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RA 102 - Chapter 5
Upper Extremity: Hand & Wrist
| Term | Definition |
|---|---|
| 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 |