Chapter 12 Flashcards

Wrist Joint

1
Q

radiocarpal joint

A

consists of the distal end of the radius and the radioulnar disk proximally and the scaphoid, lunate, and triquetrum distally

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2
Q

radiocarpal joint

A

classified as a biaxial condyloid joint allowing flexion and extension, radial deviation and ulnar deviation. The combination of all four of these motions is called circumduction. There is no rotation in the wrist.

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3
Q

midcarpal joint

A

located between two rows of carpal bones

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4
Q

intercarpal joints

A

located between carpal bones in each individual row

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5
Q

carpometacarpal (CMC) joints

A

appear between the distal row of carpal bones and the proximal end of metacarpal bones

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6
Q

palmar flexion

A

wrist flexion

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7
Q

dorisflexion

A

hyperextension

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8
Q

neutral position

A

hand in straight line with forearm, position of the hand in anatomical position

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9
Q

extension

A

return from flexion

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10
Q

hyperextension

A

movement beyond neutral position

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11
Q

flexion and extension

A

occur on sagittal plane around the frontal axis

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12
Q

flexion

A

approximately 90 degrees

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13
Q

hyyperextension

A

approximately 70 degrees

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14
Q

Raadial and Ulnar deviation

A

occur on the frontal plane around the sagittal axis

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15
Q

radial deviation

A

approximately 35 degrees

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16
Q

ulnar deviation

A

approximately 25 degrees

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17
Q

firm end feel

A

for extension, hyperextension, and ulnar deviation

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18
Q

boney/ hard end feel

A

for radial deviation, due to boney/ hard contact between the radial styloid process and the scaphoid (carpal) bone

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19
Q

open packed position of wrist

A

in neutral with slight ulnar deviation position

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20
Q

convex/ concave articulation

A

convex shaped proximal row of caarpal bones move in opposite direction of the hand motionbones

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21
Q

carpal bones

A

consist of two rows of four bones each, starrting at tumb side of proximal row are the scaphoid, lunate, triquerum, and psisform. distal row from lateral are trapezium, trapeziod, capitate, hamate

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22
Q

styloid process

A

distal projection on the lateral side of the radius and distal medial posterior side of ulna (providing attachment for collateral ligaments

23
Q

hook of the hamate

A

projection on the anterior surface of the hamate, providing attachment for the transverse carpal ligament

24
Q

Medial epicondyle

A

located on the distal medial side of the humerus; attachment for the common flexor tendon

25
Lateral epicondyle
located on the distal lateral side of the humerus attachment for the common extensor tendon
26
Lateral supraconcylar ridge
located just proximal to the lateral epicondyle; attachment for the extensor capri radialis longs muscle
27
radiocarpal joint
basically four ligaments;
28
radial collateral ligament
attaches to the styloid process of the radius and the scaphoid and trapezius bones
29
ulnar collateral ligament
attaches to the styloid process of the ulna and to the pisiform and triquetrum bones
30
palmar radiocarpal ligament
limits wrist extension, attaches anterior distal end of radius and ulna and to the anterior surface of the proximal carpal bones and to the capitate bone in the distal row
31
dorsal radiocarpal ligament
attaches from posterior surfaces of the distal raduis to the same surface of the scaphoid, lunate, and triquetrum
32
joint capsule of wrist
is reinforced by four ligaments of wrist
33
articular disc
locateed on distal end of ulna and articulates with triqeutrum and lunate bones
34
palmar aponeurosis
a relatively thick triangular fascia located superficially in the palm of the hand
35
common flexor tendon
originates on medial epicondyle of humrus and splits, i.e. pronator teres, flexor capri radialis, palmaris longus, flexor digitorum superficialis, and flexor capri ulnaris
36
common extensor tndon
originates on the lateral epicondyle and forms into extensor capri radialis longus and brevis, extensor capri ulnaris, extensor digitorum, and extensor digiti minimi
37
anterior side of wrist
flexion
38
posterior side of wrist
extension
39
anteriour
flexor capri ulnaris, flexor capri radialis, Palmerus longus
40
posterior
extensor caprii radialis longus, extensor caprii radialus breves, and extensor caprii ulnaris
41
flexor capri ulnaris muscle
wrist flexion, ulnar deviation
42
flexor capri radialis muscleive in wrist flexion
wrist flexion and radial deviation
43
palmaris longus muscle
assistive in wrist flexion
44
Extensor Capri Raadialis Longus Muscle
wrist extension, radial deviation
45
Extensor capri radialis brevis muscle
wrist extension
46
extensor capri ulnaris muscle
wrist extensoin, ulnar deviation
47
extensor retinaculum
encases all at wrist
48
scaphoid and radius
two most fractured bones of the wrist
49
colles fracture
a break at the distal radius at the level of the metaphysis and is common in elderly
50
Smith's fracture
distal fragment is displaced anteriourly (reverse Colles) and is caused by fall on the back of hand
51
"greenstick fracture'
refers to an incomplete fracture, usually of radius, and more proximal than 'Colles' fracture
52
scaphoid fracture
sometimes related to danger of blood vessel that supplies this bone, which can lead to avascular necrosis, or death of bone tissue
53
ganglion cyst
a benign, fluid filled cyst commonly seen as a bump. Can appear, disappear and change size quickly
54
wrist sprains
when a person falls on an outstretched hand