4 UE Wrist + Hand Flashcards

1
Q

radiocarpal joint (wrist) articulations

A

(1) distal radius (and articular disc) w/ scaphoid, lunate, triquetrum
(2) condyloid synovial
(3) at proximal wrist crease

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2
Q

ligaments of the radiocarpal joint

A

dorsal radiocarpal ligament
palmar radiocarpal ligament
radial collateral ligament
ulnar collateral ligament

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3
Q

importance of dorsal/palmar radiocarpal ligaments

A

very strong

- allows hand to move w/ radius during supination/pronation

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4
Q

flexor retinaculum

A

extends from pisiform/hamate (medial) to scaphoid/trapezium (lateral)

  • creates carpal tunnel
  • bracelet

**aka transverse carpal ligament

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5
Q

fascia of the palm

A

deep connective tissue

  • continuous w/ antebrachial fasica
  • thickened at center of palm (palmar aponeurosis)
  • triangle points towards radius/ulna

\7

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6
Q

digital fibrous sheaths

A

(fascia of the palm) fascia that wraps the digits

- further wrapped in synovial sheaths, which are wrapped in fibrous tendon sheaths

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7
Q

hypothenar

A

refers to the pinky

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8
Q

thenar

A

refers to the thumb

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9
Q

synovial sheath

A

membrane that covers tendon

  • beneath digitial fibrous sheat
  • above fibrous tendon sheath
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10
Q

bursae

A

fluid-filled sacs that protect y lubricate long tendons

- anchored by retinaculae

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11
Q

compartments of flexors

A

3

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12
Q

compartments of extensors

A

6

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13
Q

dorsum tendons

A

long extensor tendons

extensor expansions

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14
Q

palmar tendons

A

flexor digitorum superficialis tendon

flexor digitorum profundus tendon

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15
Q

flexor digitorum superficialis tendon

A

splits b/c it inserts sooner + flexor digitorum profundus tendon needs to insert into distal phalanx
- inserts on middle phalanx

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16
Q

flexor digitorum profundus tendon

A

“threads the needle”

inserts on distal phalanx
- attached by vincula

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17
Q

vincula

A

pieces of connective tissue that anchors flexor digitorum profundus tendon (FDST)

  • serves as attachment of flexor digitorum superficialis tendon to phalanx
  • 2 types
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18
Q

types of vincula

A

vincula brevia

vincula longum

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19
Q

joints of the hand

A

(1) intercarpal (IC) joints
(2) carpometacarpal (CMC) joints
(3) intermetacarpal (IM) joints
(4) metacarpaphalangeal (MP) joints
(5) proximal interphalangeal (PIP) joints

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20
Q

intercapal (IC) joint type

A

plane synovial

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21
Q

carpometacarpal (CMC) joint type

A

saddle joint

**this is the thumb joint

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22
Q

intermetacarpal (IM) joint type

A

plane synovial

23
Q

ligaments of the hand

A

(1) anterior (palmar) ligaments
(2) posterior (dorsal) ligaments
(3) interosseus ligaments
(4) transverse metacarpal ligaments
(5) collateral ligaments
(6) palmar ligaments

24
Q

types of transverse metacarpal ligaments

A
  • deep transverse metacarpal ligament

- superficial transverse metacarpal ligament

25
Q

metacarpophalangeal (MP) joint type

A

condyloid synovial

- abduct/adduct + flex/extend

26
Q

proximal interphalangeal (PIP) joint type

A

hinge synovial

- flex + extend

27
Q

distal interphalangeal (DIP) joint type

A

hinge synovial

- flex + extend

28
Q

hypothenar muscles (3 + 1)

A

located on medial (pinky) side

  • (3) abductor digiti minimi
  • (3) flexor digiti minimi brevis
  • (3) opponens digiti minimi
  • (1) palmaris brevis

3 muscles in compartment + 1 that lies on top

29
Q

abductor digiti minimi

A

hypothernar muscle

O: pisiform
I: proximal phalanx digit #5
A: abduct 5th digit
N: ulnar nerve

  • *meaty part of palm on medial side
  • *more pinky
30
Q

flexor digiti minimi brevis

A

hypothenar muscle

O: flexor retinaculum
hamate
I: promximal phalanx digit #5
A: flex 5th digit
N: ulnar nerve

**more pinky

31
Q

opponens digiti minimi

A

hypothenar muscle

O: flexor retinaculum + hamate
I: metacarpal #5
A: rotate & draw metacarpal #5 forward (to bring into OPPOSITION w/ thumb)
N: ulnar nerve

  • *opponens = wrap around
  • *smallest
32
Q

palmaris brevis

A

**covers + protects ulnar artery y ulnar nerve

33
Q

thenar muscles

A

lateral (thumb) side

  • abductor pollicis brevis
  • flexor pollicis brevis
  • opponens pollicis
34
Q

abductor pollicis brevis

A

thenar muscle

O: flexor retinaculum
I: proximal phalanx of thumb
A: abduct thumb
N: median nerve

**big meaty piece of thumb side

35
Q

flexor pollicis brevis

A

thenar muscle

O: flexor retinaculum
I: proximal phalanx of thumb
A: flex thumb
N: median nerve + ulnar nerve

36
Q

opponens pollicis

A

thenar muscle

O: flexor retinaculum
I: metacarpal #1
A: opposition of thumb
N: median nerve

37
Q

brevis

A

start / end in hand

38
Q

longus

A

start in arm

OR

end in hand

39
Q

movements of thumb

A
abduction 
adduction
extension
flexion
opposition
reposition
40
Q

abduction

A

moving thumb away from palm

41
Q

adduction

A

returning thumb to palm

42
Q

extension

A

hand flat w/ thumb away from palm

43
Q

flexion

A

thumb to base of pinky

**very similar to opposition

44
Q

opposition

A

thumb to tip of pinky

**very similar to flexion

45
Q

reposition

A

fingers touching, thumb touching side of palm

46
Q

carpal tunnel syndrome

A

decrease side of carpal tunnel, compression of median nerve

  • atrophy of thumb, causes thumb to be adducted/extended
  • inability to oppose thumb (thumb to tip of pinky)
  • problems w/ flexion + opposition
  • loss of sensation on lateral palm + lateral digits
  • numbness tingling

**must wear brace to decrease movement

47
Q

central compartment

A
  • extrinsic flexor tendon + sheaths
  • superficial palmar arterial arch
  • median nerve branches
  • ulnar nerve branches
  • lumbricals #1-4
48
Q

lumbricals #1 - 4

A

central compartment muscle

O: FDP tendons
I: extensor digitorum tendons
A: extend fingers @ IP joints + flex metacarpal joints
N: median nerve (1-2)
ulnar nerve (3-4)

**short muscles of the hand btwn tendons

49
Q

adductor compartment

A

deep to thenar compartment

- adductor pollicis

50
Q

adductor pollicis

A

adductor compartment muscle

O: metacarpal #2 – 3 + capitate + trapezoid
I: proximal phalanx of thumb
A: adduct thumb (bring thumb back to side of palm)
N: ulnar nerve

51
Q

interosseous compartment

A

located btwn metacarpals (short muscles of hand)

  • dorsal interossei (DAB)
  • palmar interossei (PAD)

**assist lumbricals

52
Q

dorsal interossei

A

interosseous compartment muscle

O: adjacent sides of metacarpals
I: proximal phalanges #2 – 4
A: abduct fingers
N: ulnar nerve

**assist lumbricals

DAB

53
Q

palmar interossei

A

interosseous compartment muscle

O: metacarpal #2, 4 - 5
I: proximal phalanges #2, 4 - 5
A: adduct fingers
N: ulnar nerve

  • *assist lumbricals
  • *none on middle finger

PAD

54
Q

significance of 3rd digit (middle finger)

A

acts as central point

  • does not move
  • no palmar interossei muscle on middle finger