Flashcards
Anatomy-Hands_Wrist
Cards in this deck (102)
- 1anterior concavity of the carpusCarpal groove
- 2converted into an osseoufibrous carpal tunnel by the flexor retinaculum, which is attached to the scaphoid and trapezium laterally and to the pisiform and hook of the hamate bone mediallyCarpal groove
- 3due to compression of the median nerve in the carpal tunnelCarpal Tunnel Syndrome
- 4transverse band on the posterior part of the wrist formed from the thickened antebrachial fasciaExtensor retinaculum
- 5- retains the extensor tendons in position, thereby increasing their efficiencyExtensor retinaculum
- 6thickened deep fascia anteriorly - converts the anterior concavity of the carpus into a carpal tunnel through which the flexor tendons passFlexor retinaculum
- 7- continuous proximally with the antebrachial fascia and at the borders of the palm with the fascia on the dorsum of the hand - thin over the thenar and hypothenar eminencesFascia of the Palm
- 8- thick in the palm where it forms the palmar aponeurosis and in the digits where it forms the fibrous digital sheathsFascia of the Palm
- 9- strong, well-defined triangular part of the deep fascia of the hand - covers the soft tissues and overlies the long flexor tendons of the palmPalmar Aponeurosis
- 10proximal end continuous with the flexor retinaculum and palmaris longus tendon - distal end divides at the roots of the digits into 4 longitudinal bands - each band attached to the base of the proximal phalanx and is fused with the fibrous digital sheathsPalmar Aponeurosis
- 11Surgically important - Spaces bounded medially and laterally by fibrous septaPalmar Spaces
- 12from the medial border of the palmar aponeurosis to the 5th metacarpal bonemedial septum
- 13– from the lateral border of the palmar aponeurosis to the 1st metacarpal bonelateral septum
- 14medial to the medial septum, containing the hypothenar musclesHypothenar compartment
- 15lateral to the lateral septum containing the thenar musclesThenar compartment
- 16between the thenar and hypothenar compartments, containing the flexor tendons and their sheaths, the superficial palmar arch, and branches of the median and ulnar nervesCentral compartment
- 17- deepest muscular plane of the palm, contains the adductor pollicis muscleAdductor compartment
- 18– medial and lateral - created by a fibrous septum passing obliquely and posteriorly from the lateral border of the palmar aponeurosis to the 3rd metacarpal boneMidpalmar space
- 19– between the adductor pollicis and the 1st dorsal interosseous muscleRetroadductor space
- 20are on the palmar aspect and are innervated by the ulnar and median nervesintrinsic muscles of the hand
- 21chiefly responsible for the movement of the thumb known as oppositionThenar Muscles
- 22Thenar Musclesabductor pollicis brevis
flexor pollicis brevis
opponens pollicis
adductor pollicis - 23forms the anterolateral part of the thenar eminenceabductor pollicis
- 24Origin of abductor pollicis brevisflexor retinaculum and tubercles of scaphoid and
trapezium - 25Insertion of abductor pollicis brevislateral side of base of proximal phalanx of thumb
- 26Action of abductor pollicis brevisabducts thumb and helps oppose it
- 27Nerve Supply, Nerve Roots and Blood Supply of abductor pollicis brevisMedian Nerve - C8, T1 - Superficial palmar branch of radial artery
- 28medial to the abductor pollicis brevisflexor pollicis brevis
- 29Origin of flexor pollicis brevisflexor retinaculum and tubercle of trapezium
- 30Insertion of flexor pollicis brevislateral side of base of proximal phalanx of thumb
- 31Action of flexor pollicis brevisflexes thumb
- 32Nerve Supply, Nerve Roots and Blood Supply of flexor pollicis brevisMedian Nerve - C8, T1 - Superficial palmar branch of radial artery
- 33lies deep to the abductor pollicis brevis and lateral to the flexor pollicis brevisopponens pollicis
- 34Origin of opponens pollicisflexor retinaculum and tubercle of trapezium
- 35Insertion of opponens pollicislateral side of 1st metacarpal bone
- 36Action of opponens pollicisopposes thumb toward center of palm and rotates it
medially - 37Nerve Supply, Nerve Roots and Blood Supply of opponens pollicisMedian Nerve - C8, T1 - Superficial palmar branch of radial artery
- 38has 2 heads that are separated by a gap through which the radial artery passesadductor pollicis
- 39Origin of adductor pollicis (oblique head)– bases of 2nd and 3rd metacarpals, capitate,
and adjacent carpal bones - 40Origin of adductor pollicis (transverse head)anterior surface of body of 3rd metacarpal
bone - 41Insertion of adductor pollicismedial side of base of proximal phalanx of thumb
- 42Action of adductor pollicisadducts thumb towards middle digit
- 43Nerve Supply, Nerve Roots and Blood Supply of adductor pollicisDeep branch of ulnar nerve - C8,T1 - Deep palmar arch
- 44- concerned with movements of the 5th digit - produce the hypothenar eminence or the ball of the 5th digitHypothenar Muscles
- 45Hypothenar Musclesabductor digiti minimi
flexor digiti minimi
opponens digiti minimi
palmaris brevis - 46most superficial of the 3 hypothenar muscles forming the hypothenar eminenceabductor digiti minimi
- 47Origin of abductor digiti minimipisiform bone
- 48Insertion of abductor digiti minimimedial side of base of proximal phalanx of 5th digit
- 49Action of abductor digiti minimiabducts digit 5
- 50Nerve Supply, Nerve Roots and Blood Supply of abductor digiti minimiDeep branch of Ulnar Nerve - C8,T1 - Deep palmar branch of ulnar artery
- 51lateral to the abductor digiti minimiflexor digiti minimi
- 52Origin of flexor digiti minimihook of hamate and flexor retinaculum
- 53Insertion of digiti minimimedial side of base of proximal phalanx of digit 5
- 54Action of flexor digiti minimiflexes proximal phalanx of digit 5
- 55Nerve Supply, Nerve Roots and Blood Supply of flexor digiti minimiDeep branch of Ulnar Nerve - C8,T1 - Deep palmar branch of ulnar artery
- 56- lies deep to the abductor and flexor muscles of the 5th digitopponens digiti minimi
- 57Origin of opponens digiti minimihook of hamate and flexor retinaculum
- 58Insertion of opponens digiti minimimedial border of 5th metacarpal bone
- 59Action of opponens digiti minimidraws 5th metacarpal bone anteriorly and rotates it, bringing
digit 5 into opposition with thumb - 60Nerve Supply, Nerve Roots and Blood Supply of opponens digiti minimiDeep branch of Ulnar Nerve - C8,T1 - Deep palmar branch of ulnar artery
- 61lies in the fascia deep to the skin of the hypothenar eminence - a relatively unimportant muscle except that it covers and protects the ulnar nerve and arterypalmar brevis
- 62Origin of palmar brevisflexor retinaculum and palmar aponeurosis
- 63Insertion of palmar brevisskin on the medial side of the palm
- 64Action of palmar breviswrinkles the skin on the medial side of the palm and
deepens the hollow of the palm, as in cupping of the hand, thereby
aiding the grip - 65- named as such because of their elongated wormlike formLumbrical Muscles
- 66Origin of Lumbrical Muscleslateral 2 tendons of flexor digitorum profundus
- 67Insertion of Lumbricals 1 and 2Lateral side of extensor expansion of digits 2 andd 3
- 68Action of Lumbricals 1 and 2flex digits at MCP joints and extend IP joints
- 69Nerve Supply, Nerve Roots and Blood Supply of Lumbricals 1 and 2Digital branches of median nerve - C8,T1 - Superficial and deep palmar arches
- 70Origin of Lumbricals 3 and 4medial 3 tendons of flexor digitorum profundus
- 71Insertion of Lumbricals 3 and 4lateral sides of extensor expansions of digits 2 to 5
- 72Action of Lumbricals 3 and 4flex digits at MCP joints and extend IP joints
- 73Nerve Supply, Nerve Roots and Blood Supply of Lumbricals 3 and 4Deep branches of median nerve - C8,T1 - Superficial and deep palmar arches
- 74- located between the metacarpal bones - arranged in 2 layers: 3 palmar and 4 dorsal - located between bonesInterosseous Muscles
- 75Interosseous Musclesdorsal interossei 1 to 4
palmar interossei 1 to 3 - 76Origin of palmar interossei 1 to 3adjacent sides of 2 metacarpal bones
- 77Insertion of dorsal interossei 1 to 4extensor expansions and bases of proximal phalanges of
digit 2 to 4 - 78Action of dorsal interossei 1 to 4abducts digits and assist lumbricals
- 79Nerve Supply, Nerve Roots and Blood Supply of dorsal interossei 1 to 4Deep branch of Ulnar Nerve - C8,T1 - Deep palmar arch
- 80Origin of palmar interossei 1 to 3palmar surfaces of 2nd, 4th and 5th metacarpal bones
- 81Insertion of palmar interossei 1 to 3extensor expansion of digits and bases of proximal
phalanges of digits 2, 4, and 5 - 82Nerve Supply, Nerve Roots and Blood Supply of palmar interossei 1 to 3Deep branch of Ulnar Nerve - C8,T1 - Deep palmar arch
- 83Nervesmedian, ulnar and radial nerves supply the hand
- 84- enters the hand through the carpal tunnel - supplies motor fibers to the 3 thenar muscles and the 1st and 2nd lumbricalsMedian Nerve
- 85sends cutaneous sensory fibers to the lateral palmar surface, the sides of the first 3 digits, the lateral half of the 4th digit, and the dorsum of the distal halves of these digitsMedian Nerve
- 86caused by any lesion that significantly reduces the size of the carpal tunnel (e.g. inflammation of the flexor retinaculum), resulting to compression of the median nerveCarpal tunnel syndrome
- 87- leaves the forearm by emerging from deep to the tendon of the flexor carpi ulnaris - passes alongisde the lateral border of the pisiform bone and goes with the ulnar artery on its lateral sideUlnar Nerve
- 88- ulnar artery and nerve are bridged over by a slender band of connective tissue, which forms a small tunnel (canal of Guyon)Ulnar Nerve
- 89Ulnar Nerve Branches At the distal border of the flexor retinaculum, the ulnar nerve ends by dividing into a superficial and deep branchpalmar cutaneous branch
dorsal cutaneous branch
superficial branch
deep branch - 90- arises just proximal to the wrist - passes superficial to the flexor retinaculum and to the palmar aponeurosis - supplies skin of the medial side of the palmpalmar cutaneous branch
- 91supplies cutaneous fibers to the anterior surfaces of the medial 1 ½ digitssuperficial branch
- 92supplies motor fibers to the hypothenar muscles, the medial 2 lumbricals, the adductor pollicis and all the interosseous muscles - also supplies several joints (wrist, intercarpal, carpometacarpal and intermetacarpal)deep branch
- 93Referred to as the nerve of fine movements – innervates muscles that are concerned with fine movementsdeep branch
- 94supplies no hand muscles - deep branch is muscular and articular in distribution - superficial branch is the direct continuation of the radial nerve along the anterolateral side of the forearm and is entirely sensoryRadial Nerve
- 95pierces the deep fascia near the dorsum of the wrist and supplies the skin and fascia over the lateral 2/3 of the dorsum of the hand, the dorsum of the thumb, and proximal parts of the lateral 1 ½ digitsRadial Nerve
- 96- due to radial nerve injury producing paralysis of the extensor muscles of the forearm - hand is flexed at the wrist and lies flaccid - digits are also flexed at the MCP jointsWrist drop
- 97Radial and ulnar arteries and their branches provide all the blood to the handArteries
- 98- smaller of the 2 terminal branches of the brachial arteryRadial Artery
- 99Radial Artery branch1. superficial palmar branch → superficial palmar arterial arch
2. princeps pollicis artery – supplies the thumb - 100Radial Artery branch3. radialis indicis – supplies lateral side of digit 2
4. deep palmar arterial arch – formed mainly by the radial artery
which joins the deep branch of the ulnar artery - 101arise from the deep palmar arch - run distally and join the commonpalmar metacarpal arteries
- 102arise from the superficial palmar arterial archpalmar digital arteries
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- Hard Anatomy Flashcards on Anatomy-Hands_Wrist, created by Jerrick Gencianeo on 25/10/2020.
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- Jerrick Gencianeo
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