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wrist and hand joints
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proximally
distally
ulna is much larger ___ than radius and the radius is much larger ___ than the ulna
flex/entend
scapula and humerus serve as proximal attachments for muscles that ___ the elbow
pronate/supinate
scapula humerus and ulna serve as proximal attachments for muscle that ___ the radioulnar joint
humero ulnar joint
true elbow joint
hinge joint
1st degree of freedom- flexion/extension
the elbow is considered what type of joint and what is the degree of freedom
145
what is the active range of motion
160
what is the passive range of motion
UCL (elbow joint stability)
what elbow joint is critical in providing medial support to prevent elbow from abducting when stressed in physical activity
radial collateral ligament
provides lateral stability and is rarely injured
annular ligament
provides a sling effect around radial head for stability
interosseous membrane
joint between shafts of radius and ulna held tightly together between proximal and distal articulations by an ___
near elbow
articulation of radial head and radial notch (ulna)
place where all radioulnar joint movement occurs
proximal articulation of the radioulnar joint
near wrist
place where no initiation of radioulnar joint movement occurs
distal articulation of the radioulnar joint
annular ligament
provides a sling effect around radial head for stability
cubitus varus
distal segment adducted
cubitus valgus
distal segment abducted
pronation
palm facing down
supination
palm facing upward
assistive supinators
radial wrist extensors
extensor pollicis longus
extensor indicis
assistive pronators
flexor carpi radialis
palmaris longus
pronator
supinator
brachioradialis works both as a ___ to neutral radioulnar position and a ___ to neutral radioulnar position
stronger
supinators ___ than pronators
29 bones
how many bones are in the wrist and hands
more than 25
how many joints are in the wrist and hands
more than 30
18 of which are intrinsic
how many muscles are in the wrist and hands
radius
ulna
8 carpal bones (in 2 rows of 4 bones which form wrist)
5 metacarpal bones (numbered 1 to 5 from thumb to pinky)
14 phalanges (digits) (3 for each phalange except the thumb which has 2) (proximal, middle, distal)
thumb has seasomoid bones
other sesamoid bones in joints and fingers
what are the 29 bones of the wrist and hand
radiocarpal joint
wrist joint also called
scaphoid
the ___ supports most of the forces from radius to hand
most often the carpal broken with a broken wrist due to falling on outstretched hand
lunate
the ___ supports the rest of the forces from radius to hand
most often the carpal broken with a dislocated wrist due to falling on outstretched hand
three sided arch
carpal tunnel
carpal bones form a ___ creating the ___
retinaculum
a thick band of fibrous tissue running transversely across the wrist
extensor retinaculum
flexor retinanculum
dorsal tendons are held in place by the ___ and palmar tendons are held in place by the ___
radial deviation
movement of thumb side of hand towards lateral aspect or radial side forearm
ulnar deviation
movement of little finger side of hand toward medial aspect or ulnar side of forearm
thumb opposition
movement of thumb across palmar aspect to oppose any or all of the phalanges
thumb reposition
movement of thumb as it returns to anatomical position from opposition with hand and/or fingers
radial deviation movements
flexion
extension
abduction
ulnar deviation movement
adduction
radial/ulnar deviation
occurs between the proximal and distal carpals
action of the carpals sliding over each other creates the movement
a form of gliding joint
70-90 degrees
flexion degree of the wrist
65-85 degrees
extension degree of the wrist
15-25 degrees
radial deviations degree of the wrist
metacarpophalangeal joints (MCP)- condyloid joint
proximal interphalangeal joints (PIP)- hinge joint
distal interphalangeal joints (DIP)- hinge joint
what joints do each finger have
carpometacarpal joint (CMC)- saddle joint
metacarpophalangeal joint (MCP)- hinge joint
interphalangeal joint (IP)- hinge joint
thumb joints