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Dr. R Dutta Dept of Emergency Medicine Peerless Hospital
Dr. R Dutta Dept of Emergency Medicine Peerless Hospital
Dr. R Dutta Dept of Emergency Medicine Peerless Hospital
& hand
Dr. R Dutta
Dept of Emergency
Medicine
Peerless Hospital
A- Bones
1- wrist :
the distal end of the radius articulates
with two bones of the proximal raw of
the carbal bone which are the lunate &
the scaopoid & triquetrum to form the
wrist joint
2- Intercarpal joints :
Extends the MCP of the thumb Extends the IP joint of the thumb
Extends the fingers from II –V @ the MCJ, Extend little finger @ the MCP
p.S : all of the extrinsic extnsor group innerated by the radial nerve .
Extrinsic flexors
There are 3 layers of extrinsic flexors:
1- the superficial muscle: their primary action at the wrist or palm.
2- the intermediate muscle : Flexes PIP joints of 2-5 digits, assists in flexion of the MCP
joints and in wrist flexion.
Abducts the CMC and MCP joints of the thumb. Pull the thumb medially & dorward
across the palm
Flexes the MCP joint of the little finger Abducts, assists in opposition
p.S : all the muscle of this group innervated by the deep branch of the ulnar .
Lumbricals
The lumbrical muscles contribute to:
@At the hand, the superficial branch forms the digital nerves.
Provide sensation at the small finger and ulnar aspect of the ring finger
Radial Nerve
Innervating the wrist extensors
Proper palmar digital : which drain into the common palmar digital veins then
drain to the superficial palmar venous arch and eventually draining to the ulnar
veins which drain the medial aspect of the arm .