Wrist & Hand Flashcards

1
Q

What is the radiocarpal joint?

A

Formed between the distal surfaces of the radius and the articular disc, and the scaphoid, lunate and triquetrum (proximal row of carpal bones)

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2
Q

What are the intercarpal joints?

A

articulations between the carpal bones

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3
Q

How many carpal bones are there?

A

8

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4
Q

What is the mid carpal joint?

A

the articulation between the proximal and distal rows of carpal bones
- trapezium and trapezoid articulates with scaphoid
- capitate articulates with scaphoid and lunate
- hamate articulates with lunate and triquetrum

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5
Q

What type of joint is a radiocarpal joint?

A

ellipsoid, synovial joint

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6
Q

What is the blood supply of the intercarpal joints?

A

arterial supply is by branches from the palmar and dorsal carpal networks

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7
Q

What is the nerve supply of the intercarpal joints?

A
  • twigs from the anterior and posterior interosseous nerves
  • deep and dorsal branches of the ulnar nerve (C7/8)
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8
Q

What muscles produce flexion in the wrist & forearm?

A
  • Flexor Carpi Radialis
  • Flexor Carpi Ulnaris
  • Palmaris Longus
  • Flexor Digitorum Superficialis
  • Flexor Digitorum Profundus
  • Flexor Pollicis Longus
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9
Q

What muscles produce extension in the wrist & forearm?

A
  • Extensor Carpi Radialis Longus
  • Extensor Carpi Radialis Brevis
  • Extensor Carpi Ulnaris
  • Extensor Digitorum
  • Extensor Indicis
  • Extensor Digiti Minimi
  • Extensor Pollicis Longus
  • Extensor Pollicis Brevis
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10
Q

What muscles produce ulnar deviation in the wrist & forearm?

A
  • Flexor Carpi Ulnaris
  • Extensor Carpi Ulnaris
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11
Q

What muscles produce radial deviation in the wrist & forearm?

A
  • Flexor Carpi Radialis
  • Flexor Carpi Radialis Longus
  • Flexor Carpi Radialis Brevis
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12
Q

What is the carpometacarpal joint?

A

articulation between the carpal and metacarpal bones

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13
Q

What type of joint is a carpometacarpal joint?

A

plane, synovial joint

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14
Q

What ligaments are in the carpometacarpal joint?

A
  • Dorsal carpometacarpal ligaments
  • Palmar carpometacarpal ligaments
  • Interosseous ligament
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15
Q

What are intermetacarpal joints?

A

joints between the adjacent sides of the bones of the 2nd and 3rd, 3rd and 4th, 4th and 5th metacarpals

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16
Q

What type of joint are intermetacarpal joints?

A

plane, synovial joints

17
Q

What movements are available at the thumb?

A
  • Extension/ Flexion
  • Abduction/ Adduction
  • Opposition
18
Q

What type of joint is the metacarpophalangeal joint (joint of the thumb)?

A

condyloid, synovial joint

19
Q

Where does the radial collateral carpal ligament go from + to?

A

From:
- tip of radial styloid process

To:
- lateral side of scaphoid
- lateral side of trapezium

20
Q

Where does the ulnar collateral carpal ligament go from + to?

A

From:
- ulnar styloid process

To:
- base of pisiform
- triquetral

21
Q

What is the blood supply to the radiocarpal joints?

A

branches from dorsal + palmar carpal networks

22
Q

What is the nerve supply to the radiocarpal joints?

A
  • anterior interosseous branch of median nerve
  • posterior interosseous branch of radial nerve
  • dorsal + deep branches of ulnar nerve (C7-C8)
23
Q

What movements are available at the radiocarpal joints?

A
  • flexion
  • extension
  • ulnar deviation
  • radial deviation
24
Q

What type of joint is an intercarpal joint?

A

plane, synovial joint

25
How do the carpals unite in an intercarpal joint?
by interosseous, palmar + dorsal intercarpal ligaments
26
Describe carpal tunnel syndrome.
Inflammation of the synovial sheaths within the carpal tunnel may lead to compression of the median nerve Causing: - paraesthesia - loss of power - limited movement - wasting of thenar eminence
27
Where does the flexor retinaculum attach to + from?
Medially: to pisiform + hook of hamate Laterally: scaphoid tubercle + trapezium
28
What passes through the carpal tunnel?
Tendons of the: - flexor carpi radialis - flexor pollicis longus - flexor digitorum profundus - flexor digitorum superficialis Median nerve (lateral to FDS tendons)
29
What type of joint is a carpometacarpal joint?
saddle, synovial joint
30
What are the (2) ligaments of the carpometacarpal joint?
- radial carpometacarpal ligament - anterior + posterior oblique ligaments
31
What bones articulate at a metacarpophalangeal joint?
- head of the metacarpal - base of the proximal phalanx
32
What type of joint is an interphalangeal joint?
hinge, synovial joint
33
What movements are available at an interphalangeal joint?
- flexion - extension
34
How are the joint capsules of the metacarpophalangeal joints strengthened?
collateral ligaments on each side, which are replaced anteriorly by the palmar ligament
35