley usually involved

38
Q

tenodesis grip

A

passive insufficiency

39
Q

Ex mech

A

lack pulley system or sheath

tendons become integrated to fibrous expansion

40
Q

EX mech prominent feature

A

dorsal hood
stabilizes ED tendon
forms sling to assist in MCP EX