1the proximal radioulnar joint is a _____ joint
synovial
2the head of the radius articulates with the
radial notch of the ulna
3the radius is held in place by the
anular ligament
4during pronation and supination, the radial head rotates within
the anular ligament
5_________________ __________ connects radius and ulna along their diaphysis
interosseous membrane
6the interosseous membrane forms the ____________ ____________ joint
radioulnar syndesmosis
7in the distal radioulnar joint, the head of ulna articulates with the
ulnar notch on the radius
8the distal radioulnar joint includes
fibrocartilagenous articular disc
9muscles of supination
supinator and biceps brachii
10muscles of pronation
pronator quadratus and pronator teres
11the pronator teres and pronator quadratus are both supplied by the
median nerve
12which digits have how many phalanges?
digits 2-5: 3 phalanges
digit 1: 2 phalanges
13wrist complex contains __ proximal-distal joints called
2
radiocarpal
midcarpal
14radiocarpal joint components
proximal: radius, articular disc (triangular ligament)
distal: scaphoid, lunate, triquetrum
15the articular disc prevents
carpal bones from articulating with the ulna
16the triquetrum only articulates with the
articular disc
17midcarpal joint components
distal: trapezium, trapezoid, capitate, hamate
proximal components: scaphoid, lunate, triquetrum
18the carpal tunnel is formed by
transverse carpal ligament or flexor retinaculum
19transverse 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
20carpal tunnel functions
protect tendons and nerves
keep tendons close to bones to act as a pulley
21Image occlusion: name the hidden labels
22Image occlusion: name the hidden labels
23joints between carpals are ______________ joints
intercarpal
25joints between carpals and metacarpals are called
carpometacarpal joints
27movements of the wrist
flexion/extension
abduction/adduction - also called ulnar and radial deviation
28muscles with tendons that cross the anterior of the wrist can assist in
flexion
29wrist flexion muscles
flexor carpi radialis
flexor carpi ulnaris
flexor digitorum superficialis
flexor digitorum profundis
30Image occlusion: name the hidden labels
31Image occlusion: name the hidden labels
32Image occlusion: name the hidden labels
33Image occlusion: name the hidden labels
34Image occlusion: name the hidden labels
35intermediate anterior forearm
flexor digitorum superficialis
36deep anterior forearm muscles
flexor digitorum profundus
flexor pollicis longus
pronator quadratus
37Image occlusion: name the hidden labels
38Image occlusion: name the hidden labels
39Image occlusion: name the hidden labels
40the median nerve supplies
the majority of the anterior compartment of the forearm
41median nerve exceptions
brachioradialis - radial nerve
flexor carpi ulnaris - ulnar
flexor digitorum profundus IV and V - ulnar
42wrist extensors
extensor carpi radialis longus
extensor carpi radialis brevis
extensor carpi ulnaris
extensor digitorum
extensor indicis
extensor digit minimi
43Image occlusion: name the hidden labels
44Image occlusion: name the hidden labels
45Image occlusion: name the hidden labels
46Image occlusion: name the hidden labels
47Image occlusion: name the hidden labels
48Image occlusion: name the hidden labels
49Image occlusion: name the hidden labels
50Image occlusion: name the hidden labels
51Image occlusion: name the hidden labels
52Image occlusion: name the hidden labels
53wrist adductors
flexor carpi ulnaris
extensor carpi ulnaris
54wrist abductors
flexor carpi radialis
extensor carpi radialis
55thumb muscles that assist in abduction
abductor pollicis longus
extensor pollicis longus
extensor pollicis brevis
56proximal carpal bones serve as a
mechanical link between the radius and carpal bones
57proximal carpal bones tend to ______ _______ when force is applied but
collapse anteriorly
are stabilized by the intercarpal ligaments
58tendons and nerves in the carpal tunnel
flexor digitorum profundus
flexor digitorum superficialis
flexor pollicis longus
median nerve
59Image occlusion: name the hidden labels
60distally, the flexor retinaculum gives way to the
palmar aponeurosis
61palmar aponeurosis covers the
tendons, blood supply, nerves and muscles
62palmar aponeurosis connects on its distal side to the
superficial transverse metacarpal ligament
63ligaments of all of the extrinsic finger extension muscles pass through the
extensor retinaculum
64extensor retinaculum function
hold the tendons in place and not let them wander medially/laterally
ideal line of pull
65the posterior side is much ______ protected than the anterior side
less
flexors more important evolutionarily
66the carpometacarpal joint of the thumb has it's own _____ _____ and a greater
synovial joint
range of motion
67carpometacarpal joints of the fingers share
one synovial cavity
68all carpometacarpal joints are capable of
flexion/extension
69metacarpals of the third and fourth fingers have ... but the fifth metacarpal ...
limited range of motion
has more
70the relatively immobile second and third joints provide a
stable axis for opposition
71finger joint (metacarpophalangeal) components
volar plate
2 ligaments - collateral and accessory collateral ligaments
72volar plate
tough pad of fibrocartilage that sits on the volar surface
provides stability by preventing hyperextension
73collateral ligament connects
metacarpal to proximal phalanx
74accessory collateral ligament connects
metacarpal to the volar plate
75Image occlusion: name the hidden labels
76Image occlusion: name the hidden labels
77Image occlusion: name the hidden labels
78Image occlusion: name the hidden labels
79Image occlusion: name the hidden labels
80Image occlusion: name the hidden labels
81Image occlusion: name the hidden labels
82Image occlusion: name the hidden labels
83Image occlusion: name the hidden labels
84Image occlusion: name the hidden labels
85metacarpophalangeal joints are connected to each other by the
deep transverse metacarpal ligament
86the deep transverse metacarpal ligament connects the
volar plates of the metacarpophalangeal joints
87the flexor tendons pass
over the deep transverse metacarpal ligament
88Image occlusion: name the hidden labels
89Image occlusion: name the hidden labels
90in the interphalangeal joints, the collective ligaments are called
collateral ligaments
91collateral ligaments of the interphalangeal joints connect
proximal to distal phalanx, and to volar plate
92Image occlusion: name the hidden labels
93Image occlusion: name the hidden labels
94Image occlusion: name the hidden labels
95two main extrinsic finger flexion muscles
flexor digitorum superficialis - flexes MCP and PIP joints
flexor digitorum profundus - flexes MCP, PIP, and DIP joints
96the extrinsic flexors pass through
fibrous tunnels (pulleys)
97three extrinsic finger extension muscles
extensor digitorum
extensor digiti minimi
extensor indicis
98at MCP joint, tendons of the extrinsic finger extension muscles meet with a broad aponeurosis called the
extensor hood
99the extensor hood sits ... and has ligaments that reach ...
over the MCP joint
forward to the distal phalanx
100intrinsic muscles of the hands
lumbricals
101lumbricals have no
bone attachments
102interossei muscles insert onto the ... and contribute to
extensor hoods
finger extension and ab/adduction
103the dorsal interossei muscles contribute to
abduction
104the palmar interosseu muscles contribute to
adduction
105intrinsic muscles of the thumb
abductor pollicis brevis
flexor pollicis brevis
opponens policus
adductor pollicus
106intrinsic muscles of the little finger
abductor digiti minimi
flexor digiti minimi
opponens digit minimi