wrist and hand Flashcards
carpal bones proximal row
lateral to medial
scaphoid, lunate, triquetrum, pisiform- only seen anterior
carpal bones distal row
lateral to medial
trapizium ( thumb ), trapazoid, capitate, hamate
radiocarpal joint classified
synovial, biaxail, elipsoid
structures of the radiocarpal joint
articular surface= distal end of radius, proximal row of carpals// articular disc of the radioulna joint so no ulna bone
articular capsule- attaches to margins
joint cavity- only occasionally communicates with radioulna joint
triangular fibrocartledge complex
distal to radioulna artiular disc
ligaments involved- ulnotiquetral, ulnolunate, palmar and dorsal radiolna and ulna collateral
stabilise distal radioulnar and ulnocarpal joints
transmits and distrubutes force from carpal to ulna
helps complex wrist movement
palmar radiocarpal ligament
unites radius and carpal bones on the palmar side
limits hand extension
ensures hand moves with forearm
RC JOINT
dorsal radiocarpal ligament
unites radius and carpal bones on the DORSAL side
limits hand FLEXION
ensures hand moves with forearm
RC JOINT
Radial collateral ligaments
styloid process to scaphoid/ trapizium
limit hand adduction
ulna collateral ligaments
styloid process to traquatrum and pisiform
limit abduction
mid carpal joint classified
synovial, compound joint
mid carpal joint structure
between distal and proximal rows of carpal bones
joint cavity- extensive and irregular extends prox and distally bewteen the bones
the radial and ulnar collateral continue
dorsal and palmer intercarpal ligaments converge on capitate
wrist complex flexion and extension
saggital plane// tranverse axis
flexion= radiocarpal > midcarpal
extension midcarpal > radiocarpal
wrist complex abduction and adduction
coronal plane// anteroposterior axis
abduction= midcarpal > radiocarpal
Adduction= radiocarpal > midcarpal
intercarpal joints classified
synovial, multiaxial plane
intercarpal structures
extensive array of ligaments
flexor retinaculum acts as ligament by strapping down long tendons
scapulunate ligament
prevent lunate dislocating from scaphoid
carpometocarpal thumb joint
synovial, biaxial, saddle
trapizium and base of first metacarpal
anterior oblique ligament= limit extension
posterior oblique ligament= limit flexion
thumb flex and extend= coronal plane/ anteroposterior axis
thum abduction/ adduction= saggital/ transverse axis
carpometocapal 2-5
synovial multiaxial plane
2- trapazoid
3-capitate
4-humate
5-humate
with base of metacarpal
palmer carpometatarsal ligament
distal row to m.carpal
2 bands each except 3 for 3rd digit
limit extension
dorsal carpometatarsal ligament
each one 2 bands except the 5th with 1
limit fexion
metocarpal phallangeal joints the knuckle
synovial biaxial condyloid
collateral ligament of MCP joints
thcken articular capsule
limit flexion
prevent digits abduction and adduction when flexed
palmar plates of MCP joint
fibrocartledge plates
from articular surface
grooved for long tendons
limit extension of digits
deep transverse of MCP joint
connect palmer plates of MCP 2-5
WITH heads of metacarpals 2-5in
interphallangeal joint hands
synovial/ uniaxial/ hinge
collateral lig- limit flexion
palmar lig- limit extension groove for long tendon