Hand,wrist,_and_elbow_notes.doc.docVIP

anatomical snuffbox - Area formed by the extensor tendons of the thumb. bennetts fracture - Fracture of the carpometacarpal joint. boutonniere deformity - A deformity caused by a rupture of the extensor tendon dorsal to the middle phalanx. bowlers thumb - Perineural fibrosis of the subcutaneous ulnar digital nerve. carpal tunnel syndrome - Compression of the median nerve resulting from inflammation of the tendons and synovial sheath. carpus - Wrist. Colles fracture - Forearm fracture of the lower end of the radius or ulna. gamekeepers thumb - A sprain of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. de Quervains disease - Stenosing tenosynovitis of the first tunnel of the wrist, causing pain on movement of the extensor pollucis brevis and abductor pollucis longus. interosseous membrane - A thin sheet of fibrous tissue that runs downward from the radius to the ulna and transmits forces directly through the hand from the radius to the ulna. mallet finger - Injury caused by a blow from a thrown ball that strikes the tip of the finger and avulses the extensor tendon from its insertion along with a piece of the bone. Anatomy of the Wrist, Hand and Fingers Hand and Fingers Phalanges make up the fingers. 2 in the thumb, 3 each in digits 2-5 5 metacarpal bones in the hand Wrist Wrist formed by the distal radius and ulna with proximal row of four and distal row of four carpal bones, that articulate with the metacarpals Proximal row of carpals: scaphoid, lunate, triquetral, and pisiform Distal row of carpals: trapezium, trapezoid, capitate and hamate TFCC lies between the head of ulna and the triquetral bone Articulations Radiocarpal Joints: Condyloid Joints – permit flexion, extension and circumduction Carpal Joints: Arthrodial, or Gliding Joints Metacarpal Joints: Condyloid Joints – permit flexion, extension, abduction, adduction and circumduction, thumb is a saddle joint InterPhalangeal Joints: Hinge joints – allow only flexion and extensio