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Wrist
Hand
143
Anatomy
Graduate
09/29/2014

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Term
What are the 3 parts of the hand?
Definition
carpus, metacarpus, digits
Term
What are the 2 surfaces of the hand?
Definition
palmar, dorsal
Term
What is the palmar surface also called?
Definition
volar
Term
reinforced thickenings of antebrachial fascia at wrist
Definition
retinacula
Term
what does the retinacula prevent?
Definition
tendons of extrinsic muscles from "bowstringing"
Term
which side is the flexor retinaculum located on?
Definition
anterior, palmar surface
Term
the flexor retinaculum overlies what to form the carpal tunnel?
Definition
groove in carpus
Term
the flexor retinaculum overlies a groove in the carpus to form what?
Definition
carpal tunnel
Term
the flexor retinaculum, aside from forming the carpal tunnel, conveys what else
Definition
various flexor tendons, median nn to palm
Term
extensor retinaculum is located where
Definition
posterior, dorsal surface
Term
the fibrous digital (flexor) sheaths are located where
Definition
anterior aspect of digits
Term
what is the purpose of the fibrous digital (flexor) sheaths (2)
Definition
prevents bowstringing, forms osseofibrous tunnels
Term
the fibrous digital (flexor) sheath combines with the bony phalanges to form what
Definition
osseofibrous tunnels
Term
what is the role of the synovial sheath in the hand?
Definition
lubricate tendons passing deep to retinacula or fibrous sheaths
Term
what is the role of the palmar aponeurosis (2)
Definition
protects deeper structures of palm, attachment site
Term
the palmar aponeurosis serves as an attachment site for what 2 muscles
Definition
palmaris longus, palmaris brevis
Term
where is the thenar eminence located?
Definition
base of thumb
Term
where is the hypothenar emininence located?
Definition
base of digit five
Term
What are the thenar and hypothenar eminences made up of, simply?
Definition
muscles
Term
how many carpal bones are there?
Definition
8
Term
how are the carpals organized?
Definition
two rows of 4
Term
this bone is contained within the flexor carpi ulnaris
Definition
pisiform
Term
what kind of bone is the pisiform?
Definition
sesamoid
Term
the pisiform lies anterior to what carpal?
Definition
triquetrum
Term
the pisiform provides attachment for what
Definition
flexor retinaculum
Term
the triquetrum articulates with what feature of the ulnar head?
Definition
articular disc
Term
What is the order of the proximal row of the carpals, medial to lateral (anatomical position)
Definition
pisiform, triquetrum, lunate, scaphoid
Term
What is the order of the carpals of the distal row, medial to lateral
Definition
hamate, capitate, trapezoid, trapezium
Term
the lunate articulates with what forearm bone?
Definition
radius
Term
the lunate articulates with the radius in what joint
Definition
radiocarpal
Term
the scaphoid articulates with what forearm bone
Definition
radius
Term
the articulation of the scaphoid with the radius is part of this joint
Definition
radiocarpal joint
Term
the anterior tubercle of the scaphoid provides attachment for what
Definition
flexor retinaculum
Term
the scaphoid forms floor of this anatomical feature of the hand
Definition
anatomical snuffbox
Term
which carpal is most commonly fractured with a fall on the outstretched hand
Definition
scaphoid
Term
the anterior hook of the hamate provides attachment for what (2)
Definition
flexor carpi ulanris, flexor retinaculum
Term
role of the capitate
Definition
gets most of force directed to hand through wrist
Term
the trapezoid and trapezium: anterior tubercle serves as an attachment for what
Definition
flexor retinaculum
Term
the heads of which metacarpals are prominent in flexed mcp joints (make a fist)
Definition
2-5
Term
how many phalanges are there per hand?
Definition
14
Term
the flexor carpi radilais tendon occupies a separate comaprtment deep to _____ ____
Definition
flexor retinaculum
Term
the tendon of flexor carpi ulnaris passes ______ to carpal tunnel
Definition
medial
Term
the tendon of flexor carpi ulnaris passes _______ to flexor retinaculum
Definition
superficial
Term
the tendon of flexor carpi ulnaris contains what bone
Definition
pisiform
Term
tendon of palmaris longus passes _____ to flexor retinaculum
Definition
superficial
Term
tendon of palmaris longus passes superficial to flexor retinaculum to what?
Definition
palmar aponeurosis
Term
tendons of digital flexors and flexor pollicis pass through what
Definition
carpal tunnel
Term
tendons of digital flexors and flexor pollicis pass through the carpal tunnel with what else
Definition
median nn
Term
tendons of flexor digitorum superficialis split near insertions on middle phalanges to permit what to pass through
Definition
flexor digitorum profundus
Term
the flexor tendons are anchored to the phalanges by what
Definition
fibrous digital sheaths
Term
the flexor tendons into the phalanges are contained within ______ sheaths in the flexor sheath
Definition
synovial
Term
the tendons of extensor carpi radialis and carpi radialis brevis pass in separate compartment through what
Definition
anatomical snuffbox
Term
the tendons of extensor carpi radialis longus/brevis pass in separate compartments through anatomical snuffbox, deep to tendons of what
Definition
thenar outcrop mm
Term
which muscles form the boundaries of teh anatomical snuffbox anteriorly
Definition
abductor pollicis longus, extensor pollicis brevis
Term
which muscles form the posterior border of the anatomical snuffbox
Definition
extensor pollicic longus
Term
what are the extensor expansions
Definition
fibrous hoods (expanded attachments for the tendons)
Term
the extensor expansions drape the posterior aspect of digits
Definition
2-5
Term
the fibrous hoods of the extensor expansions abut what structure
Definition
transverse metacarpal ligaments
Term
the fibrous hoods of teh extensor expansions abut the transverse metacarpal ligaments during what action
Definition
extension of MCP joints
Term
the fibrous hoods attach to which parts of the phalange
Definition
proximal, middle, distal
Term
what attaches to the fibrous hoods?
Definition
lumbricals, interosseous muscles
Term
the digitial extensors are effective at which joints only
Definition
MCP
Term
the lumbricals are supported by what
Definition
interossei
Term
the lumbricals extend at which joint
Definition
PIP, DIP
Term
the thenar muscles are innervated by what
Definition
recurrent branch of median nn
Term
what are the thenar muscles
Definition
abductor flexor pollicis brevis, opponens pollicis
Term
when the median nn reaches the hand, what are its spinal levels
Definition
c8-t1
Term
the origin for the thenar muscles are
Definition
flexor retinaculum, adjacent carpals
Term
thenar muscles insertion: abductor and flexor pollicis brevis
Definition
proximal phalanx of thumb
Term
thenar muscles insertion: opponens pollicis
Definition
lateral side of 1st metacarpal
Term
action of abductor pollicis brevis
Definition
abduction, movement away from palm
Term
action of the flexor pollicis brevis
Definition
flexion, movement across palm
Term
action of opponens pollicis
Definition
opposition, folding palm and medial rotation of metacarpal 1 to touch thumb to little finger
Term
what are the hypothernar muscles
Definition
abductor, flexor, and opponens digiti minimi
Term
innervation of the hypothenar muscles
Definition
ulnar nn
Term
flexor and opponens digiti minimi: origin
Definition
flexor retinaculum, hooke of hamate
Term
abductor digiti minimi origin
Definition
pisiform
Term
abductor and flexor digiti minimi insertion
Definition
proximal phalanx 5
Term
opponens digiti minimi insertion
Definition
medial side of 5th metacarpal
Term
actions of flexor digiti minimi
Definition
flexion of pinky
Term
the palmaris brevis lies _______ to hypothenar muscles
Definition
superficial
Term
palmaris brevis mm origin
Definition
palmar aponeurosis
Term
palmaris brevis mm insertion
Definition
skin of hypothenar eminence
Term
lumbrical muscles origin
Definition
tendons of flexor digitorum profundus
Term
lumbrical muscles insertion
Definition
lateral sides of digital extensor expansions of digits II thur V
Term
the lumbrical muscles are present on what fingers
Definition
II-V
Term
lumbricals 1 & 2 innervation
Definition
median nn
Term
lumbrical 3&4 innervation
Definition
ulnar nn
Term
spinal levels for nerves of lumbricals
Definition
c8-t1
Term
lumbrical muscles action
Definition
extension at PIP and DIP, flexion at MCP
Term
the lumbrical muscles extend where
Definition
PIP & DIP
Term
the lumbrical muscles flex where
Definition
MCP joints
Term
the interosseous muscles are innervated by what
Definition
ulnar nn
Term
what are teh names of the 2 sets of the interosseous muscles
Definition
palmar, dorsal
Term
interosseous muscles origin
Definition
sides of metacarpals
Term
the palmar interosseous muscles insert where
Definition
axial surfaces of 2, 4, 5 proximal phalanges
Term
the doral interosseous muscles insert where
Definition
external surfaces of digits 2, 3, 4
Term
which phalange has 2 doral interosseous muscles
Definition
III
Term
palmar interosseous muscles actions
Definition
adduction of digits II, IV, V
Term
actions of dorsal interosseous muscles
Definition
abduction of digits II, III, IV
Term
what ligaments restrict abduction with a tight fist
Definition
collateral ligaments of MCP joints
Term
adductor pollicis transverse head origin
Definition
3rd metacarpal
Term
adductor pollicis oblique head origin
Definition
capitate
Term
adductor pollicis insertion
Definition
medial side of proximal phalanx of thumb
Term
adductor pollicis innervation
Definition
ulnar nn
Term
adductor pollicis actions
Definition
adduction of thumb
Term
what are the arteries of the palms
Definition
ulnar, radial, palmar arches
Term
the ulnar artery enters on what side of the hand
Definition
medial
Term
the ulnar artery is deep to what structures
Definition
flexor carpi ulnaris tendon, palmaris brevis mm
Term
the ulnary artery passes across the flexor retinaculum next to the pisiform bone with what else
Definition
ulnar nn
Term
the ulnar artery is a major contributor to what
Definition
superficial palmar arch
Term
the deep branch of the ulnar artery contributes to what
Definition
deep palmar arch
Term
the radial artery transverses what feature
Definition
anatomical snuffbox
Term
the radial artery transveres the anatomical snuff box to where
Definition
dorsum of hand
Term
the radial artery pierces what to form the deep palmar arch
Definition
first dorsal interosseous mm
Term
the radial artery pierces the first doral interosseous mm to form what
Definition
deep palmar arch
Term
the superficial branch of the radial artery feeds what
Definition
superficial palmar arch
Term
the palmar arches branch to where
Definition
digits
Term
cutaneous ulnar nn supplies what part of the hand
Definition
pinky, half of ring finger, adjacent dorsal and palmar surfaces
Term
deep branch of the ulnar nn supplies what
Definition
lumbricals 3&4, interossei, adductor pollicis, hypothenar mm
Term
median nerve passes how to tendon of palmaris longus
Definition
lateral & deep
Term
the recurrent branch of the median nn supplies what
Definition
thenar mm
Term
the muscular branches of the median nn innervate what
Definition
lumbricals 1 & 2
Term
the superficial branches (digitals) of median nn supply what
Definition
skin of thumb, pointer, middle, and half of ring finger, skin of lateral palm
Term
the radial nn supplies what
Definition
skin of lateral half of dorsum and thumb
Term
the radial nn has what spinal levels in the hand
Definition
c5-t1
Term
which nerve has no motor branches in the hand
Definition
radial nnn
Term
dermatome of C6
Definition
thumb
Term
dermatome of c7
Definition
fingers 2, 3
Term
dermatome of C8
Definition
fingers 4,5
Term
the wrist joint is stabilized by what
Definition
radial and ulnar collateral ligaments
Term
radiocarpal joint
Definition
wrist joint
Term
the wrist joint is what type of joint
Definition
condyloid
Term
the wrist joint is a condyloid type joint mostly between the radius and what else
Definition
lunate & scaphoid of carpus
Term
what articulates with the articular disc of ulnar head
Definition
triquetrum
Term
the triquetrum articulates with what
Definition
articular disc of ulna head
Term
the wrist joint permits what kind of movement
Definition
flexion, extension, radial/ulnar deviation
Term
which side of the wrist has greater clearance
Definition
ulnar
Term
hand infection are accompanied by ______ lymph node involvement
Definition
axillary
Term
the lymph vessels will be marked by what as a result of hand infections
Definition
red streaks
Term
carpal tunnel syndrom
Definition
pressure on the median nn results in pain and parasthea in the median nn distribution, weakness and atrophy in the thenar eminence
Term
dequervain's syndrome
Definition
tendonitis of the thenar outcroup
Term
dupuytren contracture
Definition
fibrosis of the palmar aponeurosis, causing fingers 4&5 to partially flex at MCP and PIP joints
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