The Hand 3.2C
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Questions and Answers

Which muscles act at the distal interphalangeal joints (DIP)?

  • Extensor digitorum
  • Flexor digitorum profundus (correct)
  • Palmaris longus
  • Flexor digitorum superficialis
  • What provides support to the joints of the digits?

  • Transverse ligaments
  • Radial collateral ligaments
  • Digital collateral ligaments (correct)
  • Central ligaments
  • Which joint is located proximal to the interphalangeal joints?

  • Carpometacarpal joint (CM)
  • Radiocarpal joint
  • Metacarpophalangeal joint (MCP) (correct)
  • Proximal interphalangeal joint (PIP)
  • Which of the following is true regarding the flexor digitorum superficialis muscle?

    <p>It acts at everything proximal to the proximal interphalangeal joints.</p> Signup and view all the answers

    Which of the following joints would be responsible for finger extension?

    <p>All of the above</p> Signup and view all the answers

    What is the function of the flexor digitorum profundus muscle?

    <p>Act on everything proximal to DIP joints</p> Signup and view all the answers

    Which muscle is primarily responsible for flexing the proximal interphalangeal joints?

    <p>Flexor digitorum superficialis</p> Signup and view all the answers

    Which of these options describes the relationship between the carpals and metacarpals?

    <p>The carpals form the Carpometacarpal joints.</p> Signup and view all the answers

    Which nerve innervates the medial two lumbrical muscles?

    <p>Ulnar nerve</p> Signup and view all the answers

    What is the main function of the lumbrical muscles at the IP joints?

    <p>Extension</p> Signup and view all the answers

    Where do the lumbrical muscles originate?

    <p>Tendons of the flexor digitorum profundus</p> Signup and view all the answers

    Which digits do the lumbrical muscles insert into?

    <p>Digits 2–5</p> Signup and view all the answers

    The innervation of the lateral two lumbrical muscles is predominantly by which nerve?

    <p>Median nerve</p> Signup and view all the answers

    What do the palmar interosseous muscles primarily act on?

    <p>Digits 2, 4, and 5</p> Signup and view all the answers

    What is the primary action of the dorsal interosseous muscles?

    <p>Abduction of the fingers</p> Signup and view all the answers

    Which interosseous muscles are innervated by the deep branch of the ulnar nerve?

    <p>Both palmar and dorsal interosseous muscles</p> Signup and view all the answers

    What is the origin of the flexor digiti minimi muscle?

    <p>Carpals</p> Signup and view all the answers

    Which nerve innervates the deep branch of the opponens digiti minimi muscle?

    <p>Deep branch of ulnar nerve</p> Signup and view all the answers

    What are the terms used instead of anterior and posterior when referring to the hand?

    <p>Palmar and dorsal</p> Signup and view all the answers

    What is the insertion site for the flexor digitorum superficialis muscle?

    <p>Middle phalanges</p> Signup and view all the answers

    Which type of joint are the interphalangeal joints classified as?

    <p>Hinge joints</p> Signup and view all the answers

    In anatomical terms, what does the term 'midline' refer to in relation to the hand?

    <p>The center line dividing the hand into equal left and right parts</p> Signup and view all the answers

    What muscle originates on the tendons of the flexor digitorum profundus muscle?

    <p>Lumbrical muscles</p> Signup and view all the answers

    How are the movements of the digits typically described?

    <p>Relative to the midline of the hand</p> Signup and view all the answers

    Which of the following is NOT a muscle that inserts at the proximal phalanx?

    <p>Opponens digiti minimi</p> Signup and view all the answers

    What type of joint are metacarpophalangeal (MCP) joints classified as?

    <p>Condyloid joints</p> Signup and view all the answers

    Where does the flexor digitorum profundus muscle originate?

    <p>Ulna and interosseus membrane</p> Signup and view all the answers

    What terminology is used to describe the palm region of the hand?

    <p>Palmar</p> Signup and view all the answers

    Which of the following structures does NOT provide innervation to the muscles in the central compartment?

    <p>Superficial radial nerve</p> Signup and view all the answers

    What is the insertion point of the lumbrical muscles?

    <p>Distal phalanges</p> Signup and view all the answers

    What is the correct description of proximal interphalangeal joints?

    <p>Joints between the metacarpals and proximal phalanges</p> Signup and view all the answers

    What is typically included in the description of hand movements?

    <p>Reference to the midline of the hand</p> Signup and view all the answers

    What is the innervation of the adductor pollicis muscle?

    <p>Deep branch of ulnar nerve (C8–T1)</p> Signup and view all the answers

    Which muscle is primarily responsible for thumb abduction?

    <p>Abductor pollicis brevis</p> Signup and view all the answers

    What is the main action of the flexor pollicis brevis muscle?

    <p>Flexion of the thumb</p> Signup and view all the answers

    From which origins do the thenar muscles derive their innervation, except for the adductor pollicis?

    <p>Recurrent branch of median nerve</p> Signup and view all the answers

    What is the origin of the flexor pollicis brevis muscle?

    <p>Scaphoid and trapezium bones</p> Signup and view all the answers

    Which muscle's deep head originates from the carpals?

    <p>Flexor pollicis brevis</p> Signup and view all the answers

    Which of the following statements about the thenar eminence is true?

    <p>The recurrent branch of the median nerve innervates the abductor pollicis brevis.</p> Signup and view all the answers

    What is the common location for the insertion of the thenar muscles?

    <p>Proximal phalanx of the thumb</p> Signup and view all the answers

    Which nerve is responsible for innervating the skin of the lateral antebrachial region?

    <p>Musculocutaneous nerve</p> Signup and view all the answers

    Which of the following statements accurately describes the contribution of nerves to dermatomes?

    <p>Nerves can carry fibers from multiple spinal levels.</p> Signup and view all the answers

    What is the primary factor upon which dermatomes are based?

    <p>Embryological development of spinal segments</p> Signup and view all the answers

    Which nerve primarily serves the C8-T1 region?

    <p>Ulnar nerve</p> Signup and view all the answers

    Which statement about the axillary nerve is correct?

    <p>It derives fibers from C5-C6 spinal levels.</p> Signup and view all the answers

    What are the terms used to refer to the front and back when describing the hand?

    <p>Palmar and dorsal</p> Signup and view all the answers

    Which type of joint are the interphalangeal joints classified as?

    <p>Hinge joints</p> Signup and view all the answers

    How are movements of the digits typically described?

    <p>In relation to the midline of the hand</p> Signup and view all the answers

    What type of joint are metacarpophalangeal (MCP) joints classified as?

    <p>Condyloid joints</p> Signup and view all the answers

    When referring to the distal interphalangeal joints (DIP), which joints are located proximal to them?

    <p>Proximal interphalangeal joints</p> Signup and view all the answers

    Which structure serves to describe the central area of the hand?

    <p>Palmar aponeurosis</p> Signup and view all the answers

    Which of the following accurately describes the relationship of the joints in the hand?

    <p>All of the above</p> Signup and view all the answers

    The term 'midline' in relation to the hand refers to what?

    <p>The point of reference for finger movements</p> Signup and view all the answers

    What is the insertion point for the flexor digiti minimi muscle?

    <p>Proximal phalanx</p> Signup and view all the answers

    Which muscle originates from the tendons of the flexor digitorum profundus muscle?

    <p>Lumbrical muscles</p> Signup and view all the answers

    Which nerve primarily innervates the opponens digiti minimi muscle?

    <p>Deep branch of ulnar nerve</p> Signup and view all the answers

    What is the origin of the flexor digitorum superficialis muscle?

    <p>Medial epicondyle of the humerus</p> Signup and view all the answers

    How many lumbrical muscles originate from the flexor digitorum profundus tendons?

    <p>4</p> Signup and view all the answers

    Where do the inserts of the lumbrical muscles occur?

    <p>Distal phalanges</p> Signup and view all the answers

    Which structure does NOT originate from the carpals in the central compartment?

    <p>Flexor digitorum superficialis</p> Signup and view all the answers

    What is the main function of the deep branch of the ulnar nerve in relation to the hand muscles?

    <p>Intrinsic muscles of the hand</p> Signup and view all the answers

    What is the primary action of the lumbrical muscles at the proximal interphalangeal joints?

    <p>Extension</p> Signup and view all the answers

    Which digits do the palmar interosseous muscles primarily act on?

    <p>Digits 2, 4, and 5</p> Signup and view all the answers

    What is the innervation of the lateral two lumbrical muscles?

    <p>Median nerve</p> Signup and view all the answers

    What is the origin of the interosseous muscles?

    <p>Metacarpals</p> Signup and view all the answers

    Which nerve is responsible for innervating the deep branch of the ulnar nerve, which supplies certain muscles in the hand?

    <p>Ulnar nerve</p> Signup and view all the answers

    Which of the following describes the insertion of the dorsal interosseous muscles?

    <p>Digits 2, 3, and 4</p> Signup and view all the answers

    What action do the dorsal interosseous muscles primarily facilitate?

    <p>Abduction of the digits</p> Signup and view all the answers

    Which muscle group lies between the metacarpal bones of the hand?

    <p>Interosseous muscles</p> Signup and view all the answers

    Which nerve is responsible for innervating the majority of intrinsic muscles in the hand?

    <p>Ulnar nerve</p> Signup and view all the answers

    What is the primary action associated with an injury to the median nerve at the wrist?

    <p>Ape hand deformity</p> Signup and view all the answers

    The palmaris brevis muscle is innervated by which branch of the ulnar nerve?

    <p>Superficial branch</p> Signup and view all the answers

    Which statement accurately describes the location of the carpal tunnel?

    <p>It is formed by carpal bones and the flexor retinaculum.</p> Signup and view all the answers

    What impact does an injury to the ulnar nerve at the wrist have on hand function?

    <p>Loss of grip strength and loss of sensation in the little finger</p> Signup and view all the answers

    Which nerve is mainly associated with the recurrent branch that innervates the thenar muscles?

    <p>Median nerve</p> Signup and view all the answers

    Which of the following best describes the palmar aponeurosis?

    <p>It acts as a point of attachment for the tendons of the flexors.</p> Signup and view all the answers

    What condition is commonly referred to as 'funny bone' injury?

    <p>Injury of the ulnar nerve</p> Signup and view all the answers

    Study Notes

    Hand Anatomy: Joints

    • The joints of the digits are supported by the digital collateral ligaments.
    • Interphalangeal joints are hinge joints, allowing flexion and extension.
    • Metacarpophalangeal joints are condyloid joints, allowing flexion, extension, abduction, and adduction.

    Hand Anatomy: Muscles

    • Opponens digiti minimi: Originates from the carpals and inserts on the 5th metacarpal. Many people may not have this muscle.
    • Lumbrical Muscles: Originate on the flexor digitorum profundus tendon.
      • The medial two lumbrical muscles are innervated by the ulnar nerve
      • The lateral two lumbrical muscles are innervated by the median nerve.
      • Main function: Flexion of MCP joints and extension of IP joints.
    • Palmar interossei:
      • Originate on the metacarpals and insert on digits 2, 4, and 5.
      • Innervated by the deep branch of the ulnar nerve.
      • Primary action is adduction of the fingers.
    • Dorsal interossei:
      • Originate on the metacarpals and insert on digits 2, 3, and 4.
      • Innervated by the deep branch of the ulnar nerve.
      • Primary action is abduction of the fingers.
    • Adductor pollicis:
      • Originates from the metacarpals and carpals and inserts on the proximal phalanx of the thumb.
      • Unique innervation: Deep branch of the ulnar nerve unlike other thenar muscles.
      • Primary action is adduction of the thumb.

    Hand Anatomy: Muscles (Chart)

    • Abductor pollicis brevis: Originates from the carpals and inserts on the proximal phalanx of the thumb. Main action is abduction of the thumb. Innervation: Median nerve.
    • Flexor pollicis brevis: Originates from the carpals and inserts on the proximal phalanx of the thumb. Main action is flexion of the thumb. Innervation: Median nerve.

    Hand Anatomy

    • When describing the hand, use palmar and dorsal instead of anterior and posterior.
    • The interphalangeal joints are hinge joints.
    • Metacarpophalangeal joints are condyloid joints.
    • The opponens digiti minimi muscle is small and some people don't have one.
    • The lumbrical muscles originate on the tendons of the flexor digitorum profundus muscle.
    • The interosseus muscles lie between the metacarpal bones of the hand.
    • The ulnar nerve innervates the majority of the intrinsic muscles in the hand.
    • The median nerve is responsible for many functions in the hand.

    Lumbrical Muscle Innervation

    • The medial two lumbrical muscles are innervated by the ulnar nerve.
    • The lateral two lumbrical muscles are innervated by the median nerve.

    Nerve Maps

    • Nerve maps are different from dermatomes.
    • Nerves may carry fibers from multiple spinal levels and contribute to different dermatomes.

    Dermatomes

    • Based on embryological development of spinal segments.

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    Hand Anatomy PDF

    Description

    Explore the intricate details of hand anatomy focusing on the joints and muscles. This quiz covers essential aspects such as the types of joints involved and the specific muscles that facilitate hand movements. Test your knowledge on how these components interact to support hand function.

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