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1 Hand and Joints of the upper extremity
Exam 1
20
09/24/2011

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Cards

Term
Name the carpal bones starting at the lateral side of each row.
Definition
Proximal—scaphoid, lunate, triquetrium, pisiform; Distal—trapezium, trapezoid, capitate, hamate
Term
Fracture of what carpal bone results in tenderness and pain in the anatomical snuffbox?
Definition
scaphoid
Term
At what joints do pronation and supination occur?
Definition
radioulnar joints
Term
Name the muscles on the thenar eminence. What nerve innervates these muscles?
Definition
The 3 muscles in the thenar eminence are the abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis These muscles are innervated by the recurrent branch of the median nerve
Term
Which tendons of the flexor forearm muscles attach to the middle phalanges of the non-thumb digits?
Definition
tendons of the FDS
Term
Which artery gives rise to the superficial palmar arch?…to the deep palmar arch?
Definition
ulnar artery; radial palmar arch
Term
What structure is affected in the condition known as Dupuytren’s contracture?
Definition
palmar fascia and aponeurosis
Term
Name the muscle(s) that are primarily responsible for each of the following actions:
a. Opposition of the thumb
b. Abduction of non-thumb digits
c. Adduction of non-thumb digits
d. Flexion of MP joints
e. Extension of IP joints
f. Flexion of DIP joints
g. Flexion of PIP joints

Definition
A. opponens pollicis
B. dorsal interossei
C. palmar interossei
D. lumbricals
E. lumbricals and interossei
F. flexor digitorum profundus
G. flexor digitorum superficialis
Term
What nerve innervates the majority of the intrinsic muscle of the hand? What intrinsic muscles does it not innervate?
Definition
The ulnar nerve provides motor innervations to the majority of the intrinsic hand muscles EXCEPT for the thenar muscles (APB, FPB, opponens pollicis) and lumbricals 1 & 2.
Term
What nerve supplies cutaneous sensation to the tip of the thumb?…to the tip of the middle finger?…to the tip of the little finger?
Definition
The median nerve supplies cutaneous innervations to the tips of the thumb and the middle finger. The ulnar nerve supplies cutaneous innervations to the tip of the little finger.
Term
Name the nerve that is injured in each of the following conditions:
a. Wrist drop
b. Claw hand
c. Hand of benediction
d. Ape hand
e. Carpal tunnel syndrome
Definition
Name the nerve that is injured in each of the following conditions:
a. Wrist drop –radial nerve
b. Claw hand –ulnar nerve
c. Hand of benediction –median nerve
d. Ape hand –median nerve
e. Carpal tunnel syndrome –median nerve
Term
What nerve does not supply any intrinsic hand muscles? What area does it supply in the hand?
Definition
The radial nerve DOES NOT provide motor innervations to any intrinsic hand muscles; it supplies sensory innervation to the dorsolateral side of the hand.
Term
What type of injury is often called a “shoulder separation”?
Definition
dislocation of AC joint
Term
What ligament surrounds the head of the radius?
Definition
anular ligament
Term
What condition results in inflammation of the synovial sheaths, which enclose the tendons of the forearm muscles traveling over the phalanges?
Definition
tenosynovitis
Term
Excessive extension and lateral rotation of the humerus results in the dislocation of what joint?
Definition
glenohumeral joint
Term
What nerve may be damaged with the injury in question #16? (Question 16- Excessive extension and lateral rotation of the humerus results in the dislocation of what joint?)
Definition
axillary nerve
Term
If a patient is cannot flex the DIP joint of a digit held in the extended position, what muscle tendon is damaged?
Definition
flexor digitorum profundus
Term
Inability to oppose the thumb is due to injury to what nerve? What muscle is damaged?
Definition
recurrent branch of the median nerve; opponens pollicis
Term
Damage to the ulnar nerve weakened adduction of the non-thumb digits. What muscles were affected?
Definition
palmar interossei