Antebrachium, Wrist, and Hand

106 flashcardsby Esha
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the proximal radioulnar joint is a _____ joint
synovial
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the head of the radius articulates with the
radial notch of the ulna
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the radius is held in place by the
anular ligament
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during pronation and supination, the radial head rotates within
the anular ligament
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_________________ __________ connects radius and ulna along their diaphysis
interosseous membrane
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the interosseous membrane forms the ____________ ____________ joint
radioulnar syndesmosis
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in the distal radioulnar joint, the head of ulna articulates with the
ulnar notch on the radius
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the distal radioulnar joint includes
fibrocartilagenous articular disc
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muscles of supination
supinator and biceps brachii
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muscles of pronation
pronator quadratus and pronator teres
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the pronator teres and pronator quadratus are both supplied by the
median nerve
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which digits have how many phalanges?
digits 2-5: 3 phalanges
digit 1: 2 phalanges
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wrist complex contains __ proximal-distal joints called
2
radiocarpal
midcarpal
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radiocarpal joint components
proximal: radius, articular disc (triangular ligament)
distal: scaphoid, lunate, triquetrum
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the articular disc prevents
carpal bones from articulating with the ulna
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the triquetrum only articulates with the
articular disc
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midcarpal joint components
distal: trapezium, trapezoid, capitate, hamate
proximal components: scaphoid, lunate, triquetrum
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the carpal tunnel is formed by
transverse carpal ligament or flexor retinaculum
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transverse carpal ligament/flexor retinaculum
large fibrous ligament that stretches over the volar sde of the wrist and forms a tunner with the carpals through which tendons pass, and holds the tendons down
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carpal tunnel functions
protect tendons and nerves
keep tendons close to bones to act as a pulley
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joints between carpals are ______________ joints
intercarpal
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intercarpal joints
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joints between carpals and metacarpals are called
carpometacarpal joints
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carpometacarpal
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movements of the wrist
flexion/extension
abduction/adduction - also called ulnar and radial deviation
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muscles with tendons that cross the anterior of the wrist can assist in
flexion
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wrist flexion muscles
flexor carpi radialis
flexor carpi ulnaris
flexor digitorum superficialis
flexor digitorum profundis
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intermediate anterior forearm
flexor digitorum superficialis
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deep anterior forearm muscles
flexor digitorum profundus
flexor pollicis longus
pronator quadratus
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the median nerve supplies
the majority of the anterior compartment of the forearm
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median nerve exceptions
brachioradialis - radial nerve
flexor carpi ulnaris - ulnar
flexor digitorum profundus IV and V - ulnar
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wrist extensors
extensor carpi radialis longus
extensor carpi radialis brevis
extensor carpi ulnaris
extensor digitorum
extensor indicis
extensor digit minimi
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wrist adductors
flexor carpi ulnaris
extensor carpi ulnaris
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wrist abductors
flexor carpi radialis
extensor carpi radialis
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thumb muscles that assist in abduction
abductor pollicis longus
extensor pollicis longus
extensor pollicis brevis
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proximal carpal bones serve as a
mechanical link between the radius and carpal bones
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proximal carpal bones tend to ______ _______ when force is applied but
collapse anteriorly
are stabilized by the intercarpal ligaments
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tendons and nerves in the carpal tunnel
flexor digitorum profundus
flexor digitorum superficialis
flexor pollicis longus
median nerve
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distally, the flexor retinaculum gives way to the
palmar aponeurosis
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palmar aponeurosis covers the
tendons, blood supply, nerves and muscles
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palmar aponeurosis connects on its distal side to the
superficial transverse metacarpal ligament
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ligaments of all of the extrinsic finger extension muscles pass through the
extensor retinaculum
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extensor retinaculum function
hold the tendons in place and not let them wander medially/laterally
ideal line of pull
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the posterior side is much ______ protected than the anterior side
less
flexors more important evolutionarily
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the carpometacarpal joint of the thumb has it's own _____ _____ and a greater
synovial joint
range of motion
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carpometacarpal joints of the fingers share
one synovial cavity
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all carpometacarpal joints are capable of
flexion/extension
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metacarpals of the third and fourth fingers have ... but the fifth metacarpal ...
limited range of motion
has more
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the relatively immobile second and third joints provide a
stable axis for opposition
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finger joint (metacarpophalangeal) components
volar plate
2 ligaments - collateral and accessory collateral ligaments
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volar plate
tough pad of fibrocartilage that sits on the volar surface
provides stability by preventing hyperextension
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collateral ligament connects
metacarpal to proximal phalanx
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accessory collateral ligament connects
metacarpal to the volar plate
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metacarpophalangeal joints are connected to each other by the
deep transverse metacarpal ligament
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the deep transverse metacarpal ligament connects the
volar plates of the metacarpophalangeal joints
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the flexor tendons pass
over the deep transverse metacarpal ligament
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in the interphalangeal joints, the collective ligaments are called
collateral ligaments
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collateral ligaments of the interphalangeal joints connect
proximal to distal phalanx, and to volar plate
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two main extrinsic finger flexion muscles
flexor digitorum superficialis - flexes MCP and PIP joints
flexor digitorum profundus - flexes MCP, PIP, and DIP joints
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the extrinsic flexors pass through
fibrous tunnels (pulleys)
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three extrinsic finger extension muscles
extensor digitorum
extensor digiti minimi
extensor indicis
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at MCP joint, tendons of the extrinsic finger extension muscles meet with a broad aponeurosis called the
extensor hood
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the extensor hood sits ... and has ligaments that reach ...
over the MCP joint
forward to the distal phalanx
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intrinsic muscles of the hands
lumbricals
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lumbricals have no
bone attachments
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interossei muscles insert onto the ... and contribute to
extensor hoods
finger extension and ab/adduction
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the dorsal interossei muscles contribute to
abduction
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the palmar interosseu muscles contribute to
adduction
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intrinsic muscles of the thumb
abductor pollicis brevis
flexor pollicis brevis
opponens policus
adductor pollicus
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intrinsic muscles of the little finger
abductor digiti minimi
flexor digiti minimi
opponens digit minimi
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