T2 L6: Anatomy of the hand (CH)

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60 Questions

Which structure is also known as the pulleys for the flexor tendons?

Fibrous digital sheath

Which muscle is responsible for flexion of the MCP joints and extension of the IP joints?

Flexor digitorum profundus

Which nerve supplies the lateral two tendons of the flexor digitorum profundus?

Median nerve

Which muscle is responsible for adduction of the MCP joints and is supplied by the ulnar nerve?

Palmar interossei

Which muscle is responsible for abduction of the thumb and is supplied by the median nerve?

Abductor pollicis brevis

Which muscle is responsible for flexion of the thumb and is supplied by the median nerve?

Flexor pollicis brevis

Which muscle is responsible for abduction of the 5th digit and is supplied by the ulnar nerve?

Abductor digiti minimi

Which muscle is responsible for flexion of the 5th digit and is supplied by the ulnar nerve?

Flexor digiti minimi

Which muscle is responsible for opposition of the thumb and is supplied by the median nerve?

Opponens pollicis

Which muscle is responsible for opposition of the little finger and is supplied by the ulnar nerve?

Opponens digiti minimi

Which nerve supplies the opponens digiti minimi muscle?

Ulnar nerve

Which nerve supplies the adductor pollicis muscle?

Ulnar nerve

Which artery forms a complex anastomosis in the hand?

Radial artery

Which artery forms the deep palmar arch?

Ulnar artery

Which nerve passes through the carpal tunnel?

Median nerve

Which nerve supplies the hypothenar muscles?

Ulnar nerve

Which nerve supplies the lateral two lumbrical muscles?

Ulnar nerve

Which nerve is responsible for the clawed hand deformity when damaged at the wrist?

Ulnar nerve

Which nerve is responsible for the clawed hand deformity when damaged at the elbow?

Ulnar nerve

Which nerve is spared in carpal tunnel syndrome, resulting in no loss of sensation on the palm of the hand?

Median nerve

Which of the following is NOT a learning outcome of the Anatomy of the Hand?

Describe the skeletal components of the wrist and hand

Which bone is commonly fractured in the hand and has a slow recovery due to poor blood supply?

Scaphoid

Which joint in the hand is a saddle joint?

Carpometacarpal

Which ligaments limit the abduction and adduction of the wrist joint?

Ulnar and radial collateral ligaments

Which movement is NOT possible in the thumb?

Adduction

Which joints in the hand are hinge joints?

Interphalangeal

Which structure prevents the bowing of tendons in the carpal tunnel?

Flexor retinaculum

Which muscle is responsible for flexing the thumb?

Flexor pollicis longus

Which ligament unifies the metacarpals in the hand?

Deep transverse metacarpal ligaments

Which structure is continuous with the palmar aponeurosis and has longitudinal and transverse fibers?

Palmar aponeurosis

Which bones make up the most proximal part of the hand?

Carpal bones

What is the function of the copper bones in the hand?

They make up the palm of the hand

Which bones make up the main part of the palm of the hand?

Metacarpal bones

What is the purpose of learning about the tendons and muscles in the hand?

To understand hand movements

Which joint in the hand is responsible for flexion, extension, abduction, adduction, and circumduction movements?

Metacarpophalangeal joint

Which ligaments prevent excessive radial deviation at the wrist joint?

Radial collateral ligament

Which bone in the hand articulates with the proximal row of carpal bones at the radio carpal joint?

Radius

Which structure fills the gap between the distal end of the radius and the proximal row of carpal bones at the wrist joint?

Fibrous cartilaginous disc

Which bones make up the proximal row of the carpal bones?

Scaphoid, lunate, triquetrum, pisiform

Which bones make up the distal row of the carpal bones?

Trapezium, trapezoid, capitate, hamate

Which bones are located on the most lateral edge of the carpal bones?

Trapezium, trapezoid

Which bones are located on the most medial edge of the carpal bones?

Triquetrum, capitate

What is the term used to describe individuals with excessive movement in their joints due to laxity in the ligaments?

Hypermobile

Which type of joint allows for very little movement and is known as a plane joint?

Carpal metacarpal joints

What is the term used to describe the movement of the thumb where it comes up to the ceiling?

Abduction

Which type of joint is found between the trapezium and the first metacarpal and allows for the position of thumb AB and adduction flexion?

Saddle joint

Which structure surrounds the tendons just before they enter the carpal tunnel?

Synovial sheath

What is the function of the fibrous digital sheath?

To keep the tendons and synovial sheath held against the bone

What are the round ligaments within the fibrous digital sheath called?

Annular ligaments

Which tendons are covered by synovial sheaths to prevent friction?

Flexor tendons and extensor tendons

Which joint in the hand is responsible for flexion and extension at the metacarpophalangeal joints?

Metacarpophalangeal joint

Which ligament runs across the knuckles, keeping the joints together?

Deep transverse metacarpal ligament

Which muscle is responsible for flexion of the wrist and inserts into the palmar aponeurosis?

Palmaris longus

Which tendon runs underneath the flexor retinaculum and goes into the carpal tunnel?

Flexor digitorum profundus

Which term is used to describe the spreading of the tendon across the joints?

Extensor hood

Which part of the hand is the extensor hood or dorsal digital expansion a part of?

Metacarpal phalanges joint

Which tendons are part of the anatomical snuff box?

Tendons from the thumb

What is another term for extensor hoods or dorsal digital expansions?

Extensor digital tendon

What happens to the extensor digital tendon as it goes over the metacarpal phalanges joint?

It continues down to insert into the middle and distal phalanx

What is the function of the extensor hoods or dorsal digital expansions?

Extension of the IP joints

Test your knowledge of the anatomy of the hand with this quiz by Dr. Catherine Hennessy. Learn about the skeletal components, movements of the thumb and fingers, tendons and muscles, as well as the nerve and blood supply to the hand.

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