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Wrist Hand
Kinesiology for DPT
Question | Answer |
---|---|
Do pivot joints have glide? | No. |
Does the ulna make contact with the carpals? | hell, no |
Trapezium articulates with the ________. | thumb |
Starting with proximal, radial carpals and moving towards the ulna, what are the carpals? | S L T P T T C H |
Which carpal has poor blood supply? | scaphoid and the lunate (Keinboch's disease) |
What does foosh stand for? | fall on out stretched hand |
If you fracture the scaphoid, you will feel pain on the ___________. | snuffbox |
What injury is the lunate prone to? | dislocation |
What is the only proximal carpal with muscle attachment and what muscle attaches to it? | pisiform and the abductor digiti minimi attaches to it. |
The trapezium forms a ________ joint with the ___________. | saddle; 1st metacarpal |
Do not use thumb as a ___________ joint. | rotatory |
The keystone of the wrist is the ___________. | capitate |
Flex your wrist and the bone that pokes out is ________. | the capitate |
The wrist serves to _________ the length tension ratios of muscles. | optimize |
The wrist consists of __________ and ________________ joints. | radiocarpal and midcarpal |
No muscles provide movement at ____________ joint in the wrist. | only one (movement is linked to both joints |
Is the radiocarpal joint concave on convex? | No. Convex on concave |
The inclination of the radius is _____ degrees and ___ mm | 23 degrees and 12 mm |
The triangular fibrocartilaginous complex consists of ______. | meniscus homologue; dorsal and palmar radioulnar ligaments |
What are the four functions of the triangular fibrocartilaginous complex? | provides articular surface for ulna/radius and carpals/ulna; binds distal radius and ulna; provides stability; shifts loads from radius to ulna |
Midcarpal joints are ____________ joints bw carpals | plane synovial |
The midcarpal joint participates in __________ motions. | wrist |
Volar ligaments of the wrist do this? | maintain ingegrity of carpals |
Dorsal ligaments of wrist do what? | support dorsal surface of carpals |
If I go into radial deviation I am stressing the _________ ligament. | ulnar |
Intercarpals prevent ____________. | separation of carpals |
In full wrist extension, ______ is on ________. | scaphoid on radius |
In full wrist flexion, _________ is on __________. | capate on scaphoid |
In partial wrist extension, _______ is on _________. | scaphoid on lunate |
In neutral to 45 degrees the scaphoid moves..... | as part of the distal row |
Scaphoid and capitate are in close packed position at ________. | neutral |
In wrist, flexion to extention ______ moves on ________ | distal moves on proximal |
From neutral to 45 degrees of extension, the scaphoid part of the distal row i | |
In full wrist flexion, _________ is on __________. | capitate on scaphoid |
In partial wrist extension, _______ is on _________. | scaphoid on lunate |
In neutral to 45 degrees the scaphoid moves..... | as part of the distal row |
Scaphoid and capitate are in close packed position at ________. | neutral |
In wrist, flexion to extention ______ moves on ________ | distal moves on proximal |
What are the articulating surfaces of the CMC on the thumb? | trapezium with 1st metacarpal |
Joints 2-5 CMC are what kind of joints? | plane synovial |
On CMC where is the articular cartilage? | all sides, multiple small articulations |
What is the motion of CMC | primarily flex/extend |
The CMC has strong _________ and _______ longitudinal ligs | strong transverse ligaments and weaker longitudinal ligaments |
What type of joint is the CMC of the thumb and how many degrees of freedom does it have? | saddle, 2DF |
MCP's give us that __________ grip | ducky |
The pisiform serves as a ________ bone to increase the lever arm of flexor carpi ulnaris. | sesamoid |
What is a sesmoid bone? | a bone embedded within a ligament |
What muscle inserts on the pisiform, hook of hamate and base of fifth metacarpal? | flexor carpi ulnaris |
What motions take pace at the radiocarpal joint? | biaxial: flexion/extension and ulnar/radial deviation |
What is the end feel of the ulnar deviaton? | firm |
What is the end feel of radial deviation? | hard |
Is ulnar variance normal? | No. |
At 45 degrees of extension ______ ligament becomes tight and _______ and _______ are in closed packed position. | scapholunate; scaphoid and lunate |
When you are in 45 degrees to full extension of the wrist, ______ carpals act as a unit on radius and ________. | all; triangularfibro cartilaginous complex |
When you are completing radial and ulnar deviation, the proximal and distal rows of carpals move _________________. | in opposite directions |
What are the motions of the CMC of the thumb and these motions occur in which planes? | flex and extend in frontal plane; ab/adduction in the sagital plane; opposition occurs cross planarly |
On the CMC of the thumb, abduction and adduction are _________________. (convex on concave or concave on convex) | convex on concave |
On the CMC of the thumb, flexion and extension are ____________________. (convex on concave or concave on convex) | concave on convex |
The articulating surfaces of the metacarpalphalangeal joints are __________. (convex on concave or concave on convex) | concave phalanx on convex metacarpal |
What type of joints are the MCP's and how many degrees of freedom do they have? | condyloid 2 DF |
What are the motions of the MCP's? | flexion/extension; ab/adduction |
When are the MCP's in close packed position? | When they are in full flexion. |
The MCP capsule is lax in _________. | extension |
The volar plates palmarly _________ capsule, _________ joint stability, keeps tendon __________ joint and __________ hyperextension | reinforces capsule, enhances joint stability, keeps tendon away from joint, restricts hyperextension |
The MCP collateral ligaments are ________ in extension and ________ in flexion. | loose in extension; tight in flexion |
The interphalangeal joints are _________ joints, have ____ degree of freedom, are _________ on __________ and facilitate these actions: | hinge; 1 DF; convex on concave; flexion and extension |
Interphalangeal joints are close packed when in __________. | extension |
Each IP joint has a joint ________ and __________ ligament. | joint capsule and collateral ligament |
On the flexar surface there is are _____ and _______ bursa. | radial and ulnar |
The radial bursa is (continuous/non-continuous??) and encases _________. | continuous and encases the flexor pollicis longus |
The ulnar bursa is (continuous/non-continuous??) and encases _______________. | all flexor digitorum profundus and flexor digitorum superficialis tendons |
There are _______ synovial sheaths for extensor tendons. | individual |
There are ___ separate synovial sheaths for extensor tendons (______ tunnels). They are the following: | 6; dorsal; 1. APL, EPB 2. ECRL, ECRB 3. EPL 4. EI, EDC 5. EDM 6. ECU |
What does the extensor retinaculum prevent? | bowstringing of extensor tendons |
What 2 things do the flexor retinaculum do? | maintain carpal arch, prevent bowstringing of finger flexors |
What nerves run through the flexor retinaculum? | median nerve runs deep to retinaculum through carpal tunnel, ulnar runs deep to retinaculum in tunnel of guyon |
Name the power grips | cylindrical, spherical, hook, lateral prehension |
Name the precision grips | pad to pad tip to tip pad to side |
_________________ is a flexor compartment syndrome that affects the ulnar nerve and results in a claw hand. | Volkmann's ischemic contracture |
If someone has an ape hand the ________ nerve is being affected. | median nerve |
The __________ nerve results in a limp wrist. | radial nerve |
In carpal tunnel syndrome the ___________ is being compressed. | median nerve |
What are the symptoms of carpal tunnel syndrome? | hand parasthesia, pain atrophy of thenar muscles |
What are the treatments for carpal tunnel? | splinting, work station evaluation, anti-inflammatory modalities, patient education |
___________ nerve compression at the wrist causes Guyon's canal syndrome. | Ulnar |
_______ syndrome is when there is inflammation of the 1st extensor sheath, pain in the anatomical snuff box, and results in a positive Finklestein's test. | DeQuervain's |
What is the symptom and cause of trigger finger? | tendon sticks when trying to extend finger; thickening of tendon sheath, nodules on tendon |
What causes "Pope's hand" and what is the disorder caused? | contraction of palmar fascia resulting in fixed flexion deformity of MCP and PIP; Dupuytren's Contracture |
__________ causes swan neck deformity where the lateral bands sublux dorsally. The PIP hyperextends and DIP flexes. This may be caused by spasms of ______. | Extensor mechanism dysfunction; intrinsics |
What is Boutonniere's deformity? | rupture of central slip resulting in lateral bands slipping volarly; flexion of PIP and extension of DIP |
Mallet finger is a rupture or avulsion of central tendon where it _____ into ____________ resulting in the inability to extend ____________ actively. | inserts; distal phalanx; distal phalanx |