hand/wrist LOs Flashcards
(40 cards)
abductor digiti minimi
- BL: pisiform > ulnar side of base of proximal phalanx of 5th digit
- action: abducts 5th digit
- innervation: deep branch of ulnar nerve
- SC: C8-T1

abductor pollicis brevis
- BL: transverse carpal ligament > radial side of base of proximal phalanx of thumb
- action: abducts thumb
- innervation: recurrent branch of median nerve
- SC: C6-T1

adducutor pollicis
- BL: capitate, 2nd and 3rd metacarpals (oblique head), palmar aspect of 3rd metacarpal (transverse head) > base of proximal phalanx of thumb
- action: adducts thumb
- innervation: deep branch of ulnar nerve
- SC: C8-T1

dorsal interossei
- BL: adjacent sides of metacarpals > proximal phalangeal bases, dorsal digital expansions of digits 2-4
- actions: abduct MCP, flex MCP, extends IP (digits 2-4)
- innervation: deep branch of ulnar nerve
- SC: C8-T1

flexor digiti minimi brevis
- BL: hamate > ulnar side of base of proximal phalanx of 5th digit
- action: flexes MCP of 5th digit
- innervation: deep branch of ulnar nerve
- SC: C8-T1

flexor pollicis brevis
- BL: transverse carpal ligament, trapezium > radial side of base of proximal phalanx of thumb (deep bead blends with opponens pollicis)
- action: flexes MCP of thumb
- innervation: recurrent branch of median nerve (superficial head), deep branch of ulnar nerve (deep head)
- SC: C6-T1 (superficial head), C8-T1 (deep head)

lumbricals
- BL: tendons of flexor digitorum > radial side of dorsal digital expansions of digits 2-5
- action: flexes MCP 2-5, extends IP 2-5
- innervation: median nerve (1, 2), deep branch of ulnar nerve (3, 4)
- SC: C7-T1 (1, 2), C8-T1 (3,4)

opponens digiti minimi
- BL: hook of hamate > ulnar margin of shaft 5th metacarpal
- action: opposition of 5th digit to thumb
- innervation: deep branch of ulnar nerve
- SC: C8-T1

opponens pollicis
- BL: transverse carpal ligament, trapezium > palmar surface of first metacarpal
- action: opposition of thumb to fifth digit
- innervation: recurrent branch of median nerve
- SC: C6-T1

palmar interossei
- BL: palmar aspects of metacarpals 2, 4, 5 > dorsal digital expansions of digits 2, 4, 5
- action: adducts MCP, flex MCP, extend IP (2, 4, 5)
- innervation: deep branch of ulnar nerve
- SC: C8-T1

distal radio-ulnar joint
pivot/trochoid

radiocarpal joint
ellipsoidal/condyloid

thumb carpometacarpal joint
sellar/saddle

digits 2-5 carpometacarpal joint
plane/gliding

metacarpophalangeal joint
ellipsoidal/condyloid

interphalangeal joint
ginglymus/hinge

transverse carpal ligament
- attachments: pisiform, hook of hamate > scaphoid, trapezium
- function: prevent bowstringing of tendons of flexor pollicis longus, flexor digitorum superficialis, flexor digitorum profundus mm.

collateral ligaments of metacarpophalangeal joints
- attachments: head of metacarpals > base of adjacent proximal phalanx
- function: stabilizes metacarpophalangeal joints

collateral circulation of hand
- ulnar:
- superficial palmar arch
- common palmar digital aa. > proper palmar digital aa.
- deep palmar branch
- superficial palmar arch
- radial:
- princeps pollicis
- radialis indicis
- deep palmar arch
- palmar metacarpal (to common palmar digital aa.)
- superficial palmar branch

surface features of hand and wrist

carpal bones
- some lovers try positions that they can’t handle
- scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate
- proximal: scaphoid, lunate, triquetrum, pisiform
- distal: trapezium, trapezoid, capitate, hamate
actions/motions of the wrist

transverse carpal ligament/flexor retinaculum
- attachments: hook of hamate, pisiform > trapezium, scaphoid
- function:
- thenar and hypothenar mm. attachment
- maintains carpal arch
- prevents bowstringing of flexor tendons
- protects median n.

triangular fibrocartilage complex (TFCC)
- articular disc: primary structure
- triangular shape
- shock absorption
- like meniscus in knee (no good blood supply)
- fibrocartilaginous: degenerates with overuse and aging
- dorsal/volar radioulnar ligament
- ulnar collateral ligament
- ECU sheath
- ulnotriquetral ligament
- ulnolunate ligament


















