Wrist & Hand Flashcards

1
Q

Joints of the wrist

A

Distal radio-ulnar
Radiocarpal
Carpometacarpal
Metacarpophalangeal
Interphalangeal

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2
Q

Distal radio-ulnar synovial classification

A

pivot or trochoid

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3
Q

Radiocarpal Synovial classification

A

ellipsoidal or condyloid

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4
Q

Carpometacarpal synovial classification

A
  1. First (thumb) - sellar or saddle
  2. 2nd-5th (index, middle, ring, little) - plane or gliding
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5
Q

Metacarpophalangeal synovial classification

A

ellipsoidal or condyloid

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6
Q

Interphalangeal synovial classification

A

ginglymus or hinge

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7
Q

Proximal carpals

A

Scaphoid, Lunate, Triquetrum, Pisiform

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8
Q

Distal carpals

A

Trapezium, Trapezoid, Capitate, Hamate

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9
Q

Transverse carpal ligament function and attachments

A

function- prevents bowstringing of the tendons of the flexor pollicis longus, flexor
digitorum superficialis & flexor digitorum profundus muscles

attachments- from the pisiform & hook of the hamate to scaphoid & trapezium

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10
Q

Collateral ligaments of the metacarpophalangeal joints function and attachments

A

function- stabilizes metacarpophalangeal joints

attachments- from the head of the metacarpals to base of adjacent proximal phalanx

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11
Q

Intrinsic hand muscles

A

Abductor digiti minimi
Abductor pollicis brevis
Adductor pollicis
Dorsal interossei
Flexor digiti minimi brevis
Flexor pollicis brevis
Lumbricals
Opponens digiti minimi
Opponens pollicis
Palmar interossei

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12
Q

Anatomical snuffbox

A

Boundaries: Extensor retinaculum, Extensor pollicis longus, extensor pollicis brevis
Contents: radial artery, scaphoid

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13
Q

Abductor digiti minimi attachments

A

from… the pisiform
to… the ulnar side of the base of the proximal phalanx of the 5th digit

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14
Q

Abductor digiti minimi actions

A

abducts 5th digit

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15
Q

Abductor digiti minimi innervations

A

PNS: deep branch of the ulnar nerve
CNS: C8-T1

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16
Q

Abductor pollicis brevis attachments

A

From… the transverse carpal ligament
to… the radial side of the base of the proximal phalanx of the thumb and tubercle of trapezium

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17
Q

Abductor pollicis brevis actions

A

abducts the thumb

18
Q

Abductor pollicis brevis innervations

A

PNS: recurrent branch of the median nerve
CNS: C6-T1

19
Q

Adductor pollicis attachments

A

from… the capitate & 2nd & 3rd metacarpals (oblique head) & the palmar aspect of the 3rd metacarpal (transverse head)
to… the base of the proximal phalanx of the thumb

20
Q

adductor pollicis actions

A

adducts the thumb

21
Q

Adductor pollicis innervations

A

PNS: deep branch of the ulnar nerve
CNS: C8-T1

22
Q

Dorsal interossei attachments

A

from… the adjacent sides of the metacarpals
to… the proximal phalangeal bases & dorsal digital expansions of digits 2-4

23
Q

Dorsal interossei actions

A

abducts (MCP), flexes (MCP), extends (IP) of digits 2-4

24
Q

Dorsal interossei innervations

A

PNS: Deep branch of the ulnar nerve
CNS: C8-T1

25
Q

Flexor digiti minimi brevis attachments

A

from… the hamate
to… the ulnar side of the base of the proximal phalanx of the 5th digit

26
Q

Flexor digiti minimi brevis actions

A

Flexes MCP of the 5th digit

27
Q

Flexor digiti minimi brevis innervations

A

PNS: deep branch of the ulnar nerve
CNS: C8-T1

28
Q

Flexor pollicis brevis attachments

A

from… the transverse carpal ligament & trapezium
to… the radial side of the base of the proximal phalanx of the thumb; deep head blends with opponens pollicis

29
Q

Flexor pollicis brevis actions

A

Flexes MCP of thumb

30
Q

Flexor pollicis brevis innervations

A

PNS: Superficial head: recurrent branch of the median nerve
………Deep head: deep branch of the ulnar nerve
CNS: Superficial head: (C6-T1)
………Deep head: (C8-T1)

31
Q

Lumbricals attachments

A

from… the tendons of the flexor digitorum profundus
to… the radial side of the dorsal digital expansions of digits 2-5

32
Q

Lumbricals actions

A

flexes MCP &extends IP joints of digits 2-5

33
Q

Lumbricals innervations

A

PNS: deep branch of the ulnar nerve (3rd & 4th (CNS: C8-T1)) & median nerve (1st & 2nd CNS: (C7-T1))

34
Q

Opponens digiti minimi attachments

A

from… the hook of the hamate
to… the ulnar margin of the shaft of the 5th metacarpal

35
Q

Opponens digiti minimi actions

A

opposition of the 5th digit to the thumb

36
Q

Opponens digiti minimi innervations

A

PNS: deep branch of the ulnar nerve
CNS: C8-T1

37
Q

Opponens pollicis attachments

A

from… the transverse carpal ligament & trapezium
to… the palmar surface of the 1st metacarpal

38
Q

Opponens pollicis actions

A

opposition of the thumb to the 5th digit

39
Q

Opponens pollicis innervations

A

PNS: recurrent branch of the median nerve
CNS: C6-T1

40
Q

Palmar interossei attachments

A

from… the palmar aspects of metacarpals 2, 4 & 5
to… the dorsal digital expansions of digits 2, 4, & 5

41
Q

Palmar interossei actions

A

adducts MCP, flexes MCP, extends IP of digits 2, 4, & 5

42
Q

Palmar interossei innervations

A

PNS: deep branch of the ulnar nerve
CNS: C8-T1