Wrist and Hand Conditions College of the Siskiyous腕和手的条件的siskiyous大学.pptVIP

Wrist and Hand Conditions Chapter 13 Wrist Articulations Radiocarpal: Radius with the Scaphoid, Lunate, Triquetrum. Intercarpal Distal Radioulnar Triangular Fibro cartilage Complex stabilizes the Radioulnar joint. Hand Articulations Carpometacarpal (CM) Intermetacarpal (IM) Metacarpophalangeal (MP) Interphalangeal (IP) Carpometacarpal and Intermetacarpal Joints CM of the thumb is a saddle joint CM of the four fingers gliding joints IM reinforced by joint capsules comprised of the dorsal, volar, and two interosseous CM ligaments Metacarpophalangeal Joints Rounded distal heads of the metacarpals articulate with the concave proximal ends of the phalanges Reinforced by strong collateral ligaments Interphalangeal Joints The Proximal (PIP), Distal (DIP), and the IP joint of the thumb are all hinge joints The articular capsule made up of volar and collateral ligaments surround each IP joint Muscles Retinacula of the Wrist: The fascial tissue surrounding the wrist thickened into strong fibrous bands called retinacula that form protective passageways through which tendons, nerves, and blood vessels pass. Tendon Sheaths: Sealed at both ends containing synovial fluid, annular pulleys that prevent tendon bowstringing with flexion. Kinematics Flexion Extension Hyperextension Radial deviation Ulnar deviation Flexion Flexor carpi radialis Flexor carpi ulnaris Palmaris longus (sometimes absent) Flexor digitorum superficialis Flexor digitorum profundus Extension and Hyperextension Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris Extensor pollicis longus Extensor digiti minimi Extensor digitorum Radial and Ulnar Deviation Radial Deviation Flexor carpi radialis Extensor carpi radialis Ulnar Deviation Flexor carpi ulnaris Extensor carpi ulnaris Kinetics of the Wrist Extrinsic flexor muscles are twice as strong as the… Extrinsic extensor muscles Flexors used everyday for gripping, grasping, or pinching movements. Strengthening Strengthening should i