Wrist and Hand Flashcards

1
Q

Radius is ___ relative to the carpals

A

Biconcave

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2
Q

Ulna is ___ at its distal end relative to the triquetrum

A

Convex

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3
Q

Proximal aspect of proximal row is

A

Biconvex

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4
Q

Distal aspect of proximal row is

A

Concave

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5
Q

Metacarpal heads are ____

A

Biconvex

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6
Q

Phalanges’ proximal ends are mostly ___

A

Biconcave

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7
Q

Phalanges’ distal ends are mostly ___

A

Biconvex

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8
Q

Dorsal radiocarpal joint limits

A

flexion, pronation, and some radial deviation

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9
Q

Radiocarpal joint - articulation

A

Convex scaphoid and lunate articulate with concave radius

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10
Q

Carpometacarpal joint - articulation - First CMC is what

A

A saddle articulation

Trapezium convex in med/lat direction, concave in ant/post direction

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11
Q

Carpometacarpal joint - articulation - 2nd through 5th CMC

A

flat between bases of metacarpals and distal row of carpals

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12
Q

MCP joints - articulation

A

Convex metacarpals with concave proximal phalanges

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13
Q

PIP joints - articulation

A

Convex distal aspect of proximal phalanges with concave proximal aspect of middle phalanges

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14
Q

Wrist flexors

A

Flexor carpi radialis
Flexor carpi ulnaris
Palmaris longus
Flexor digitorum profundus

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15
Q

Wrist extensors

A

Extensor digitorum
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris

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16
Q

Radial deviators

A

Flexor carpi radialis

Extensor carpi radialis longus and brevis

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17
Q

Ulnar deviators

A

Flexor carpi ulnaris
Flexor digitorum profundus
Extensor carpi ulnaris

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18
Q

Extrinsic finger flexors

A

Flexor digitorum superficialis - to PIP joint

Flexor digitorum profundus

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19
Q

Extrinsic finger extensors

A

Extensor digitorum

20
Q

Intrinsic muscles

A
Thenar mm
Hypothenar mm
Lumbricals
Dorsal interossei 
Palmar interossei
21
Q

Intrinsic muscles - thenar mm

A

Abductor pollicis brevis
Opponens pollicis
Flexor pollicis brevis
Adductor pollicis

22
Q

Intrinsic muscles - hypothenar mm

A

adductor digiti minimi
opponens digiti minimi
flexor digiti minimi

23
Q

Lumbricals do what

A

Flex MCP
Ext IP
Radially deviate MCP

24
Q

Dorsal interossei do what

25
Palmar interossei do what
ADD
26
Collateral finger ligaments run
separately from lateral condyle to distal phalanx and lateral volar plate at each MP, PIP, and DIP
27
Accessory finger ligaments run from
condylar head to volar plate
28
Transverse finger ligaments are present at
MCP joints
29
Wrist Radial Collateral Ligament - limits
Ulnar deviation
30
Wrist Ulnar Collateral Ligament - limits
Radial deviation
31
Wrist Palmar Ulnocarpal ligament - limits
Extension and supination
32
Wrist Palmar Radiocarpal Ligament - limits
Extension and supination through knuckles
33
Extensor hood - expansion of
Extensor digitorum mm
34
Extensor hood - pupose
Assist with extension of PIP and DIP joints
35
Volar Plate - present on
Palmar aspect of MCP, PIP, and DIP joints
36
Volar plate - functions to
increase articular surface during extension and protect joint volarly Volar plate is more mobile at MCP than at IPs
37
PIPs and DIPs - biomechanics - during flexion the digits
rotate radially to enhance grasp and opposition
38
MCPs - biomechanics - during flexion, digits
rotate radially
39
First CMC - during flex/ext
Concave on convex
40
First CMC - during abd/add
Convex on concave
41
First CMC - during flex and abd
First MC rotates ulnarly
42
First CMC - during ext and add
First MC rotates radially
43
Wrist biomechanics - flexion
Proximal scaphoid/lunate glide dorsally relative to radius
44
Wrist biomechanics - extension
Proximal scaphoid.lunate glide ventrally relative to radius
45
Wrist biomechanics - Radial deviation
Proximal row glides ulnarly | Proximal surface of scaphoid rotates palmarly
46
Wrist biomechanics - Ulnar deviation
Proximal row glides radially as a unit