WRIST AND HAND

Pisiform, Hook of hamate

Tubercle of scaphoid, Ridge of trapezium

FCU tendon, Ulnar nerve, Ulnar artery, Palmar cutaneous branch of ulnar nerve, Palmaris longus tendon, Palmar cutaneous branch of median nerve

FDS tendons (4) and FDP tendons (4)- common sheath, Median nerve, FPL tendon, Flexor carpi radialis (thru a split in the retinaculum)

Extensor retinaculum

Dorsal cutaneous branch of ulnar nerve, Basilic vein, Cephalic vein, Superficial branch of radial nerve

ECU tendon, EDM tendon, Digitorum and indicis tendons - common sheath, EPL tendon, ECRL, APL and EPB

Long extensor tendons

fibrous bands

Extensor indicis

Extensor digiti minimi

Superficial palmar arch

Superficial palmar arch

Superficial palmar arch

Four digital arteries

Deep branch of ulnar artery

Deep branch of ulnar artery

Deep branch of ulnar artery

Radial artery at the palm

Radial artery at the palm

Radial artery at the palm

Radial artery at the palm

Radial artery at the dorsum

Radial artery at the dorsum

Radial artery at the dorsum

Radial artery at the dorsum

Dorsal venous arch

Dorsal venous arch

Starts at the fusion of the medial and lateral cords, Continues down the arm initially on the lateral side of the brachial artery then crosses over it to lie medial to it, Continues down in the cubital fossa, In the forearm, nerve travels between the flexor digitorum profundus and flexor digitorum superficialis muscles, Enters the carpal tunnel

Palmar cutaneous branch

Muscular branch

Muscular branch

Cutaneous branch

Between pisiform and hook of hamate, Ulnar artery is on the lateral side, Passes thru the tunnel of guyon with the artery, Muscular branch to palmaris brevis, Cutaneous branch to medial one and half fingers

Palmaris brevis

Medial one and half fingers

Abductor digiti minimi, Flexor digiti minimi

Medial part of the palm

Abductor digiti minimi, Flexor digiti minimi, Opponens digiti minimi, Interossei muscles, 3rd and 4th lumbricals, Both heads of the adductor pollicis

Arise from the radial nerve in front of the lateral epicondyle, Winds around the lateral aspect of the neck, Descends between the superficial and deep groups of muscles

ECRB, Supinator, Extensor digitorum, EDM, ECU, APL, EPL, EPB, Extensor indicis

To the wrist and carpal bones

Radial nerve

Supplies the lateral 2/3 of the dorsum, Supplies the lateral 3 and half fingers

Supplies the medial third of the dorsum, Supplies the medial 1 and half fingers

True

Fascial spaces of the hand

Fascial spaces of the hand

Separated by 2nd septum from mid palmar space, Contains 1st lumbrical muscle and posterior to long flexor tendons of index finger and in front of adductor pollicis muscle

Contains 2nd, 3rd and 4th lumbricals, Posterior to long flexors of middle, ring and little fingers, In front of interossei and 3rd, 4th and 5th MC bones

Lumbrical canal

Thenar

Mid palmar

Radial bursa

Ulnar bursa

Radial bursa

Ulnar bursa

Thenar, Mid palmar

Palmar aponeurosis

palmaris longus

Palmar aponeurosis

Radial artery, FCR tendon, Palmaris longus tendon, FDS tendon, FCU tendon, Ulnar artery, Ulnar nerve

EPL

EPB, APL

Radial artery, Superficial branch of radial nerve, Cephalic vein

Radial styloid, Scaphoid, Trapezium, 1st metacarpal

Semiprone, Wrist more extended than at rest, All fingers flexed at the same degree, Index and thumb in apposition

Carpal tunnel syndrome, Dequervain’s disease, Trigger fingers, Tenosynovitis

Carpal tunnel syndrome

Dupuytren’s disease

Dupuytren’s disease

Dupuytren’s disease

Dupuytren’s disease

Trigger fingers

Colle’s fracture

Benett fracture

Boxer fracture

Rolando fracture

Oblique fracture

Transverse fracture

Fracture of metacarpal neck

Heberden’s nodes

Bouchard’s nodes

Mallet deformity

Boutonniere’s deformity

Boutonniere’s deformity

Boutonniere’s deformity

Intrinsic muscles of the hand

Medial 1 and half fingers

can’t extend 4th and 5th fingers

can’t flex 4th and 5th fingers

Thenar muscles, 1st and 2nd lumbricals

Lateral 3 and half fingers

Median nerve injury

can’t extend 2nd and 3rd fingers

can’t flex 2nd and 3rd fingers

none