wrist and hand
DESCRIPTION
Wrist and Hand. Presented by: Selene Bonnell-Hall Mettelisa Jen Smart. WRIST (CARPAL) BONES. WRIST AND DISTAL PORTION OF FOREARM BONES. HEAD OF ULNA. RADIUS STYLOID PROCESS. RADIUS ULNAR NOTCH. ULNA STYLOID PROCESS. WRIST (CARPAL) BONES. WRIST (CARPAL) BONES. WRIST (CARPAL) BONES. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/1.jpg)
Wrist and HandPresented by:
Selene Bonnell-HallMettelisa Jen Smart
![Page 2: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/2.jpg)
WRIST (CARPAL) BONES
![Page 3: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/3.jpg)
WRIST AND DISTAL PORTION OF FOREARM BONES
ULNA STYLOID PROCESS
HEAD OF ULNA
RADIUS ULNAR NOTCH
RADIUS STYLOID PROCESS
![Page 4: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/4.jpg)
WRIST (CARPAL) BONES
![Page 5: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/5.jpg)
WRIST (CARPAL) BONES
![Page 6: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/6.jpg)
![Page 7: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/7.jpg)
WRIST (CARPAL) BONES
![Page 8: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/8.jpg)
![Page 9: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/9.jpg)
ARTICULAR (JOINT) CAPSULE
![Page 10: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/10.jpg)
WRIST AND HAND JOINTS
![Page 11: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/11.jpg)
HAND LIGAMENTS
PALMER APONEUROSIS (FASCIA)
![Page 12: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/12.jpg)
WRIST LIGAMENTS
![Page 13: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/13.jpg)
WRIST LIGAMENTS
EXTENSOR RETINACULUM
![Page 14: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/14.jpg)
WRIST LIGAMENTS
COMMON FLEXOR SHEATH
![Page 15: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/15.jpg)
HAND COMPARTMENTS AND SPACES
CENTRAL COMPARTMENT
THENAR SPACE
MIDPALMER SPACE
ADDUCTOR COMPARTMENT
THENAR COMPARTMENT
HYPOTHENAR COMPARTMENT
INTEROSSEOUS COMPARTMENT
![Page 16: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/16.jpg)
HAND COMPARTMENTS AND SPACES
![Page 17: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/17.jpg)
HAND COMPARTMENTS AND SPACES
![Page 18: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/18.jpg)
HAND TEST
![Page 19: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/19.jpg)
SURFACE ANATOMYSite for Ulnar & Radial pulse
![Page 20: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/20.jpg)
SURFACE ANATOMY
Distal Wrist Crease
Median Nerve
![Page 21: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/21.jpg)
ANATOMICAL SNUFF BOX
![Page 22: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/22.jpg)
THENAR EMINANCE & HYPOTHENAR EMINANCE
THENAR EMINANCE HYPOTHENAR EMINANCE
![Page 23: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/23.jpg)
NERVES
![Page 24: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/24.jpg)
NERVES
PALMER CUTANEOUS BRANCHES DORSAL CUTANOUS BRANCH
![Page 25: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/25.jpg)
ARTERIES
Common Palmer Digitals
Superficial Palmer Arch
Deep Palmer Arch
Ulnar Artery
Radial Artery
![Page 26: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/26.jpg)
VEINS
DORSAL VENOUS
NETWORK
CEPHALIC VEIN BASILIC VEIN
![Page 27: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/27.jpg)
Carpel Tunnel Syndrome
What is it?• A progressively painful hand/arm condition• Caused by excessive pressure on median nerve
SYMPTOMS:
• Tingling & Numbness• Radiating pain• Weak grip
![Page 28: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/28.jpg)
Risk Factors:• May be caused by repetitive
motions but studies have not proved it.
• Most common for 30-60 y/o, esp. women.
• Cyst, tumor, bone fractures
• Anatomy = small tunnel• Arthritis (both types) &
diabetes• Obesity, Alcohol abuse,
fluid retention
![Page 29: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/29.jpg)
Treatment Optionsfor Carpal Tunnel Syndrome
Non-Surgical Therapy: Wrist Splinting, NSAIDs, Corticosteroids (oral & injections), Warm/Cold compresses, Ergonomics, Exercise & Stretching
SURGERY
ENDOSCOPIC SURGERY OPEN SURGERY
Carpal Tunnel : Median Nerve Stretches for Relieving Carpal Tunnel http://www.youtube.com/watch?v=PvXaBrZOeIw
![Page 30: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/30.jpg)
Jen 30
O-Upper 3/4s of ulna
I-Distal phalanx of digits 2-5
A-Flexes all three joints of fingers (just the tips)
N-Median/Ulnar
V-Ulnar Artery
O-Anterior surface of radius
I-Distal phalanx of pollex
A-Flexes all joints of the pollex or thumb (hides thumb)
N-Median
V-Radial artery
Right anterior forearm
Deep
Deep
![Page 31: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/31.jpg)
Jen 31
Flexor Digitorum Superficialis
O-Common flexor tendon, coronoid process and radius
I-Sides of middle phalanx of four fingers
A-Flexes MP and PIP joints of fingers (girly fist or bye-bye)
N-Median
V-Ulnar artery
Intermediate
![Page 32: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/32.jpg)
Jen 32
Flexor Carpi Radialis
O-Medial epicondyle of the humerus
I-Base 2nd and 3rd metacarpals
A-Wrist flexion, radial deviation
N-Median
V-Radial/Ulnar arteries
Superficial
![Page 33: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/33.jpg)
Jen 33
Flexor Carpi Ulnaris
O-Medial epicondyle of the humerus
I-Base 5th metacarpal, pisiform
A-Wrist flexion, ulnar deviation
N-Ulnar
V-Ulnar artery
Superficial
![Page 34: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/34.jpg)
Jen 34
Palmaris Longus
O-Medial epicondyle of the humerus
I-Palmar fascia
A-Assists in wrist flexion
N-Median
V-Ulnar artery
Superficial
![Page 35: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/35.jpg)
Jen 35
Tendon of Palmaris Longus
Tendon of Flexor carpi ulnarisTendon of Flexor carpi radialis
![Page 36: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/36.jpg)
Jen 36
![Page 37: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/37.jpg)
Jen 37
Extensor Carpi Radialis Longus
O-Supracondylar ridge of humerus
I-Base of 2nd metacarpal
A-Wrist extension, radial deviation
N-Radial
V-Radial artery
![Page 38: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/38.jpg)
Jen 38
Extensor Carpi Radialis Brevis
O-Lateral epicondyle of humerus
I-Base of 3rd metacarpal
A-Wrist extension
N-Radial
V-Radial artery
![Page 39: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/39.jpg)
Jen 39
Extensor Carpi Radialis Brevis Extensor Carpi Radialis Longus
![Page 40: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/40.jpg)
Jen 40
Extensor Digitorum
O-Lateral epicondyle of humerus
I-Base of distal phalanx of 2nd-5th fingers
A-Extends all three joints of the fingers
N-Radial
V-Recurrent interosseous artery
![Page 41: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/41.jpg)
Jen 41
Extensor Carpi Ulnaris
O-Lateral epicondyle of humerus
I-Medial side of base of 5th metacarpal
A-Extends and adducts wrist
N-Deep radial
V-Ulnar artery
![Page 42: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/42.jpg)
Jen 42
![Page 43: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/43.jpg)
Jen 43
O-Lateral epicondyle of the humerus
I-Base of distal phalanx of 5th finger
A-Extends all joints of fifth finger
N-Radial
V-Recurrent interosseus artery
Extensor Digiti Minimi
![Page 44: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/44.jpg)
Jen 44
O-Posterior distal radius
I-Base of proximal phalanx of pollex
A-Extends MP joint of thumb
N-Radial
V-Posterior interosseus artery
O-Posterior radius, interosseus membane, middle ulnaI-Base of 1st metacarpalA-Abducts pollexN-RadialV-Posterior interosseus artery
![Page 45: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/45.jpg)
Jen 45
O-Middle posterior ulna and interosseus membrane
I-Base of distal phalanx of pollex
A-Extends MP and IP joints of thumb
N-Radial
V-Posterior interosseus artery
![Page 46: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/46.jpg)
Jen 46
Tendons
![Page 47: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/47.jpg)
Jen 47
Anatomical Snuff Box
BLOW
![Page 48: Wrist and Hand](https://reader035.vdocuments.mx/reader035/viewer/2022062812/568163d1550346895dd51898/html5/thumbnails/48.jpg)
Jen 48
Human Anatomy Dissection 23 (part 1 of 2) Forearm and Hand - YouTube