Wrist And Hand Flashcards
Carpal bones
Radiocarpal joint
Intercarpal joint
Carpometacarpal joint
Carpal bones - scaphoid
Proximal row of the carpal bones
Lateral to lunate
Carpal bones - lunate
Proximal row of carpal bones
Lateral to triquetrum
Medial to scaphoid
Carpal bones - triquetrum
Proximal row of carpal bones
Medial to lunate
Carpal bones - pisiform
Small, pea-shaped sesamoid bone
Lies within the tendon of flexor carpi Ulnaris
Carpal bones - trapezium
Distal row of carpal bones
Lateral to trapezoid
Carpal bones - trapezoid
Distal row of carpal bones
Medial to trapezium
Lateral to capitate
Carpal bones - capitate
Distal row of carpal bones
Medial to trapezoid
Lateral to hamate
Carpal bones - hamate
Distal row of carpal bones
Medial to capitate
Metacarpals
Five miniature long bones in the palm of the hand
Base-shaft-head
Carpometacarpal joints
Intermetacarpal joints
Metacarpophalangeal joints
Phalanges
Fourteen miniature long bones of the digits
Three in each finger and two in the thumb
Proximal-middle-distal
Metacarpophalangeal joints
Interphalangeal joints
Capsule
From radius to ulna and proximal row of carpals
Heavily supported by collateral, palmar and dorsal ligaments
Synovial fold - proprioceptive role and sensory function ads it has lots of nerves
Ligaments
Ulnar collateral and radial collateral ligaments - prevents medial and lateral movements
Palmar and distal Radiocarpal ligaments
Allows the hand to follow the rotation of the radius around the ulna
Blood supply
Radial and ulnar arteries - dorsal and palmar carpal arches
Median artery branch of the brachial artery
Median Cubital vein - branch from the basilic vein and turns into the median vein
Nerve supply to palmar aspect
Median nerve - under carpal tunnel, thumb, index, middle and half of the ring finger
Ulnar nerve - superficial branch: little and half of the ring finger, deep branch: medial Lumbrical, adductor pollicis, interossei, hypothenar muscles, flexor pollicis brevis
Nerve supply to dorsum aspect
Radial nerve - thumb, index, middle and half of the ring finger
Ulnar nerve - little and half of the ring finger, palmar ulnar nerve does the fingertips
Median nerve - palmar branch comes over and does fingertips
Wrist flexors - flexor carpi Ulnaris (FCU)
O - common flexor tendon
I - 5th metacarpal, pisiform, hamate
A - flexes and adducts the wrist
Wrist flexors - flexor carpi Radialis (FCR)
O - common flexor tendon
I - 2nd metacarpal, base
A - flexed the wrist and abducts the hand