Wrist Hand Ankle Foro Flashcards
Bones of foot
Calcaneus heel Talus Cuboid navicular Cuneiforms 1-3 Metatarsals Proximal Middle Distal phalanges
Tarsal bones are
Talus Calcaneus Navicular Cuboid Cuneiforms 1-3
What bone links leg with foot
Talus bone
What does distal radio ulnar joint do
Assists supination and probation
What does inferior tibia-fibular joint do
Syndesmosis
No moevent for stability of ankle and keeping lateral malleolus close to talus
Ligaments and capsule of distal radioulnar
Fibrous capsule
Anterior and posterior RU ligaments WEAK IGAMENTS
Sacciform recess within joint to accommodate turning
Ligaments and capsule ofntibiofibular joint
Interosseous membrane and TF ligament
Anterior and posterior TF ligaments
Inferior TF ligament
All strong ligaments
What forms posterior wall for talus - malleolar mortified
Inferior TF ligament
Movement at radiocarpal joint
Condyloid joint
Flexion extension
Abduction adduction
Some circumduction
Movement at ankle joint
Hinge joint for weight bearing
Dorsiflexion
Plantar flexion
What’s rticulates in wrist joint
Distal ends of radius and articular disc of RU joint (not ulna) articulate with proximal carpal bones (not pisiform)
Triquetrum
Lunate
Scaphoid
Articulation atnankle joint
Distal end of tibia and fibula articulate wth talus
Capsule of wrist
Loose fibrous capsule attaches to ulna radius and proximal carpals with synovial folds present
Ligaments of wrist
Collateral ligaments radial and ulnar
Radiocarpal ligaments (palmar and dorsal)
Flexor retinaculum - roof of carpal
Capsule of ankle
Loose fibrous capsule attaches to tibia, both malleloi, and talus.
Synovial folds present within capsule
Ligaments of ankle
Originate at malleoli and fan out to tarsal bones
Medial deltoid ligament - prevents dislocation during eversion of foot - attaches to calcaneous
Lateral (2 tibiofubular and 1 calcaneofibular ) posterior TF strongest
Flexors of wrist
Flexor carpi ulnaris
Flexor carpi radialis
Flexor capri ulnaris attachment
Med epicondyle to pisiform and hamate and 5th metacarpal
Ulnar nerve
Flexor carpi radialis attachments and nerve
Med epicondyle of humerus to base of 2nd metacarpal
Median nerve
Plantar plexors of ankle
Gastrocnemius - Soleus - plantaris
Flexor digitorum longus - flexor hallucis longus
Tibialis posterior
Gastrocnemius
Lateral and medial epicondyles of femur
Soleus
Fibula and tibia
Plantaris attaches
Femur and oblique popliteal ligament.
Which muscles attach to calcaneus
Gastrocnemius
Soleus
Plantaris
Plantar flexors are supplied by
The tibial nerve
Extensors at the wrist
Extensor carpi ulnaris
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
Humerus to dorsal base of 5th metacarpal
Extensor carpi radialis longus
Humerus to dorsal base of 2nr metacarpal
Extensor carpi radialis brevis
Humerus to dorsal base of 3rd metacarpal
What are the flexors of the wrist supplied by
The radial nerve
Dorsiflexion of the foot
Tibialis anterior (also inverts foot) Extensor digitorum longus Extensor hallucination longus Fibularis tertinus
All attach to interosseaous membrane
All supplied by deep fibular nerve
Adductors of wrist
Ulnar side positioning
Extensor carpi ulnaris
Flexor carpi ulnaris
Abductors of the wrist
Radial side
Extensor carpi radialis longus and brevis
Flexor carpi radialis
Abductor policis longus
Radiocarpal joint movements
Condyloid
Flexion extension abduction adduction
Intercarpal movements
Plane joint
Sliding movements increase range of flexion and extension of wrist
IM and CMC
Plane joints gliding thumb is saddle
Flexion extension adduction abduction
Metacarpophalangeal hoinrs
Condyloid
Flexion extension abduction adduction
Interphalangeal joints
Hinge joints
Flexion and extension
Distal tibiofibular joint
No movement
Stabilise ankle and foot
Ankle movements
Hinge join
plantar flexion and dorsiflexion
Intertarsal joint movements
Talocalcaneal and subtalar (inversion and eversion)
Talocalcaneonavicular and calcsnecuboid are transverse tarsal joints
IM and TMT
plane joints
Gliding movements
Metatarsophalangeal joints
Condyloid joints
Flexion extension abduction adduction
IP
hinge joints
Flexion and extension
Supination and probation of foot involved which joints
Knee ankle and foot
Intercarpal joints share articular Cauvery with
CMC joint - spread of infection
Intercarpal ligaments
Stability of intertarsal joint dependent on
Interosseous ligament
Carpometacarpal joints movements
Thumb - saddle
2nd 3rd no movement
4th some movement
5th flexion and rotation
What is the CMC joint of thumb
Between trapezium and base of 1st metacarpal
Loose joint for inc movement
Has separate articular cavity that fingers
Allows opposition abduction etc
Intermetatarsal joints
Joints between bass of adjacent metatarsal with separate joint capsules
No movements
Tarsometatarsal joints
Joints between anterior tarsals and base of metatarsals with separate joint capsules
Gliding movements
Metacarpophalangeal joints and metatarsophalaneal joints
CONDYLOID
bases of metacarpal and proximal phalanges
Individual cavities
Interphalangeal joints
Hinge joints
Between head of phalanx with base of another
Extrinsic flexor muscles of hand
Flexor digitorum superficialis
Flexor digitorum profundus
Flexor policis longus
FDS
FDP
FPL
Extrinsic flexors of hand supplied by
FDS and FPL - supplied by median nerve
FDP - supplied by ulnar nerve
Extensors of hand at interphalangeal and MP joints
Extensor digitorum Extensor digiti minimi Extensor policis longus Extensor policis brevis Extensor indices
ALL SUPPLIED BY RADIAL NERVE
Muscles of thumb
Extensor policis longus, brevis and abductor policis longus
Flexor policis brevis, adductor policis, abductors policis brevis, opponents pollicis
Median or ulnar nerve
Muscles of 5th digit
Ulnar nerve
Opponents digiti minimi,
Abductor digiti minimi
Flexor digiti minimi brevis
Intrinsic muscles of hand
Lumbricals
Dorsal
Palmar interosseous
Flexors of IP and MP in foot
Flexor digitorum longus
Flexor hallucis longus
Extensors of IP and MP joints
Extensor digitorum longus
Extensor hallucis longus
Muscles of big toe
Extensor hallicis longus
Flexor hallucis longus
Flexor hallucis brevis
Adductor hallucis
Abductor hallucis
Extensor hallucis brevis
Muscles of 5th digit in foot
Lateral plantar nerve
Abductor digiti minimi
Flexor digiti Minimi brevis
Intrinsic foot muscles
Flexor digitorum brevis
Extensor digitorum brevis
Lumbricals
Dorsal and palmar intrrosssi
Injuries to the wrist
Fracture of distal radial epiphysis in kids
Fractures of distal radius common in elderly
Ligament most at risk - palmar radiocarpal ligament
Wrist sprains commonly occur in ligaments of carpal bones
Club foot
Congenital
Talus bone deformity
Shortened and tightened tendons in leg
Presents as foot inversion, adduction of foot, plantar flexed
Os trigonium
Lateral tubercle of talus fails to unite with talus
Congenital or injury induced if not ossified
Extra bone sometimes painful and swollen
Ankle sprains
Inversion injury affecting anterior talofibular ligament and sometimes the calcaneofibular ligament
If severe can result in fibular fracture
Hyperextension of MP joints
Hammer toe - middle top plantarflexed
Claw toes - flexion of distal up joints
Calcaneal heel fracture
Disrupts subtalar joint loss of eversion inversion
Tales neck fracture
Occurs during severe dorsiflexion with post dislocation