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Acu Anatomy- Week 2
Anatomy of Upper Extremities Points 37-70
| Question | Answer |
|---|---|
| 2 cun above TCOTW, between tendons of palmaris longus and flexor carpis radiais | PC-6 |
| 2 cun above SJ-4, between radius and ulna | SJ-5 |
| Superior (PROXIMAL) to styloid process of radius, 1.5 cun above the wrist crease. (Do the alligator/scissor finger/thumb thing to find it-- on yourself.) | LU-7 |
| Dorsal to head of ulna. With palm facing chest, in bony cleft on radial side of styloid process of ulna. | SI-6 |
| 1 cun above wrist crease in depression on lateral (radial) side of radial artery. | LU-8 |
| Radial side of wrist. When thumb is tilted upward, in depression between tendons of m. extensor pollicis longus (& brevis). Aka anatomical snuffbox. | LI-5 |
| On the TCOT(dorsal)W, in depression lateral to tendon of extensor digitorum communis. | SJ-4 |
| Radial end of wrist crease, depression on lateral side of radial artery. | LU-9 |
| Middle of TCOTW, between tendons of palmaris longus and flexor carpi radialis. | PC-7 |
| At the ulnar end of TCOTW, in depression on RADIAL side of tendon of flexor carpi ULNARIS. | HT-7 |
| Ulnar side of palm, in depression between base of 5th metacarpal bone and TRIQUETRAL bone. (Between 5MC and PISIFORM??!!) | SI-4 |
| Dorsum of hand, between 1st and 2nd MC bones, middle of 2nd MC bone on radial side. | LI-4 |
| Radial aspect of midpoint of first metacarpal (1MC) bone @ junction of R&W skin. (On the thenar eminence of the hand, in the depression between the midpoint of the shaft of the 1MC bone and the thenar muscles. | LU-10 |
| With loose fifst, proximal to 5th MCP joint, at junction of R&W skin. | SI-3 |
| Avoid puncturing RADIAL ARTERY | LU-8 |
| Avoid puncturing RADIAL ARTERY | LU-9 |
| This point is contraindicated in pregnant woman. | LI-4 (Hegu aka Joining Valleys) |
| The only one of these sets of points that is SHALLOWER than 0.3-0.5 cun. | LU-9 is 0.2-0.3 cun. Not sure why- if you are already lateral (radial) to the radial artery. But good to know. |
| Which of these points is needled "Oblique Upward?" | LU-7 |
| Three of these points are indicated for slightly deeper insertion than the prevalent 0.3-0.5 cun. What are they? | They are all 0.5-1.0 cun. LI-4!!! (Hegu aka Joining Valleys) ALso PC-6 (2 cun superior (proximal) to TCOW point PC-7) and SJ-5. (San Jiao 5 is exactly "across from" (through the wrist) PC-6.) |
| Wrist bone here is said to be scaphoid. (Along with radius) | LI-5, LU,9, PC-7 (but PC-7 touches scaphoid AND lunate) LI-5 anatomy is scaphoid and trapezium. |
| Wrist bone here is said to be triquetral. | SJ-4 |
| So the bones at base of 1MC (thumb) are what (distal to proximal)? | Trapezium is directly at base of 1MC. Below that is scaphoid. |
| Bones at dorsal/ulnar side of hand are what (distal to proximal at base of 5mc)? | Hamate is more or less at base of 5MC (pinky finger). The 2 overlapping-ish bones below hamate are pisiform & triquetral. Pisiform should be a bit more lateral (ulnar) than triquetral. Radial to them (or to triquetral) is lunate. Lunate is below capitate. |
| Bones for this point are 5MC, pisiform and triquetral. | SI-4 |
| Bones for this point are 1st and 2nd metacarpals (dorsum of hand). | LI-4 |
| Only one bone for this point! 1MC (JORAWS) | LU-10 |
| Only one bone for this point! 5MC (JORAWS) | SI-3 |
| Muscles (holy shit): Tendons of flexor carpi radialis/palmaris longus, flexor digitorum superficialis/profundus, pronator quadratus, anterior interosseus membrane | PC-6 |
| Muscles: Extsensor digiti minimi, extensor digitorum communis, extensor pollicis longus, extensor indicis, anterior interosseus membrane (How can both SJ and PC have ANTERIOR i.o.m. for muscles?) | SJ-5 |
| Muscles: Tendon of brachioradialis, tendon of extensor pollicis longus, pronator quadratus | LU-7 |
| Muscles: Tendon of extensor carpi ulnaris | SI-6 |
| Muscles: Tendons of abductor pollicis longus & flexor carpi radialis | LU-8 |
| Muscles: Tendons of extensor pollicis longus/brevis, tendon of extensor carpi radialis longus | LI-5 |
| Muscles: Tendons of extensor digitorum communis & extensor digiti minimi | SJ-4 |
| CEPHALIC VEIN!!! Also radial artery and its dorsal carpal branch. | LI-5 |
| Muscle: Flexor carpi ulnaris | HT-7 |
| Muscles: Tendons of abductor pollicis longus & flexor carpi radialis | LU-9 |
| Muscles: Tendons of flexor carpi radialis and palmaris longus, tendor of flexor pollicis longus, tendons of flexor digitorum superficialis and produndus | PC-7 |
| Here's a cool muscle: Pisometacarpal ligament (and abductor digiti minimi) | SI-4 |
| Muscles: First dorsal interosseus (membrane), adductor pollicis, tendon of extensor pollicis longus | LI-4 |
| Abductor pollicis brevis, opponens pollicis, flexor pollicis brevis | LU-10 |
| Extensor digiti minimi, flexor (!!) digiti minimi brevis | SI-3 |
Created by:
mrbarr
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