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WRIST AND HAND
98問 • 1年前
  • Kyla Rafols
    • 通報

    問題一覧

  • 1

    Radial attachment of flexor retinaculum

    Pisiform, Hook of hamate

  • 2

    Ulnar attachement of flexor retinaculum

    Tubercle of scaphoid, Ridge of trapezium

  • 3

    Superficial to the flexor retinaculum (medial to lateral)

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

  • 4

    Passes below flexor retinaculum (medial to lateral)

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

  • 5

    A strong, fibrous band, extending obliquely downward and medialward across the back of the wrist

    Extensor retinaculum

  • 6

    Superficial to extensor retinaculum

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

  • 7

    Beneath the extensor retinaculum

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

  • 8

    Together with deep fascia, they form the subfascial space

    Long extensor tendons

  • 9

    Tendons of middle, ring and small fingers are connected by

    fibrous bands

  • 10

    Tendon to the index finger is joined medially by the

    Extensor indicis

  • 11

    What lies medial to the extensor digitorum tendon to small finger

    Extensor digiti minimi

  • 12

    Ulnar artery at the palm: Direct continuation

    Superficial palmar arch

  • 13

    Ulnar artery at the palm: Curves laterally behind the palmar aponeurosis

    Superficial palmar arch

  • 14

    Ulnar artery at the palm: Anastomoses with radial artery

    Superficial palmar arch

  • 15

    Ulnar artery at the palm: Arise from the convexity of the arch and goes to the fingers

    Four digital arteries

  • 16

    Ulnar artery at the palm: Arise from ulnar artery after passing the flexor retinaculum

    Deep branch of ulnar artery

  • 17

    Between abductor digiti minimi and flexor digiti minimi

    Deep branch of ulnar artery

  • 18

    Anastomoses with radial artery to form deep palmar arch

    Deep branch of ulnar artery

  • 19

    Leaves the dorsum between 1st and 2nd metacarpals

    Radial artery at the palm

  • 20

    Continues as deep palmar arch between oblique and transverse head of adductor pollicis

    Radial artery at the palm

  • 21

    Curves medially between the long flexors and interosseous muscles to form the deep palmar arch

    Radial artery at the palm

  • 22

    Has anastomosis at the the wrist joint and also digital branches of the superficial palmar arch

    Radial artery at the palm

  • 23

    From the lateral side of the wrist

    Radial artery at the dorsum

  • 24

    Beneath the extensor pollicis tendon to reach the interval between first and 2nd interossei

    Radial artery at the dorsum

  • 25

    Branches to take part of the anastomosis around the wrist

    Radial artery at the dorsum

  • 26

    Digital arteries to the thumb and index fingers

    Radial artery at the dorsum

  • 27

    Lies on the subcutaneous tissue proximal to MCP

    Dorsal venous arch

  • 28

    Drains on the cephalic and basilic veins

    Dorsal venous arch

  • 29

    Select what applies for median nerve at the palm

    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

  • 30

    Branches out before the retinaculum and supplies the lateral part of the palm

    Palmar cutaneous branch

  • 31

    Recurrent course to about one fingerbreadth distal to the scaphoid tubercle

    Muscular branch

  • 32

    Supply the abductor pollicis brevis, flexor pollicis brevis and opponens pollicis and the 1st lumbricals

    Muscular branch

  • 33

    Lateral three and half digits and 2nd lumbricals

    Cutaneous branch

  • 34

    True about the superficial branch of ulnar nerve

    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

  • 35

    Muscular branch of superficial ulnar nerve of the palm

    Palmaris brevis

  • 36

    Cutaneous branch of superficial ulnar nerve of the palm

    Medial one and half fingers

  • 37

    Ulnar nerve deep branch is located between what muscles

    Abductor digiti minimi, Flexor digiti minimi

  • 38

    Deep palmar cutaneous branch of ulnar nerve of palm goes to

    Medial part of the palm

  • 39

    Muscular branches of deep ulnar nerve branches to

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

  • 40

    True about the deep branch of radial nerve

    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

  • 41

    Muscular branches of deep radial nerve

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

  • 42

    Articular branch of deep radial nerve

    To the wrist and carpal bones

  • 43

    Enters the snuff box then supplies the lateral half of the dorsum and dorsum of the lateral 3 and half fingers up to the middle phalanx

    Radial nerve

  • 44

    Sensory nerve supply: Superficial branch of the radial nerve

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

  • 45

    Sensory nerve supply: Posterior cutaneous branch of the ulnar nerve

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

  • 46

    Dorsal digital nerves never extend beyond the proximal phalanx

    True

  • 47

    Potential space with loose connective tissues

    Fascial spaces of the hand

  • 48

    Limits the spread of infection

    Fascial spaces of the hand

  • 49

    Thenar space

    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

  • 50

    Mid palmar space

    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

  • 51

    Surrounds each lumbrical muscle and continuius with one of the palmar spaces

    Lumbrical canal

  • 52

    Between flexor tendon and adductor pollicis

    Thenar

  • 53

    Between flexor sheath and metacarpal

    Mid palmar

  • 54

    Proximal extensuin of FPL sheath

    Radial bursa

  • 55

    Communicates with SF, FDS, & FDP flexor tendon sheath

    Ulnar bursa

  • 56

    Infection can track proximally

    Radial bursa

  • 57

    Flexor sheath infection can track proximally into bursa

    Ulnar bursa

  • 58

    Potential space: site of possible infection

    Thenar, Mid palmar

  • 59

    Triangular, at the center of the palm

    Palmar aponeurosis

  • 60

    Apex of palmar aponeurosis is attached to distal border of the

    palmaris longus

  • 61

    Functions as firm attachment of the skin, improve grip and protect the tendons

    Palmar aponeurosis

  • 62

    Volar surface

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

  • 63

    Snuffbox medial border

    EPL

  • 64

    Snuffbox lateral border

    EPB, APL

  • 65

    Contents of snuffbox

    Radial artery, Superficial branch of radial nerve, Cephalic vein

  • 66

    Floor of snuffbox

    Radial styloid, Scaphoid, Trapezium, 1st metacarpal

  • 67

    Functional position of hand

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

  • 68

    Compartment syndromes

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

  • 69

    Median nerve is compressed at the wrist, resulting in numbness and pain

    Carpal tunnel syndrome

  • 70

    Flexion contracture of 4th and 5th fingers (most common)

    Dupuytren’s disease

  • 71

    Dimpling and puckering of skin

    Dupuytren’s disease

  • 72

    Palpable fascial nodules near flexion crease of palm at the base of involved fingers with cordlike formation extending to proximal palm

    Dupuytren’s disease

  • 73

    Partial excision of palmar fascia

    Dupuytren’s disease

  • 74

    Inflammatory thickening of fibrous sheath (pulley) of flexor tendons with fusiform nodular enlargement of both tendons

    Trigger fingers

  • 75

    Silver fork deformity with dorsal and proximal displacement of distal fragment

    Colle’s fracture

  • 76

    Oblique intra-articular fracture of base of thumb metacarpal

    Benett fracture

  • 77

    Fractures of metacarpal neck commonly results from end on blow of fist

    Boxer fracture

  • 78

    Y-shaped intra-articular fracture that is less common

    Rolando fracture

  • 79

    Tend to shorten and rotate metacarpal

    Oblique fracture

  • 80

    Usually angulater dorsally by pull of interosseous muscles

    Transverse fracture

  • 81

    Volar cortex often comminuted, resulting in marked instability after reduction

    Fracture of metacarpal neck

  • 82

    DIP

    Heberden’s nodes

  • 83

    PIP

    Bouchard’s nodes

  • 84

    Extensor tendor disruption

    Mallet deformity

  • 85

    Rupture of extensor central slip

    Boutonniere’s deformity

  • 86

    Lateral slips still functions as DIP extensor

    Boutonniere’s deformity

  • 87

    Volar displacement of the lateral slips

    Boutonniere’s deformity

  • 88

    Ulnar nerve motor injury

    Intrinsic muscles of the hand

  • 89

    Ulnar sensory nerve injury

    Medial 1 and half fingers

  • 90

    Distal ulnar nerve injury

    can’t extend 4th and 5th fingers

  • 91

    Proximal ulnar nerve injury

    can’t flex 4th and 5th fingers

  • 92

    Median motor nerve injury

    Thenar muscles, 1st and 2nd lumbricals

  • 93

    Median sensory nerve injury

    Lateral 3 and half fingers

  • 94

    Ape hand deformity

    Median nerve injury

  • 95

    Distal median nerve injury

    can’t extend 2nd and 3rd fingers

  • 96

    Proximal median nerve injury

    can’t flex 2nd and 3rd fingers

  • 97

    Radial nerve motor injury

    none

  • 98

    Radial nerve sensory injury

    lateral dorsum of the hand

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    問題一覧

  • 1

    Radial attachment of flexor retinaculum

    Pisiform, Hook of hamate

  • 2

    Ulnar attachement of flexor retinaculum

    Tubercle of scaphoid, Ridge of trapezium

  • 3

    Superficial to the flexor retinaculum (medial to lateral)

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

  • 4

    Passes below flexor retinaculum (medial to lateral)

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

  • 5

    A strong, fibrous band, extending obliquely downward and medialward across the back of the wrist

    Extensor retinaculum

  • 6

    Superficial to extensor retinaculum

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

  • 7

    Beneath the extensor retinaculum

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

  • 8

    Together with deep fascia, they form the subfascial space

    Long extensor tendons

  • 9

    Tendons of middle, ring and small fingers are connected by

    fibrous bands

  • 10

    Tendon to the index finger is joined medially by the

    Extensor indicis

  • 11

    What lies medial to the extensor digitorum tendon to small finger

    Extensor digiti minimi

  • 12

    Ulnar artery at the palm: Direct continuation

    Superficial palmar arch

  • 13

    Ulnar artery at the palm: Curves laterally behind the palmar aponeurosis

    Superficial palmar arch

  • 14

    Ulnar artery at the palm: Anastomoses with radial artery

    Superficial palmar arch

  • 15

    Ulnar artery at the palm: Arise from the convexity of the arch and goes to the fingers

    Four digital arteries

  • 16

    Ulnar artery at the palm: Arise from ulnar artery after passing the flexor retinaculum

    Deep branch of ulnar artery

  • 17

    Between abductor digiti minimi and flexor digiti minimi

    Deep branch of ulnar artery

  • 18

    Anastomoses with radial artery to form deep palmar arch

    Deep branch of ulnar artery

  • 19

    Leaves the dorsum between 1st and 2nd metacarpals

    Radial artery at the palm

  • 20

    Continues as deep palmar arch between oblique and transverse head of adductor pollicis

    Radial artery at the palm

  • 21

    Curves medially between the long flexors and interosseous muscles to form the deep palmar arch

    Radial artery at the palm

  • 22

    Has anastomosis at the the wrist joint and also digital branches of the superficial palmar arch

    Radial artery at the palm

  • 23

    From the lateral side of the wrist

    Radial artery at the dorsum

  • 24

    Beneath the extensor pollicis tendon to reach the interval between first and 2nd interossei

    Radial artery at the dorsum

  • 25

    Branches to take part of the anastomosis around the wrist

    Radial artery at the dorsum

  • 26

    Digital arteries to the thumb and index fingers

    Radial artery at the dorsum

  • 27

    Lies on the subcutaneous tissue proximal to MCP

    Dorsal venous arch

  • 28

    Drains on the cephalic and basilic veins

    Dorsal venous arch

  • 29

    Select what applies for median nerve at the palm

    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

  • 30

    Branches out before the retinaculum and supplies the lateral part of the palm

    Palmar cutaneous branch

  • 31

    Recurrent course to about one fingerbreadth distal to the scaphoid tubercle

    Muscular branch

  • 32

    Supply the abductor pollicis brevis, flexor pollicis brevis and opponens pollicis and the 1st lumbricals

    Muscular branch

  • 33

    Lateral three and half digits and 2nd lumbricals

    Cutaneous branch

  • 34

    True about the superficial branch of ulnar nerve

    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

  • 35

    Muscular branch of superficial ulnar nerve of the palm

    Palmaris brevis

  • 36

    Cutaneous branch of superficial ulnar nerve of the palm

    Medial one and half fingers

  • 37

    Ulnar nerve deep branch is located between what muscles

    Abductor digiti minimi, Flexor digiti minimi

  • 38

    Deep palmar cutaneous branch of ulnar nerve of palm goes to

    Medial part of the palm

  • 39

    Muscular branches of deep ulnar nerve branches to

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

  • 40

    True about the deep branch of radial nerve

    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

  • 41

    Muscular branches of deep radial nerve

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

  • 42

    Articular branch of deep radial nerve

    To the wrist and carpal bones

  • 43

    Enters the snuff box then supplies the lateral half of the dorsum and dorsum of the lateral 3 and half fingers up to the middle phalanx

    Radial nerve

  • 44

    Sensory nerve supply: Superficial branch of the radial nerve

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

  • 45

    Sensory nerve supply: Posterior cutaneous branch of the ulnar nerve

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

  • 46

    Dorsal digital nerves never extend beyond the proximal phalanx

    True

  • 47

    Potential space with loose connective tissues

    Fascial spaces of the hand

  • 48

    Limits the spread of infection

    Fascial spaces of the hand

  • 49

    Thenar space

    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

  • 50

    Mid palmar space

    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

  • 51

    Surrounds each lumbrical muscle and continuius with one of the palmar spaces

    Lumbrical canal

  • 52

    Between flexor tendon and adductor pollicis

    Thenar

  • 53

    Between flexor sheath and metacarpal

    Mid palmar

  • 54

    Proximal extensuin of FPL sheath

    Radial bursa

  • 55

    Communicates with SF, FDS, & FDP flexor tendon sheath

    Ulnar bursa

  • 56

    Infection can track proximally

    Radial bursa

  • 57

    Flexor sheath infection can track proximally into bursa

    Ulnar bursa

  • 58

    Potential space: site of possible infection

    Thenar, Mid palmar

  • 59

    Triangular, at the center of the palm

    Palmar aponeurosis

  • 60

    Apex of palmar aponeurosis is attached to distal border of the

    palmaris longus

  • 61

    Functions as firm attachment of the skin, improve grip and protect the tendons

    Palmar aponeurosis

  • 62

    Volar surface

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

  • 63

    Snuffbox medial border

    EPL

  • 64

    Snuffbox lateral border

    EPB, APL

  • 65

    Contents of snuffbox

    Radial artery, Superficial branch of radial nerve, Cephalic vein

  • 66

    Floor of snuffbox

    Radial styloid, Scaphoid, Trapezium, 1st metacarpal

  • 67

    Functional position of hand

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

  • 68

    Compartment syndromes

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

  • 69

    Median nerve is compressed at the wrist, resulting in numbness and pain

    Carpal tunnel syndrome

  • 70

    Flexion contracture of 4th and 5th fingers (most common)

    Dupuytren’s disease

  • 71

    Dimpling and puckering of skin

    Dupuytren’s disease

  • 72

    Palpable fascial nodules near flexion crease of palm at the base of involved fingers with cordlike formation extending to proximal palm

    Dupuytren’s disease

  • 73

    Partial excision of palmar fascia

    Dupuytren’s disease

  • 74

    Inflammatory thickening of fibrous sheath (pulley) of flexor tendons with fusiform nodular enlargement of both tendons

    Trigger fingers

  • 75

    Silver fork deformity with dorsal and proximal displacement of distal fragment

    Colle’s fracture

  • 76

    Oblique intra-articular fracture of base of thumb metacarpal

    Benett fracture

  • 77

    Fractures of metacarpal neck commonly results from end on blow of fist

    Boxer fracture

  • 78

    Y-shaped intra-articular fracture that is less common

    Rolando fracture

  • 79

    Tend to shorten and rotate metacarpal

    Oblique fracture

  • 80

    Usually angulater dorsally by pull of interosseous muscles

    Transverse fracture

  • 81

    Volar cortex often comminuted, resulting in marked instability after reduction

    Fracture of metacarpal neck

  • 82

    DIP

    Heberden’s nodes

  • 83

    PIP

    Bouchard’s nodes

  • 84

    Extensor tendor disruption

    Mallet deformity

  • 85

    Rupture of extensor central slip

    Boutonniere’s deformity

  • 86

    Lateral slips still functions as DIP extensor

    Boutonniere’s deformity

  • 87

    Volar displacement of the lateral slips

    Boutonniere’s deformity

  • 88

    Ulnar nerve motor injury

    Intrinsic muscles of the hand

  • 89

    Ulnar sensory nerve injury

    Medial 1 and half fingers

  • 90

    Distal ulnar nerve injury

    can’t extend 4th and 5th fingers

  • 91

    Proximal ulnar nerve injury

    can’t flex 4th and 5th fingers

  • 92

    Median motor nerve injury

    Thenar muscles, 1st and 2nd lumbricals

  • 93

    Median sensory nerve injury

    Lateral 3 and half fingers

  • 94

    Ape hand deformity

    Median nerve injury

  • 95

    Distal median nerve injury

    can’t extend 2nd and 3rd fingers

  • 96

    Proximal median nerve injury

    can’t flex 2nd and 3rd fingers

  • 97

    Radial nerve motor injury

    none

  • 98

    Radial nerve sensory injury

    lateral dorsum of the hand