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
Q

Carpometacarpal Joints: Capsular patterns

A

Equal in all directions

26
Q

Carpometacarpal Joints: Ligaments

A

Palmar CMC
Dorsal CMC
Interosseous ligaments from capitate to bases of MC 3 & 4

27
Q

Carpometacarpal Joints: Articular surfaces

A

Distal articular surfaces of carpals (Convex)
Base of metacarpals (concave)

=> concave on convex

28
Q

Metacarpal-Phalangeal Joints: Classification

A

1: diarthrotic, synovial, hinge, uniaxial

2-5: diarthrotic, synovial, condyloid, biaxial

29
Q

Metacarpal-Phalangeal Joints: ROM

A

1: Flexion 60º

2-5
  Flexion 90º
  Extension 45º
  Abduction 20º
  Adduction 10º
30
Q

Metacarpal-Phalangeal Joints: Resting position

A

1: slight flexion

2-5: slight flexion with ulnar deviation

31
Q

Metacarpal-Phalangeal Joints: Closed pack

A

1: full extension

2-5: full flexion

32
Q

Metacarpal-Phalangeal Joints: Capsular Pattern

A

Flexions > extension

33
Q

Metacarpal-Phalangeal Joints: Articular surfaces

A

Heads of the metacarpals (convex)
Bases of phalanges (concave)

=> concave on convex

34
Q

Metacarpal-Phalangeal Joints: Ligaments

A

Palmar MCP

Collateral MCP

35
Q

Interphalangeal Joints: Classification

A

Function: diarthrotic
Structure: synovial
Subclassification: hinge
Axis: uniaxial

36
Q

Interphalangeal Joints: ROM

A

PIP: Flexion 100º Extension 10º

DIP/IP Flexion 80º Extension 10º

37
Q

Interphalangeal Joints: Resting position

A

PIPs: 10º flexion
DIPs: 30º flexion

38
Q

Interphalangeal Joints: Closed packed position

A

Full extension

39
Q

Interphalangeal Joints: Capsular pattern

A

Flexion > extension

40
Q

Interphalangeal Joints: Articular surfaces

A

Head of proximal phalanges: (convex)
Base of distal phalanges (concave)

=> concave on convex

41
Q

Interphalangeal Joints: Ligaments

A

palmar interphalangeal

collateral interphalangeal

42
Q

What are the four joints of the wrist?

A

Radiocarpal
Ulnomeniscotriquetral
Triquetrum-pisiform
Midcarpal

43
Q

What degree of movement is required in the wrist in order to be considered functional?

A

10º flexion

35º extensioin