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Hand and Wrist joint

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by

Dreema Awan

on 14 December 2010

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Transcript of Hand and Wrist joint

The Hand and the Wrist Pathologies Anatomy Joints Wrist joint Articulation between radius, the articulation disc of the distal radio-ulnar joint with the proximal row of carpal bones(except pisiform) Mid carpal joint Carpometacarpal joints Metacarophalangeal joints Interphalangeal joints Carpal Bones Soft Tissues Fascia and Compartments of the hand Compartments Muscles Intrinsic Muscles are contained in 5 compartments Thenar compartment: Abductor pollicis brevis, Flexor pollicis brevis, opponens pollicis
Adductor compartment: Adductor pollicis
Hypothenar compartment: Abductor digiti minimi brevis, flexor digitimini brevis & opponens digiti minimi
Central compartment: Lumbricals & long flexor tendons
Interosseous Compartments between the metacarpals Carpometacarpal &
metacarpophalangeal joints Innervation Thenar muscles: Recurrent branch of median nerve excpet deep belly of flexor pollicis brevis & adductor pollicis
Hypothenar: Deep branch of ulnar nerve
Short muscles: Lumbricals: 1st & 2nd by Median nerve, 3rd & 4th by deep branch of ulnar nerve
Interossei: Deep branch of ulnar nerve
Blood supply Ulnar Artery
Radial Artery Ulnar Artery Superficial palmar arch
3 Common palmar digtal arteries Deep palmar arch Palmar metacarpal arteries Each divides into two proper palmar digital arteries Radial Artery Deep palmar arch Cutaneous Innervation Carpal Tunnel Dupuytren's contracture
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