Wrist and Hand Flashcards
Name the 3 palmar arches
- Longitudinal arch
- Distal transverse arch
- Proximal transverse arch
What muscle is in the intermediate layer of extrinsic flexors?
Flexor digitorum superficialis
What is the deepest extrinsic muscle at the wrist?
Pronator quadratus
Flexor digitorum superficialis attaches to the ____ whereas Flexor digitorum profundus attaches ____
superficialis: Shafts of middle phalanges of medial four digits
profundus:Bases of DISTAL phalanges of digits
THE PROFUNDUS GOES FURTHER, It flexes DIP whereas superficialis does not
Flexor Digitorum Superficialis is innervated by the
Median nerve (C7, C8, T1)
Remember: it’s more superficial so it also gets C7 and not just C8 T1 like all the other intrinsic hand muscles)
what are the proximal attachments of the Flexor Digitorum Superficialis (Two heads)
Humero-ulnar head: Medial epicondyle
(common flexor origin and coronoid process)
Radial head: Superior half of anterior border
What is the distal attachment of the Flexor Digitorum Superficialis
Shafts of middle phalanges of medial four digits
What is the muscle action of the Flexor Digitorum superficialis
Flexes middle phalanges at PIJ
Flexes proximal phalanges at MCP(metacarpophalangeal) joint
What is the proximal attachment of the Flexor Digitorum Profundus
Proximal ulna and interosseous membrane
What is the distal attachment of the Flexor Digitorum Profundus?
Medial part: Bases of distal phalanges of digits 4-5
Lateral part: Bases of distal phalanges of digits 2-3
What is the innervation of the Flexor Digitorum Profundus
2-3 digits: Median (AIN) C8 and T1
4-5 digits: Ulnar C8 and T1
The flexor digitorum superificalis tendon and the flexor digitorum profundus tendon interact how?
FDS bifurcates and splits into two, so that the tendon from FDP can come between the split and attach to the distal phalange.
What zone is the most fragile?
Zone 2
Digital Pulley System consists of __ annular pulleys and __ Cruciate pulleys per finger
Annular pulleys:
▪ Five per finger
Cruciate pulleys:
▪ Four per finger
Trigger Finger is the inflammation of which pulley?
A1
What is the innervation of Flexor Pollicis Longus?
Median (AIN) C8 and T1
What is the DISTAL attachment of the Flexor Pollicus Longus?
Base of distal phalanx of thumb
What is the proximal attachment of the Flexor Pollicus Longus?
Anterior surface of radius and adjacent
interosseous membrane
What is the MA of the Flexor Pollicus Longus?
Flexes phalanges of 1st digit
(Flexes all joints of the thumb)
Name these 4 Arteries/structures
- Radial Artery
- Deep Palmar Arch
- Superficial Palmar Arch
- Digital branches
What joint is effected in Mallet Finger
Deformity
Distal Interphalangeal joint
Usually a Ruptured long extensor
tendon (avulsion fracture)
Boxer’s Fracture usually effects which Metacarpals?
4 and 5