Hand Flashcards

(35 cards)

1
Q

How many bones are in the hand?

A

29 muscles, 19 bones, 19 articulations

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2
Q

What joints are in the hand?

A

CMC, MCP, IP
-thumbs of 1 IP joint
Fingers have PIP and DIP

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3
Q

What kind of joint is the CMC of the thumb?

A

saddle

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4
Q

What is the characteristic feature of a saddle joint?

A

each articular surface convex in one dimension and concave in other

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5
Q

The longitudinal diameter of articular surface of trapezium is what?

A

concave from palmar to dorsal to direction

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6
Q

The transverse surface of the trapezium is?

A

convex in ML direction

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7
Q

How many degrees of freedom does the CMC joint have?

A

2 degrees: abduction and adduction; flexion and extension

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8
Q

Abduction and adduction of the CMC joint occurs in what plane?

A

sagittal

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9
Q

Flexion and extension of the CMC joint occurs in what plane?

A

frontal

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10
Q

What is the axis of rotation for the CMC joint?

A

passes through the convex member of articulation

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11
Q

What does full extension of the CMC of the thumb stretch?

A

anterior oblique ligament (AOL), intermetacarpal ligament (IML) ad abductor pollicis musclw

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12
Q

What are the arthokinematics of abduction at the CMC joint?

A

anterior roll, posterior slide

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13
Q

What are the arthokinematics of adduction at the CMC joint?

A

posterior roll, anterior slide

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14
Q

What is primarily responsible for active rolling of articular surface of thumb metacarpal

A

abductor pollicis longus

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15
Q

What are the arthokinematics of flexion at the CMC joint?

A

roll and slide in medial direction (concvex on concave)

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16
Q

What are the arthokinematics of extension at the CMC joint?

A

roll and slide in lateral direction (concave on convex)

17
Q

Where is the axis of rotation of the CMC of the thumb?

18
Q

Flexion of the CMC joint of thumb causes elongation and slack of what:

A

radio collateral ligament

anterior oblique ligament

19
Q

Extension of the CMC joint of thumb causes elongation what:

A

anterior oblique ligament

20
Q

What planes do flexion and extension of the MCP joints occur:

A

sagittal plane

21
Q

What planes do abduction and adduction of the MCP joints occur:

A

frontal plane

22
Q

What are the arthrokinematics of the MCP joint in flexion:

A

roll and slide in same direction (concave on convex)

23
Q

What are the arthrokinematics of the MCP joint in extension:

A

roll and slide in same direction

24
Q

What must be activated in MCP flexion?

A

flexor digitorum profundus

25
What is taut in MCP flexion?
dorsal capsule | radial collateral ligament
26
What is extension of the MCP controlled by?
coactivation of extensor digitorum and one of intrisinc muscles of finger
27
What is taut in MCP extension?
palmar plate taut | slack in radio collateral ligament
28
What are the arthokinematics of abduction at the MCP joint?
roll and slide in same direction
29
What are the arthokinematics of adduction at the MCP joint?
roll and slide in same direction
30
Abduction of the MCP joint is powered by what?
first dorsal interosseus muscle
31
What is taut and slack during abduction of the MCP joint?
taut: ulnar collateral ligament slack: radio collateral ligament
32
What is the AOR of abduction?
AP direction through the head of metacarpal
33
What is the degree of freedom of IP joints?
one: flexion and extension
34
What muscles power flexion of the IP joints of thumbs?
- flexor pollicis longus | - flexor pollicis brevis
35
What is the AOR for flexion and extension of the IP joints?
AP direction through convex members of joints