hand and wrist Flashcards

(35 cards)

1
Q

how many muscles and bones are in the wrist and hand?

A

muscles = 19 intrinsic, 20 extrinsic
bones = 29
- radius/ ulna
- carpals
- metacarpals
- phalanges

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2
Q

what are the 3 parts of the distal ulna?

A
  1. ulnar styloid process
  2. fovea (attachment point for disc)
  3. pole (articular surface for TFCC articulation of the wrist on the ulnar head)
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3
Q

is the distal ulna in direct contact w carpal bones?

A

no

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4
Q

what is the primary forearm bone of the wrist?

A

distal radius - all weight and power goes through radius

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5
Q

is there more radial or ulnar deviation possible?

A

ulnar - bc w radial deviation scaphoid runs into stylus

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6
Q

where is lister’s tubercle and what does it do?

A

dorsal feature of radius
acts as a pulley, redirects pull for

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7
Q

for which muscles does lister’s tubercle act as a pulley?

A

radial side:
- extrinsic digitorum longus
- extrinsic indices
ulnar side:
- extensor pollicis longus

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8
Q

“digitorum” =

A

all fingers

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9
Q

“indices” =

A

only index

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10
Q

“pollicis” =

A

thumbs up

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11
Q

proximal row of carpal bones

A

scaphoid, lunate, triquetrum, pisiform (sesamoid)

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12
Q

distal row of carpals

A

trapezium, trapezoid, capitate, hamate

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13
Q

are metacarpal shafts curved?

A

yes - with palmar concavity

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14
Q

do the base or head of phalanges have a bigger articular surface?

A

head

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15
Q

shape of base and heads of phalanges:

A

base = biconcave
distal heads = biconylar

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16
Q

how many bones and joints make up the wrist complex?

A

15 bones
17 synovial joints

17
Q

is the wrist very mobile? what secures the joint?

A

highly mobile, secured by many ligaments

18
Q

what type of joint is the distal radioulnar joint?

A

uniaxial synovial pivot joint, 1 DOF

19
Q

action of distal radioulnar joint:

A

pronation/ supination

20
Q

what makes up the distal radioulnar joint?

A

TFCC
oblique fibers of distal interosseous membrane
radioulnar ligaments

21
Q

TFCC
function?

A

triangle shaped on ulnar side
stability stops bones from being ripped apart

22
Q

carpal tunnel

A

underpass for finger flexors to travel
- guides tendons, median nerve, protection for wrist
- syndrome: too much inflammation, scar tissue builds and binds down on nerve and vasculature

23
Q

what type of joint is the radiocarpal joint?
DOF
motion

A

ellipsoid/ condylar synovial
2 DOF
flexion/extension, radial and ulnar deviation

24
Q

midcarpal joint:
what type of joint is formed by the proximal and distal rows?
what type medially vs lateraly?*** ask rachael wtf

A

synovial plane joint
laterally = planar
medially = condylar

25
what gives palm its concave appearance?
arches formed by carpals, metacarpals, and ligaments
26
what motion do CMC joints allow?
transition from palm flat to fist
27
which CMC joints have the most least motion in order?
2<3<<4<5
28
1st CMC what type of joint/ why so much ROM in thumb?
synovial saddle joint both concave and convex thick but loose capsule
29
how many motions can the 1st CMC do? what are they?
6 flex/ex - girl scout/thumbs up ab/duction - drawbridge/back to palm opposition/ reposition
30
MCP joint type DOF motions
synovial condyloid 2 DOF flex/ex, ab/dduction
31
what extends the concave base of phalanges?
fibrocartilaginous volar plates
32
what covers MC heads?
3/4 covered w articular cartilage - extend into volar surface
33
IP joints joint type DOF motion
synovial hinge 1 DOF flex ex *similar mechanisms as MCP
34
what happens to the volar plate as IP or MCP joints flex? what does this allow for? what does this prevent?
volar plate slide proximally under MC - folding of membranous part allows for large ROM prevent hyperextension and dorsal subluxation
35
wrist ligaments - where are extrinsic vs intrinsic
extrinsic - radius, ulna, metacarpas to carpals intrinsic - between carpal bones only