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PT 384 hand
Question | Answer |
---|---|
What are the hand muscles are innervated by the RADIAL nerve? | Abductor pollicus longus, Extensor digiti minimi, Extensor digitorum, Extensor pollicis brevis, Extensor pollicus longus |
What are the hand muscles are innervated by the MEDIAN nerve? | Abductor pollicus brevis, Flexor digitorum profundus(half), Flexor digitorum superficialis, Flexor pollicis brevis, Flexor pollicis longus, Lumbrical 1, Lumbrical 2, Opponens pollicis. |
What are the hand muscles are innervated by the ULNAR nerve? | Abuductor digiti minimi, Adductor pollicis, Dorsal interosei, Flexor digiti minimi, Flexor digitorum Profundis (half), Lumbrical, Lumbrical 4, Opponens digi minimi, Palmer interossei |
ED nerve | Radial |
EI nerve | Radial |
APL nerve | Radial |
Lumbricals 3 & 4 nerve | Ulnar |
OP nerve | Median |
EDM nerve | Radial |
EPL nerve | Radial |
EPB nerve | Radial |
FDS nerve | Median |
FDP nerve | Median & Ulnar |
APB nerve | Median |
Lumbrical 1 & 2 nerve | Median |
FDM nerve | Ulnar |
ADM nerve | Ulnar |
ODM nerve | Ulnar |
AP nerve | Ulnar |
Doral interossei nerve | Ulnar |
Palmar interossei nerve | Ulnar |
FDS origin | Medial epicondyle |
FDS insertion | Side of Middle phalanx of 4 fingers |
FDS action | Flexes MCP & PIP joints of fingers |
FDP origin | Upper 3/4 ulna |
FDP insertion | Distal phalanx of 4 fingers |
FDS action | Flexes MCP, PIP, & DIP jonits of 4 fingers |
FPL origin | Radial, anterior surface |
FPL insertion | Distal phalanx of thumb |
FPL action | Flex CMC, MCP & IP thumb joints |
APL insertion | 1st metacarpal base |
APL action | Abducts thumb (CMC joint) |
EPB insertion | Base of proximal phalanx of thumb |
EPB action | Extends CMC & MCP joints of thumb |
EPL insertion | Base of distal phalanx of thumb |
EPL action | Extends CMC, MCP, & IP thumb joints |
ED origin | Lateral epicondyle of humerus |
ED instertion | Base of distal phalanx of 4 fingers |
ED action | Extends MCP, PIP, & DIP joints of 4 fingers |
EI insertion | Distal of phalanx 2nd finger |
EI action | Extends MCP, PIP, & DIP joints of 2nd finger |
EDM insertion | base of distal phalanx of 5th finger |
EDM action | Extends MCP, PIP, & DIP joints of 5th finger |
FPB insertion | proximal phalanx of thumb |
FPB action | Flexes CMC & MCP thumb joints |
Is APB intrinsic or extrinsic? | intrinsic |
APB insertion | proximal phalanx of thumb |
APB action | abducts thumb at CMC joint |
OP insertion | 1st metacarpal |
OP action | opposes thumb at CMC joint |
AP insertion | base of proximal of phalanx thumb |
AP action | adducts thumb at CMC joint |
Dorsal interossei action | abducts fingers at MCP joint (DAB) |
Palmar interossei action | adducts fingers at MCP joint (PAD) |
Is the little finger abducted by the interossei? | No! The ADM abducts the little finger |
List the extrinsic muscles. | Flexor Digitorum Superficialis, Flexor Digitorum Pollicis, Flexor Pollicus Longus, Abductor Pollicis Longus, Extensor Digitorum, Extensor Digiti Minimi, Extensor Pollicis Longus, Extensor Pollicis Brevis |
Dorsal interossei origin | Adjacent metacarpals |
Dorsal interossei insertion | Base of proximal phalanx |
Palmar interossei origin | 1st, 2nd, 4th & 5th metacarpals |
Palmar interossei insertion | Base of proximal phalanx |
Why is the base and head of a phalanx larger than it's shaft? | To provide greater torque |
In which plane does the thumb go into flexion/extension? | the frontal plane |
In which plane does the thumb go into abduction/adduction? | the saggital plane |
Why is the Flexion/extension & abduction/adduction of the thumb in planes different then the rest of the body joints? | because the thumb is rotated 90 degrees away from the fingers |
How many degrees of freedom does the MCP joints have? | 2 |
What plane does abduction occur in the thumb? | the sagittal plane |
Is the palmer carpal ligament proximal or distal to the wrist? | proximal |
Which muscles make up the Thenar muscles | Adductor pollicis, Opponens pollicis, Flexor pollicis longus, Flexor pollicis brevis |
Which muscles make up the anatomical snuff box? | Extensor Pollicis longus, Extensor pollicis brevis, Abductor Pollicis Longus |
What is the role of the lumbricals and the interossei? | 1) Allow flexion of MCP joints before distal joints--more functional grip. 2) Balance pull of ED at finger joints |
When there is ulnar nerve damange at wrist level, which muscles will be weak? | 1) All interossei, 2) 2 medial lumbricals, 3)hypothenar muscles (FDM, ODM, AbDM), and 4)adductor pollicus. |
What happens with ulnar nerve damage at wrist? | Claw hand- ED pulls MCP into hyperextension. Long finger flexors pull on PIP & DIP of 4th & 5th fingers |
What happens with ulnar nerve danage at elbow? | Less of a claw- 1) All interossei, 2) 2 medial lumbricals, 3)hypothenar muscles (FDM, ODM, AbDM), and 4)adductor pollicus. ALSO 1/2 of FDP & FCU |
What happens with median nerve damage at wrist? | |
What muscles make up the hypothenar muscles | Flexor digiti minimi, Abductor digiti minimi, Opponens digiti minimi |
EI | Extensor indicis |
FDM insertion | Base of proximal phalax of 5th finger |
FDM action | Flexes CMC & MCP joints of 5th finger |
ADM insertion | Proximal phalanx of 5th finger |
ADM action | Abducts MCP joint of 5th finger |
ODM insertion | 5th metacarpal |
ODM action | Opposes 5th finger at CMC joint |
What is De Quervain’s Disease? | Inflammation of sheath containing APL and EPB |
What isTrigger Finger (stenosing tenosynovitis)? | Swelling of the sheath or tendon |
What happens with a radial nerve injury at the wrist? | Wrist Drop Loss of extensors of the wrist and hand Sensory loss not devistating |
What happen with a median nerve injury at the wrist? | Takes out thenar muscles: loss of thumb function Sensory loss is great |
What happen with a median nerve injury at the elbow? | Takes out all flexors, except FDP to digits 4 and 5 Sensory loss is great |