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Questions and Answers
Which nerve supplies the carpometacarpal joint of the thumb?
Which nerve supplies the carpometacarpal joint of the thumb?
What type of joint is the carpometacarpal joint of the thumb?
What type of joint is the carpometacarpal joint of the thumb?
Which muscle is responsible for the opposition movement of the thumb?
Which muscle is responsible for the opposition movement of the thumb?
What type of joint are the metacarpophalangeal joints?
What type of joint are the metacarpophalangeal joints?
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Which ligaments hold the heads of the metacarpal bones together?
Which ligaments hold the heads of the metacarpal bones together?
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What is the primary function of the collateral ligaments in the metacarpophalangeal joints?
What is the primary function of the collateral ligaments in the metacarpophalangeal joints?
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Which statement about the palmar ligaments of the metacarpophalangeal joints is true?
Which statement about the palmar ligaments of the metacarpophalangeal joints is true?
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Which movement of the carpometacarpal joint of the thumb is performed by the abductor pollicis longus and brevis muscles?
Which movement of the carpometacarpal joint of the thumb is performed by the abductor pollicis longus and brevis muscles?
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What is the primary function of the adductor pollicis muscle in relation to the carpometacarpal joint of the thumb?
What is the primary function of the adductor pollicis muscle in relation to the carpometacarpal joint of the thumb?
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Which muscles are responsible for the extension of the carpometacarpal joint of the thumb?
Which muscles are responsible for the extension of the carpometacarpal joint of the thumb?
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Study Notes
The Upper End of Humerus
- The anatomic neck separates the articular surface of the humerus
- The surgical neck is a common site of fracture in the elderly, and contains the axillary nerve and circumflex humeral vessels
- The greater and lesser tuberosities are separated by the bicipital groove, which contains the long head of biceps
- Fractures of the humeral surgical neck are common in elderly people
- Greater tuberosity fractures are more common than lesser tuberosity fractures
The Joints of the Shoulder Region
- The shoulder joint articulates with the glenoid cavity
- The sternoclavicular joint articulates between the sternal end of the clavicle, the 1st costal cartilage, and the manubrium
- The sternoclavicular joint has a small range of motion, with forward movement facilitated by the serratus anterior muscle
- The acromioclavicular joint and shoulder joint are also part of the shoulder region
Branches of the Radial Artery
- The radial artery has muscular branches to neighboring muscles
- The recurrent branch takes part in the arterial anastomosis around the elbow joint
- The superficial palmar branch joins the ulnar artery to form the superficial palmar arch
Nerves of the Anterior Fascial Compartment of the Forearm
- The median nerve passes between the two heads of the pronator and continues downward behind the flexor digitorum superficialis
- The median nerve rests posteriorly on the flexor digitorum profundus and enters the palm by passing behind the flexor retinaculum
Branches of the Median Nerve in the Forearm
- The median nerve has muscular branches to the pronator teres, flexor carpi radialis, palmaris longus, and flexor digitorum superficialis
- The median nerve has articular branches to the elbow joint and an anterior interosseous nerve
- The palmar cutaneous branch is distributed to the skin over the lateral part of the palm
Anterior Interosseous Nerve
- The anterior interosseous nerve arises from the median nerve as it emerges from between the two heads of the pronator teres
- The anterior interosseous nerve passes downward on the anterior surface of the interosseous membrane and ends on the anterior surface of the carpus
Muscles of the Posterior Fascial Compartment of the Forearm
- The deep group includes the supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, and extensor indicis
Contents of the Posterior Fascial Compartment of the Forearm
- The compartment is supplied by the posterior and anterior interosseous arteries
- The deep branch of the radial nerve provides nerve supply to the muscles
The Anterior and Posterior Interosseous Arteries
- The anterior and posterior interosseous arteries arise from the common interosseous artery, a branch of the ulnar artery
- They pass downward on the anterior and posterior surfaces of the interosseous membrane, respectively, and supply the adjoining muscles and bones
The Movement of Supination
- Pronation is performed by the pronator teres and the pronator quadratus
- Supination is performed by the biceps brachii and the supinator
- Supination is the more powerful of the two movements due to the strength of the biceps muscle
Bones of the Hand
- There are eight carpal bones, divided into two rows of four
- The proximal row consists of the scaphoid, lunate, triquetrum, and pisiform bones
- The distal row consists of the trapezium, trapezoid, capitate, and hamate bones
- The scaphoid bone is the largest bone of the proximal row and articulates with the lower end of the radius
Scaphoid (Navicular)
- The scaphoid bone has received its name from its resemblance to a boat
- It is situated at the radial site of the wrist
- A detailed knowledge of the bones of the hand is unnecessary, but the scaphoid bone is commonly fractured and should be studied
Carpometacarpal Joint of the Thumb
- Articulation is between the trapezium and the saddle-shaped base of the first metacarpal bone
- The joint is a synovial saddle-shaped joint
- The capsule surrounds the joint
Movements of the Carpometacarpal Joint of the Thumb
- Abduction is performed by the abductor pollicis longus and brevis
- Adduction is performed by the adductor pollicis
- Extension is performed by the extensor pollicis longus and brevis
- Flexion is performed by the flexor pollicis longus, brevis, and opponens pollicis
- Rotation (opposition) is performed by the opponens pollicis
Metacarpophalangeal Joints
- Articulation is between the heads of the metacarpal bones and the bases of the proximal phalanges
- The joints are synovial condyloid joints
- The capsule surrounds the joint
Ligaments of the Metacarpo-phalangeal Joints
- The palmar ligaments are strong and contain some fibrocartilage
- They are firmly attached to the phalanx but less so to the metacarpal bone
- The deep transverse metacarpal ligaments hold the heads of the metacarpal bones together
- The collateral ligaments are cordlike bands present on each side of the joints
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Description
Learn about the articulation between the glenoid cavity and the upper end of the humerus, including details about the anatomic neck, surgical neck, tuberosities, and bicipital groove. Understand the structures that form the shoulder joint.