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Chapter 11 Clincal Kinesiology and anatomy Lynn Lippert
Chapter 11 Wrist joint
20
Health Care
Undergraduate 1
10/25/2010

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Cards

Term
Name the carpal bones.
Definition

Carpals - Sally left the party to take Caroline home

 

Scaphoid,Lunate,Triquetrum,Pisaform,

Trapezium, Trapezoid, Capitate, Hamate

 

Scaphoid articulates with the Radius

Pisaform is anterior

Trapezium articulates with the 1st metacarpal forming a saddle joint

 

Term
Why is the ulna not a part of the Radiocarpal joint?
Definition
Because an articular disk is located between the ulna and the proximal row of carpals the ulna is not considered a part of this joint.
Term
The radiocarpal joint is a synovial joint.  It is classified as a condyloid joint.  Which part of the joint is concave?  Which convex?
Definition

Concave = distal end of radius

convex - scaphoid, lunate, triquetrum

Term
what are the degrees of freedom of the radiocarpal joint?
Definition

2 degrees - a biaxial joint

flexion/extension

ulnar deviation/radial deviation

Term
The midcarpal or intercarpal joint occurs where?
Definition
Between the two rows of carpal bones  Their shape is irregular and they are classified as plane joints.  They are nonaxial that allow gliding motion.  Any movement here is accessory motion
Term
The carpometacarpal (CMC) joints occur where?
Definition
Between the distal row of carpals and the proximal row of metacarpal bones.
Term
The capsule of the elbow joint encompasses what?
Definition

The trochlea and capitulum and the fossas above them

the proximal end of the ulna and coronoid process and around the trochlear notch

Term

The lateral collateral ligament attaches to what other ligament?  

Definition
Annular ligament
Term

If the lateral collateral ligament is damaged what other ligament may be damaged?

Definition
Annular ligament
Term

Stabilizers of the elbow joint.  The capsule, the 3 ligaments and 4 muscles.  What are the 4 muscles that stabilize the elbow joint?


Definition
 Pronator teres medially , brachioradialis laterally , brachialis and supinator the floor,   the antecubital fossa is the hole in the middle.
Term
describe the concept of neutralizer in wrist movements
Definition

Flexor carpi radialis flexes and radial deviates

extensor carpi radialis longus extends and radial deviates

 

in order to have pure radial deviation the extensor of ECRL and the flexing of FCR neutralize each other and no flexing or extending occurs  just plain old radial deviation

Term
Active insufficiency of the biceps brachii muscle occurs when?
Definition
The elbow is in full flexion and the shoulder is in full flexion
Term
The anconeus muscles is not a prime mover of any thing.  Is assists in elbow extension.  It may help the  _______ ligment from being pinched during extension.
Definition
annular
Term
The supinator and biceps form a force couple to do what?
Definition
move the radius around the ulna
Term

Summary of nerves of wrist muscles

Posterior muscles - extensors  = Radial Nerve

Anterior muscles radial side = Median nerve

Anterior muscles of ulnar side  = ulnar  nerve

Definition

flexors of the wrist originate on the medial epicondyle

Extensors of the wrist originate on the lateral epicondyle except for extensor carpi radialis longus that orginates on the lateral supracondylar ridge

Term

There are 6 muscles for the wrist joint.

3 extensors are innervated by the Radial Nerve

1 flexor is innervated by the ulnar nerve

2 flexors are innervated by the Median nerve

Definition

Extensor Carpi Radialis Brevis

Extensor carpi Radialis longus

Extensor carpi Ulnaris are innervated by the Radial nerve

 

flexor Carpi Ulnaris is innervated by the Ulnar Nerve

Palmaris longus and Flexor carpi radialis are innervated by the Median nerve

Term
Name the ligaments of the wrist
Definition

Radial Collateral ligament

Ulnar Collateral ligament

Palmer radiocarpal ligament

Palmer ulnocarpal ligament

Dorsal radiocarpal ligament

 

page 135

Term
The flexors of the wrist originate on the ________
Definition
Medial epicondyle of the humerus bone
Term
The extensors of the wrist originate on the _____ side of the humerus.
Definition

Lateral

 

Extensor Carpi radialis Longus - Lateral supracondylar ridge

Extensor Carpi ulnaris and

Extensor carpi radialis brevis - lateral epicondyle of humerus

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