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  • Wrist and Hand Notes

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    dreianne90
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    The document discusses the anatomy of the wrist and hand. It describes the bones, joints, ligaments and other structures. The wrist positions the hand and provides a stable base for hand function. It contains 8 carpal bones that articulate with the distal radius and ulna proximally and the 5 metacarpal bones distally. The hand has 5 digits including the thumb, and is a complex, multipurpose organ used for fine manipulation and grasping objects. Key bones mentioned are the scaphoid, lunate, distal radius and ulna. Major joints include the radiocarpal, midcarpal, carpometacarpal and interphalangeal joints.

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    Anatomical information regarding conditions and parts of the Wrist and hands

    Original Title

    Wrist-and-Hand-Notes

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    The document discusses the anatomy of the wrist and hand. It describes the bones, joints, ligaments and other structures. The wrist positions the hand and provides a stable base for hand function. It contains 8 carpal bones that articulate with the distal radius and ulna proximally and the 5 metacarpal bones distally. The hand has 5 digits including the thumb, and is a complex, multipurpose organ used for fine manipulation and grasping objects. Key bones mentioned are the scaphoid, lunate, distal radius and ulna. Major joints include the radiocarpal, midcarpal, carpometacarpal and interphalangeal joints.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    6 views3 pages

    Wrist and Hand Notes

    Uploaded by

    dreianne90
    The document discusses the anatomy of the wrist and hand. It describes the bones, joints, ligaments and other structures. The wrist positions the hand and provides a stable base for hand function. It contains 8 carpal bones that articulate with the distal radius and ulna proximally and the 5 metacarpal bones distally. The hand has 5 digits including the thumb, and is a complex, multipurpose organ used for fine manipulation and grasping objects. Key bones mentioned are the scaphoid, lunate, distal radius and ulna. Major joints include the radiocarpal, midcarpal, carpometacarpal and interphalangeal joints.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 3

    ● articulates with fibrocartilaginous disc

    of the TFCC or triangular fibrocartilage


    WRIST AND HAND complex
    comaparable to ankle and foot

    HAND: 1. Ulnar Styloid Process


    - Bony projection that us easily palpated
    ● complex, multipurpose organ
    when FA is pronated
    ● conforms around objects of all sizes and
    shapes
    2. Fovea
    ● used for pushing and pulling
    - Depression at the base of the styloid process
    ● can provide locomotion with the use of
    where the fibrocartilage attaches to
    crutches or wheelchairs
    ● sense organ for touch
    ● organ for expression and non-verbal
    communication B. Distal Radius
    ● primary forearm bone of the wrist

    1. Lister’s Tubercle
    WRIST:
    - Pulley for the tendon of extensor
    ● Positions the hand and provides a stable pollicis longus on the ulnae side and ED
    platform which the hand functions and EI tendons in the radial side
    ● Fine tuning for hand positions

    DIGITS of the HAND


    2. Radial Styloid Process
    A. Thumb - Projects more distally than ulnar styloid
    ● aka ‘Pollex’, pollicis process
    ● first digit, not a finger

    B. Second Digit - Attachment site for radial carpal


    collateral ligament @
    ● Pointer finger or index finger
    ● aka ‘first finger’ C. Carpals

    # 1 and 2 digits that are being used for fine manipulation


    and dexterity

    C. Third Digit
    ● middle finger or second finger
    ● longest finger of the hand

    D. Fourth Digit
    ● Ring finger
    ● 3rd finger

    E. Fifth Digit

    ● fourth finger
    ● smallest

    BONES lat. to med.

    - 29 bones Scaphoid, Lunate, Triquetrum, and Pisiform,


    Trapezium, Trapezoid, Capitate, and Hamate.
    A. Distal Ulna 1. Scaphoid
    ● does not come in contact with any carpal - A.k.a. carpal navicular
    bones - Largest bone on the proximal row
    - Second largest of the entire carpal bones
    - most fracture carpal bone due to FOOSH ➢ Pisiform
    mechanism
    JOINTS
    - if there is a avascular scaphoid necrosis it is
    called the preisers injury, radial nerve A. Radiocarpal Joint
    affected
    - Biconcave
    - scaphoid + trapezium = makes up the floor of
    the anatomic snuff box - Synovial

    - F
    2. Lunate
    - A.k.a. semilunar bone
    - Most common dislocated carpal bone (anterior)
    ‘diclunated’
    - Second most commonly fractured bone
    B. Midcarpal Joint
    - ‘murphys’, murphys sign dislocated lunate - Formed

    - necrosis = KIENBOCKS ;medial nerve injured - Scaphoid


    - distal necrosis = BURN’S DISEASE

    - Lunate
    3. Triquetrum
    - Formerly known as Triangular - Synovial
    - Third most commonly fractured carpal bone
    - Bed of the pisiform

    4. Pisiform
    - Pea shape
    - Sesamoid bone

    5. Hamate
    - A.k.a. unciform
    - Forms the Guyon’s canal

    6. Trapezium
    - A.k.a. greater multangular
    - Articulates with the thumb/ 1st digit C. Carpometacarpal Joint:
    First CMC Joint
    7. Trapezoid
    - Lesser multangular - Sellar

    - Articulation
    8. Capitate
    - A.k.a. osmagnum
    - Largest anong the distal row, largest of the - A
    carpal bone
    - First carpal bone to ossify

    According to ossification :
    D. METACARPOPHALANGEAL JOINTS
    ➢ Capitate
    - Condyloid
    ➢ Hamate
    ➢ Triquetrum
    - F
    ➢ Lunate
    ➢ Trapezium
    ➢ Trapezoid
    - R

    - A

    E. Interphalangeal Joints
    - Hinge

    - Articulation

    - (+)

    ANATOMICAL SNUFFBOX

    - Used to describe a triangular skin depression on


    the lateral side of the wrist.

    - Medial Border:

    - Lateral Border:

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