Structure and Function of the Wrist 8 small bones in 2 rows that - - PowerPoint PPT Presentation

structure and function of the wrist
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Structure and Function of the Wrist 8 small bones in 2 rows that - - PowerPoint PPT Presentation

Structure and Function of the Wrist 8 small bones in 2 rows that articulate with the distal radius, ulna and proximal metacarpals The Wrist Articulations: The radiocarpal joint The midcarpal joint Motions: Flexion &


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8 small bones in 2 rows that articulate with the distal radius, ulna and proximal metacarpals

Structure and Function of the Wrist

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The Wrist

 Articulations:

 The radiocarpal joint  The midcarpal joint  Motions:  Flexion & Extension  Radial & Ulnar Deviation

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The Wrist

 Palmar = anterior aspect of the wrist and hand  Dorsal = posterior aspect of the wrist and hand

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Distal Ulna & Radius

Ulna Radius Head Styloid Process Styloid Processes

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Carpals

Left Hand Palmar Aspect (Anterior Aspect)

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The Wrist with the Carpals

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Carpal Tunnel Syndrome

 The Transverse Carpal Ligament

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Arthrology of the Wrist

 Radiocarpal Joint

 Accepts approximately 80% of

the force that crosses the wrist

 Concave radial surface & articular

disc

 Convex carpals: scaphoid (7) & lunate

(8)

 Midcarpal

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Intrinsic versus Extrinsic to the Wrist

 Intrinsic-

 Originating within the area and

inserting in the area

 Extrinsic-

 Originating outside of the area but

inserting in the area

Triangular fibrocartilage (TFC) Lunotriquetral Ligament (L T Lig) Scaphoid Lunate (S L Lig)

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Myology of the Wrist

Extensor Carpi Radialis Brevis Origin Lateral epicondyle of the humerus- common extensor tendon Insertion Base of the 3rd metacarpal-dorsal aspect Innervation Radial n. Action Wrist extension, radial deviation “tidbit” What’s in a name? Common origin?

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Myology of the Wrist

Extensor Carpi Radialis Longus Origin Lateral epicondyle of the humerus, common extensor tendon Insertion Base of the second metacarpal- dorsal aspect Innervation Radial n. Action Wrist extension, radial deviation “tidbit” What’s in a name? Common origin?

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Myology of the Wrist

Extensor Carpi Ulnaris Origin Lateral epicondyle of the humerus-common extensor tendon and posterior border of the middle 1/3 of the ulna Insertion Base of the 5th metacarpal-dorsal surface Innervation Radial n. Action Wrist extension, ulnar deviation “tidbit” What’s in a name? Common origin?

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Myology of the Wrist

Flexor Carpi Radialis Origin Medial epicondyle of the humerus- common flexor tendon Insertion Base of the 2nd metacarpal-palmar aspect Innervation Median n. Action Wrist flexion, radial deviation “tidbit” What’s in a name? Common origin?

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Myology of the Wrist

Flexor Carpi Ulnaris Origin Medial epicondyle of the humerus- common flexor tendon and posterior border of the middle 1/3

  • f the ulna

Insertion Base of the 5th metacarpal and pisiform- palmar aspect Innervation Ulnar n. Action Wrist flexion, ulnar deviation “tidbit” What’s in a name? Common origin?

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Myology of the Wrist

Palmaris Longus Origin Medial epicondyle of the humerus- common flexor tendon Insertion Transverse carpal ligament and the palmar fascia Innervation Median n. Action Wrist flexion “tidbit” Approximately 10% of the population will NOT have this muscle

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Identify!

 Wrist extensors  Wrist flexors  Radial deviators  Ulnar deviators

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Identify!

 Flexor Carpi Ulnaris  Palmaris Longus  Flexor Carpi Radials

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Identify!

 Extensor carpi radialis brevis  Extensor carpi radials longus  Extensor carpi ulnaris  Flexor carpi ulnaris  Extensor retinaculum