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RA 102 - Chapter 5

Upper Extremity: Hand & Wrist

TermDefinition
Bone Development: develops in the 2nd month of pregnancy
Primary ossification begins before: birth and forms the short and irregular bones; also, central shaft of long bones (Diaphysis)
Secondary ossification begins: after birth; separate bone develops at both ends of long bones (Epiphysis)
Complete ossification occurs between: the ages of 15- 21 yrs; earlier for females than males
Bones are classified by shape: long, short, flat or irregular
Diaphysis: the long shaft of bones
Epiphysis: the ends of long bones
Long bones: provides support; long , narrow; long shaft with 2 ends (Joints); femur, humerus, and phalanges of the fingers and toes
Short bones: short, wide; contains red marrow; no shaft; carpals (wrist bones), tarsals (ankle and heel bones)
Flat bones: flat surface provides protection and broad surface allows muscle attachment; cranium, sternum, scapula
Irregular bones: peculiar shape and variety forms; serves many functions; vertebrae and pelvic bones
Sesamoid bones: small and oval; alter direction of muscle pull and decrease friction; patella (kneecap)
Outer layer of bones: compact bone; protects and gives strength; network of interconnecting spaces called trabeculae (Bone Tissue)
Inner layer of bones: spongy bone
The medullary cavity is the central cavity of _____ where red bone marrow and/or yellow bone marrow is stored: long bone shaft
Periosteum: a membranous tissue (Sheath) that overs all bony surfaces except joints
Should be able to see _____ in the x-ray: the trabeculae
Epiphyseal plate vs Fracture: hard to determine in an x-ray
Functional Joints: Synarthroses, Amphiarthroses, Diarthroses
Synarthroses: not movable; sutures of skulls, pubic symphysis
Amphiarthroses: slightly movable; tib/fib; symphysis and the pubic symphysis
Diarthroses: freely movable; knees, shoulders
Structural Joints: Fibrous, Cartilaginous, Synovial
Fibrous: synarthrotic joint formed when held together
Cartilaginous: antiarthritic; held together by cartilage.
Synovial: encased in a joint capsule; freely movable; knee
Synovial joint movement: gliding; hinge; pivot; ellipsoid; saddle; ball & socket
Gliding: inter-carpal spaces in the wrist; sliding movement
Hinge: elbow; it allows flexion and extension
Pivot: allows rotational movement; spine allows head to turn
Ellipsoid: (Condyloid) – movement in 2 directions; carpal and radius; wrist
Saddle: phalanges of thumb and carpal bone
Ball and Socket: allows the most movement in all direction; hip joint
How many bones in the hand and wrist together? 27 bones
How many phalanges does the hand have? 14 phalanges
How many metacarpals does the palm have? 5 metacarpals
How many carpals does the wrist have? 8 carpals
The _____ is on the lateral side of hand the thumb
Two rows of four carpals are the: proximal and distal
Proximal row of carpals: lateral to medial: scaphoid, lunate, triquetrum, pisiform
Distal row of carpals: lateral to medial: trapezium, trapezoid, capitate, hamate
Name the largest carpal bone: the capitate carpal; found in the center
Joints of hand & wrist are considered as: synovial and diarthrotic joints
Joints of Hand & Wrists: - numbered same as the digit - named for the 2 bones making up the joint space - most proximal bone named first
Joint space of head of metacarpal and end of phalanges are called: metacarpophalangeal
Interphalangeal (IP) joints: - articulations (Joint) between phalanges - identified by location and digit number - classified as synovial, diarthrotic, or freely moveable joint; hinge type
Metacarpophalangeal (MCP) joints: -a rticulations between the heads of the metacarpals and the proximal phalanges - identified by number: first, second, third classified as synovial, diarthrotic, ellipsoidal type
Created by: nycems
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