Wrist and Hand Flashcards

1
Q

Distal Radioulnar Joint: classification

A

Structure: synovial
Subtype: pivot
Function: diarthrotic
Axis: uniaxial

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2
Q

Distal Radioulnar Joint: ROM

A

Pronation 70-90º

Supination 90º

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3
Q

Distal Radioulnar Joint: Resting position

A

10º supination

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4
Q

Distal Radioulnar Joint: Closed-Pack position

A

Full supination/pronation

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5
Q

Distal Radioulnar Joint: Capsular Pattern

A

Supination = Pronation

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6
Q

Distal Radioulnar Joint: Articular surfaces

A

Distal ulna (convex)
Ulnar notch of radius (concave)
=> Concave on Convex

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7
Q

Distal Radioulnar Joint: Ligaments

A

Anterior Radioulnar
Posterior Radioulnar
Interosseous membrane

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8
Q

Distal Radioulnar Joint: Joint Mobs

A
Dorsal glide (increase supination)
Volar glide (increase pronation)
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9
Q

Radiocarpal/Ulnomeniscotriquetral Joints: Classification

A

Structure: synovial
Subtype: condyloid
Function: diarthrotic
Axis: biaxial

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10
Q

RC/UMT Joints: ROM

A

Flexion: 80º
Extension: 70º
Radial deviation: 20º
Ulnar deviation: 30º

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11
Q

RC/UMT Joints: Resting postion

A

Slight flexion and ulnar deviation

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12
Q

RC/UMT Joints: Closed pack position

A

Full extension

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13
Q

RC/UMT Joints: Capsular pattern

A

Flexion = Extension

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14
Q

RC/UMT Joints: Articular surfaces

A

Carpals: Convex (lunate and scaphoid –> radius; triquestrum –> ulna)

Distal radius and ulna: Concave

=> convex on concave

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15
Q

RC/UMT Joints: Ligaments

A
Radial collateral
Ulnar collateral
Transverse carpal
Palmar radiocarpal
Intercarpal
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16
Q

RC/UMT Joints: Joint Mob’s

A
Distraction 
Dorsal glide (flexion)
Volar glide (extension)
Radial glide (ulnar deviation)
Ulnar glide (radial deviation)
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17
Q

Intercarpal/Midcarpal Joints: Classification

A

Structure: synovial
Subtype: planar
Function: diarthrotic
Axis: nonaxial

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18
Q

Intercarpal/Midcarpal Joints: ROM

A

Flexion: 80º
Extension: 70º
Radial deviation: 20º
Ulnar deviation: 30º

19
Q

Intercarpal/Midcarpal Joints: Resting position

A

Neutral, or slight flexion and ulnar deviation

20
Q

Intercarpal/Midcarpal Joints: Closed Pack

A

Full extension

21
Q

Intercarpal/Midcarpal Joints: Capsular patern

A

Flexion=extension

22
Q

Carpometacarpal Joints: Classification

A

Digit 1: diarthrotic, synovial, saddle, multiaxial

Digits 2-5: diarthrotic, synovial, planar, nonaxial

23
Q

Carpometacarpal Joints: ROM

A
Thumb: 
  Flexion 15º
  Extension: 20º
  Abduction 70º
  Adduction to the plane of the palm
  Opposition: pad to pad, at head of MC 5
  Reposition: return to neutral
Digits 2-5: slight gliding
24
Q

Carpometacarpal Joints: Resting position

A

midway between flexion and extension and slight ulnar deviation

25
Carpometacarpal Joints: Capsular patterns
Equal in all directions
26
Carpometacarpal Joints: Ligaments
Palmar CMC Dorsal CMC Interosseous ligaments from capitate to bases of MC 3 & 4
27
Carpometacarpal Joints: Articular surfaces
Distal articular surfaces of carpals (Convex) Base of metacarpals (concave) => concave on convex
28
Metacarpal-Phalangeal Joints: Classification
1: diarthrotic, synovial, hinge, uniaxial | 2-5: diarthrotic, synovial, condyloid, biaxial
29
Metacarpal-Phalangeal Joints: ROM
1: Flexion 60º ``` 2-5 Flexion 90º Extension 45º Abduction 20º Adduction 10º ```
30
Metacarpal-Phalangeal Joints: Resting position
1: slight flexion 2-5: slight flexion with ulnar deviation
31
Metacarpal-Phalangeal Joints: Closed pack
1: full extension | 2-5: full flexion
32
Metacarpal-Phalangeal Joints: Capsular Pattern
Flexions > extension
33
Metacarpal-Phalangeal Joints: Articular surfaces
Heads of the metacarpals (convex) Bases of phalanges (concave) => concave on convex
34
Metacarpal-Phalangeal Joints: Ligaments
Palmar MCP | Collateral MCP
35
Interphalangeal Joints: Classification
Function: diarthrotic Structure: synovial Subclassification: hinge Axis: uniaxial
36
Interphalangeal Joints: ROM
PIP: Flexion 100º Extension 10º | DIP/IP Flexion 80º Extension 10º
37
Interphalangeal Joints: Resting position
PIPs: 10º flexion DIPs: 30º flexion
38
Interphalangeal Joints: Closed packed position
Full extension
39
Interphalangeal Joints: Capsular pattern
Flexion > extension
40
Interphalangeal Joints: Articular surfaces
Head of proximal phalanges: (convex) Base of distal phalanges (concave) => concave on convex
41
Interphalangeal Joints: Ligaments
palmar interphalangeal | collateral interphalangeal
42
What are the four joints of the wrist?
Radiocarpal Ulnomeniscotriquetral Triquetrum-pisiform Midcarpal
43
What degree of movement is required in the wrist in order to be considered functional?
10º flexion | 35º extensioin