p55-75 Flashcards
(121 cards)
Inflammation of common flexor tendon resulting from overuse of flexors–activities that require a lot of gripping is called
Medial Epicondylitis (Golfer’s elbow)
Name the injury that results in: Loss of flexion to PIPs in 1st-3rd digits, Weakened flexion to PIPs in 4th and 5th digits, Loss of flexion to DIPs in 2nd-3rd digits BUT no issues with 4th and 5th digits. Ability to flex MPs of 2nd and 3rd digits is affected.
(What is this injury also known as)
Injury to Median n, (C6-T1) at elbow/forearm
Hand of Benediction
How do you decipher between an injury to the Median n. or A.I.N.?
Attempt to make the “okay” sign– if it results in a “pinch” posture it is the Median n.
What is the deepest muscle in the anterior forearm that covers distal radius, ulna, and interosseous membrane?
What passes deep to this muscle?
What innervated it?
Pronator Quadratus
A.I.A. and A.I.N.
A.I.N
What is the origin and insertion of the Pronator Quadratus m.?
O: Distal 1/4 of anterior surface of ulna
I: Distal 1/4 of anterior surface of radius
What muscle lies lateral to Flexor Digitorum Profundus and covers aspect of radius distal to supinator?
Does it pass through the carpal tunnel?
Flexor Pollicis Longus
It DOES pass through the carpal tunnel and has its own synovial tendon sheath (radial bursa)–> lateral to common flexor sheath.
What is the origin and insertion and innervation of Flexor Pollicis Longus?
At which joint does this m. flex the thumb?
O: Anterior surface of radius and adjacent interosseous membrane
I: Base of distal phalanx of thumb
N: A.I.N. (C8, T1)
ONLY muscle that flexes thumb at interphalangeal joint. Secondarily flexes proximal phalanx, 1st MP and CM joints respectively
In the flexor compartment, what four muscles comprise the superficial layer?
Superficial Layer:
- ) Pronator teres m
- ) Flexor carpi radialis m.
- ) Palmaris longus m.
- ) Flexor carpi ulnaris m.
In the flexor compartment, what muscle comprise the intermediate layer and what three comprise the deep layer?
Intermediate layer:
Flexor digitorum superficialis m.
Deep layer:
- ) Flexor digitorum profundus m.
- ) Flexor pollicis longus m.
- ) Pronator quadratus m.
**Superficial and intermediate groups cross elbow AND wrist joints. Deep group ONLY crosses wrist.
What is the only muscle to flex distal interphalangeal joints (DIPs) and covers anterior aspect of ulna?
Flexor Digitorum Profundus
- Gives rise to 4 tendons at wrist.
- Has 2 innervations
What is the Origin, Insertion and Innervation of Flexor Digitorum Profundus?
*Hint: Lateral and medial halves share an origin but not I/A/N
O: Medial and lateral halves – Proximal ¾ medial and anterior surfaces of ulna and
interosseous membrane
I: Medial half – Bases of distal phalanges of 4th and 5th digits
Lateral half – Bases of distal phalanges of 2nd and 3rd digits
What is the action and innervation of the medial and lateral halves of Flexor Digitorum Profundus?
A: Medial half – Flexes DIPs of 4th and 5th digits
Lateral half – Flexes DIPs of 2nd and 3rd digits
N: Medial half – Ulnar n. (C8, T1)
Lateral half – A.I.N. (C8, T1)
Assists in making a fist, Can only flex pointer finger independently.
Flexor Digitorum Profundus
Testing these muscles of the flexor compartment tests the integrity of the Median nerve:
Pronator teres Flexor Carpi Radialis Flexor Digitorum Superficialis Flexor Digitorum Profundus (by way of index finger--> Why?) Flexor Pollicis Longus
Gives Rise to four tendons at wrist and shares a common flexor sheath with FDP:
Flexor Digitorum Superficialis
Which four muscles originate from the medial epicondyle via a common flexor tendon?
Flexor Carpi Radialis
Palmaris Longus
Flexor Carpi Ulnaris (humeral head only)
Flexor Digitorum Superficialis (along with the coronoid process)
Which muscles pass through the carpal tunnel?
Flexor Digitorum Superficialis
Flexor Digitorum Profundus
Flexor Pollicis Longus
What is the Origin (of the two heads) and Insertion of Flexor Digitorum Superficialis?
O: Humeroulnar head – ME via common flexor tendon and coronoid process
Radial head – Superior ½ anterior border
I: Shafts of middle phalanges of medial 4 digits via split tendon
What is the Action and Innervation of Flexor Digitorum Superficialis?
A: Flexion of PIPs; strong flexion of MPs
N: Median n. (C7, C8, T1)
Flexion of the wrist is produced when which two muscles act together?
Flexor Carpi Radialis and Ulnaris
Ulnar n. enters forearm by passing between humeral and ulnar heads through what is called…
this is a potential site of:
The Cubital Tunnel
Inpingement
When Flexor Carpi ulnaris acts alone what action is produced?
Alone, it produces a combination of flexion and ulnar deviation
o Moves hand anteromedially
stabilize shoulder / prevent dislocation:
subscapularis supraspinatus infraspinatus teres minor biceps brachii (short head) triceps brachii (long head)
aDduct humerus:
subscapularis
teres major
coracobrachialis