Antebrachium, Hand, and Joints

Size: px
Start display at page:

Download "Antebrachium, Hand, and Joints"

Transcription

1 L 5 A B O R A T O R Y Antebrachium, Hand, and Joints ELBOW JOINT Classify the elbow joint according to structural and functional criteria Hinge, synovial (diarthrotic) joint Identify the bony articulations. Humeroradial: (radial collateral) capitulum of humerus articulates with the head of the radius Humeroulnar: (ulnar collateral) trochlea of humerus articulates with the trochlear notch of the ulna olecranon process of the ulna articulates with the olecranon fossa of the humerus Proximal radioulnar: Head of radius articulates with the radial notch of the ulna Held in place by the annular ligament Identify the ligaments associated with the elbow joint. radial collateral ligament ulnar collateral ligament annular ligament Identify the primary sources of vascularization to the elbow joint. superior/inferior ulnar collateral arteries anterior/posterior interosseous arteries Identify the primary innervation sources to the elbow and radioulnar joints. Elbow musculocutaneous, radial, ulnar nerves Radioulnar musculocutaneous, median, radial nerves

2 28 Laboratory 5 Antebrachium, Hand, and Joints Identify the structures associated with the cubital fossa. brachial artery median nerve median cubital vein biceps brachii tendon Discuss the venous return from the brachial region. cephalic vein basilic vein median cubital vein axillary vein RADIOULNAR JOINTS Proximal radioulnar: Head of radius articulates with the radial notch of the ulna Distal radioulnar: Head of the ulna articulates with the ulnar notch on the radius Allows radius to move anteriorly across the ulna during pronation Classify the radioulnar joints according to structural and functional criteria, and identify the associated ligaments. Proximal pivot, synovial diarthrotic joint annular ligament radial/ulnar collateral ligaments Distal pivot, synovial diarthrotic joint triangular ligament (articular disc) (fibrocartilage complex) radial/ulnar collateral ligaments WRIST JOINT Classify the wrist joint according to structural and functional criteria diarthrotic, synovial condyloid. Identify the ligaments associated with the wrist joint. radial collateral ligament ulnar collateral ligament palmar carpal ligament dorsal carpal ligament triangular ligament (fibrocartilage complex) flexor retinaculum extensor retinaculum

3 Laboratory 5 Antebrachium, Hand, and Joints 29 ANTERIOR ANTEBRACHIUM Identify the superficial and deep muscles located in the anterior compartment of the antebrachium. Describe the attachment points of all of the anterior antebrachial muscles. Describe the primary action of each of these muscles. Identify the primary source of innervation of ALL of these muscles. Identify the primary source of vascularization for all of these muscles. Anterior Antebrachium Muscles Layer 1 Pronator Teres Carpi Radialis Medial coranoid process of Ulna Medial Mid-lateral Radius (C6-C7) 2 nd Metacarpal (C6-C7) Ulnar A Ulnar A Pronate forearm weak forearm flexor Flex and abduct hand at wrist Palmaris Longus Medial Carpi Ulnaris Humeral: medial Ulnar: olecranon and posterior Ulna Palmar aponeurosis Pisiform bone Hook of Hamate 5 th Metacarpal Ulnar A Ulnar A Flex hand at wrist and Tighten palm Flex and adduct hand at wrist Layer 2 Digitorum Superficialis Medial, coronoid process of Ulna and superoanterior Radius Middle phalanges of medial 4 digits (C7-T1) Ulnar A Flex wrist, interphalangeal, and metacarpophalangeal joints

4 30 Laboratory 5 Antebrachium, Hand, and Joints Layer 3 Digitorum Profundus Proximal, medial, anterior Ulna and interosseus membrane Distal phalanges of medial 4 digits Medial Lateral Ulnar A Anterior Flex wrist, distal interphalangeal and metacarpophalangeal joints Pollicis Longus Anterior Radius and interosseus membrane Base of distal phalanx of thumb (anterior Radial A Anterior Flex distal thumb phalanges Layer 4 Pronator Quadratus Distal anteromedial Ulna (proximal attach) Distal anterolateral Radius (distal attach) (anterior Radial A Anterior Pronate forearm

5 Laboratory 5 Antebrachium, Hand, and Joints 31 POSTERIOR ANTEBRACHIUM Identify the superficial and deep muscles located in the posterior compartment of the forearm. Describe the attachment points of all of the posterior antebrachial muscles. Describe the primary action of each of these muscles. Identify the primary source of innervation and vascularization of all of these muscles. Identify the flexor and extensor retinaculums and be able to describe their anatomical significance. Identify the basilic and cephalic veins, which originate in the antebrachial region. Antebrachium Muscles Superficial - Layer 1 Brachioradialis Lateral supracondylar ridge of Lateral distal Radius (C5-C7) Deep A of Arm (profunda brachii) Flex forearm at elbow Extensor Carpi Radialis Longus Lateral supracondylar ridge of 2 nd Metacarpal (C6-C7) Deep A of Arm (profunda brachii) Extend and Abduct hand at wrist Extensor Carpi Radialis Brevis Lateral 3 rd Metacarpal Deep A of Arm (profunda brachii) Extend and Abduct hand at wrist Extensor Digitorum Lateral Medial 4 digits extensor expansion Extend phalangeal joints & extend wrist Extensor Digiti Minimi Lateral 5 th digit extensor expansion Extend 5 th digit at metacarpophalangeal/ interphalangeal joint Extensor Carpi Ulnaris Lateral, posterior Ulna 5 th Metacarpal Extend and Adduct hand at wrist

6 32 Laboratory 5 Antebrachium, Hand, and Joints Deep - Layer 2 Supinator Lateral, elbow ligaments, Ulnar crest Proximal Posterolateral Radius (C5-C6) Radial A Deep A of Arm (profunda brachii) Supinate forearm Abductor Pollicis Longus Extensor Pollicis Brevis Ulna, Radius and Interosseous membrane Radius and interosseous membrane 1 st Metacarpal Proximal Phalanx of thumb Abduct, Extend thumb at carpometacarpal joint Extend proximal thumb phalanx at carpometacarpal joint Extensor Pollicis Longus mid- Ulna and interosseous membrane Distal Phalanx of thumb Extend distal thumb phalanx at carpometacarpal & interphalangeal joints Extensor Indicis Ulna and interosseous membrane 2 nd digit extensor expansion Extend 2 nd digit, extend hand at wrist

7 Laboratory 5 Antebrachium, Hand, and Joints 33 MUSCLES OF THE HAND Describe the carpal tunnel. Identify the muscles associated with the thenar, hypothenar, lumbricals, and interossei muscles. Attachment points do NOT have to be identified for specific muscles within the hand. Identify the actions of the hand muscles. Identify the primary innervation source for the hand muscles. Describe the blood flow in the hand, including the superficial, deep palmar, and dorsal carpal arches. Thenar Muscles Abductor Pollicis Brevis retinaculum, Scaphoid & Trapezium Lateral proximal Phalanx of thumb Recurrent branch of Abduct and Oppose thumb (toward palm) Pollicis Brevis Opponens Pollicis retinaculum, Scaphoid & Trapezium retinaculum, Scaphoid & Trapezium Lateral proximal Phalanx of thumb Lateral 1 st Metacarpal Recurrent branch of Recurrent branch of Flex thumb at interphalangeal joint Oppose thumb (toward palm) Hypothenar Muscles Abductor Digiti Minimi Pisiform Medial proximal Phalanx of 5 th digit Abduct 5 th digit Digiti Minimi Brevis Opponens Digiti Minimi Hook of Hamate Retinaculum Hook of Hamate Retinaculum Medial proximal Phalanx of 5 th digit Medial 5 th Metacarpal Flex proximal phalanx of 5 th digit Oppose 5 th digit (toward palm)

8 34 Laboratory 5 Antebrachium, Hand, and Joints Adductor Muscles Adductor Pollicis Oblique: 2-3 Metacarpal & Capitate Trans: 3 rd Metacarpal Medial proximal Phalanx of thumb Adduct thumb toward middle digit Central Muscles Lumbricals 1 & 2 Lateral 2 tendons of flexor digitorum profundus Lateral extensor expansions of digits 2-5 Flex at metacarpophalangeal joints; Extend at interphalangeal joints Lumbricals 3 & 4 Medial 3 tendons of flexor digitorum profundus Lateral extensor expansions of digits 2-5 Flex at metacarpophalangeal joints; Extend at interphalangeal joints Palmar interossei PAD 3 2, 4, 5 Metacarpals (palmar surface) Extensor expansions & proximal phalanx of digits 2, 4, 5 Deep Palmar Arch Adduct digits 2, 4, 5 & Assist lumbricals Dorsal interossei DAB 4 Metacarpal sides Extensor expansions & proximal phalanx of digits 2, 3, 3, 4 Deep Palmar & Dorsal Carpal Arches Abduct digits 2, 3, 3, 4 & Assist lumbricals

9 Laboratory 5 Antebrachium, Hand, and Joints 35 UPPER EXTREMITY REVIEW (SELF STUDY) SHOULDER List the muscles of the back that connect the upper limb to the axial skeleton. Describe the muscles of the back and discuss their attachment points, action, blood supply, and innervation. List the pectoral muscles. Describe the pectoral muscles and discuss their attachment points, action, blood supply, and innervation. List the rotator cuff muscles. Describe the muscles of the shoulder, including their attachment points, blood supply, actions, and innervation. Classify the joints of the pectoral girdle according to structural/functional criteria and describe the ligaments. Identify bony landmarks on real bone, models, and x-rays. BRACHIUM Identify the muscles of the brachial region and discuss their attachment points, actions, blood supply, and innervation. Locate and describe the anatomical significance of the bicipital aponeurosis. Identify the trunks, cords, and branches of the brachial plexus and discuss the targets of the nerves. Discuss the blood vessels of the arm, including both superficial and deep vessels. Identify bony landmarks on real bone, models, and x-rays.

10 36 Laboratory 5 Antebrachium, Hand, and Joints ANTEBRACHIUM Identify the muscles located in the forearm and discuss their attachment points, action, blood supply, and innervation. Identify the retinacula and be able to describe their anatomical significance. Classify the elbow and radioulnar joints according to structural/functional criteria and describe ligaments. Discuss the blood vessels of the forearm, including both superficial and deep vessels. Identify bony landmarks on real bone, models, and x-rays. HAND Describe the carpal tunnel. Identify the muscles associated with the thenar, hypothenar, lumbricals, and interossei muscles. Attachment points do NOT have to be identified for specific muscles within the hand. Identify the actions, innervation, and blood supply of the hand muscles. Discuss the blood vessels of the hand, including both superficial and deep vessels. Identify bony landmarks on real bone, models, and x-rays.

11 Laboratory 5 Antebrachium, Hand, and Joints 37 Page Intentionally Left Blank

12 38 Laboratory 5 Antebrachium, Hand, and Joints Page Intentionally Left Blank

Chapter 7 The Wrist and Hand Joints

Chapter 7 The Wrist and Hand Joints Chapter 7 The Wrist and Hand Manual of Structural Kinesiology R.T. Floyd, EdD, ATC, CSCS Many Archery, Relate wrist require sports require precise functioning of flexion, & hand & hand functional combined

More information

10/15/2012. The Hand. Clarification of Terms. Osteology of the Hand (Bones) http://www.youtube.com/watch?v=idxuwerttj A&feature=related

10/15/2012. The Hand. Clarification of Terms. Osteology of the Hand (Bones) http://www.youtube.com/watch?v=idxuwerttj A&feature=related The Hand http://www.youtube.com/watch?v=idxuwerttj A&feature=related Clarification of Terms The hand is made up of the thumb, metacarpals, and phalanges The digits are numbered (with the thumb being #1

More information

Muscles of the Forearm and Hand

Muscles of the Forearm and Hand 8 Muscles of the Forearm and Hand 132 PRONATOR TERES Strengthening exercises Pronation with strength bar Self stretches Weight of stick increases supination via gravity PRONATOR TERES 133 Latin, pronate,

More information

Upper Limb QUESTIONS UPPER LIMB: QUESTIONS

Upper Limb QUESTIONS UPPER LIMB: QUESTIONS 1 Upper Limb QUESTIONS 1.1 Which of the following statements best describes the scapula? a. It usually overlies the 2nd to 9th ribs. b. The spine continues laterally as the coracoid process. c. The suprascapular

More information

Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S?

Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S? Elbow & Forearm H O W V I T A L I S T H E E L B O W T O O U R D A I L Y L I V E S? Clarification of Terms The elbow includes: 3 bones (humerus, radius, and ulna) 2 joints (humeroulnar and humeroradial)

More information

The Muscular System. Appendicular Musculature

The Muscular System. Appendicular Musculature 11 The Muscular System Appendicular Musculature CHAPTER OBJECTIVES 1. Describe the functions of the appendicular musculature. 2. Identify and locate the principal appendicular muscles of the body, together

More information

The wrist and hand are constructed of a series of complex, delicately balanced joints whose function is essential to almost every act of daily living.

The wrist and hand are constructed of a series of complex, delicately balanced joints whose function is essential to almost every act of daily living. TOPIC OUTLINE 9- THE WRIST AND HAND. Introduction. The wrist and hand are constructed of a series of complex, delicately balanced joints whose function is essential to almost every act of daily living.

More information

GROSS ANATOMY. Unit #4: Upper and Lower Limbs. Lecture Syllabus 2008

GROSS ANATOMY. Unit #4: Upper and Lower Limbs. Lecture Syllabus 2008 GROSS ANATOMY Lecture Syllabus 2008 Unit #4: Upper and Lower Limbs ANAT 6010 - Gross Anatomy Department of Neurobiology and Anatomy University of Utah School of Medicine G24- Upper Limb Overview, Shoulder,

More information

Muscle Name Origin Insertion Action Innervation Muscles of Upper Extremity Pectoralis Major Medial half of clavicle, front of sternum, costal

Muscle Name Origin Insertion Action Innervation Muscles of Upper Extremity Pectoralis Major Medial half of clavicle, front of sternum, costal Muscle Name Origin Insertion Action Innervation Muscles of Upper Extremity Pectoralis Major Medial half of clavicle, front of sternum, costal Crest of greater tubercle (Lateral lip of bicipital groove)

More information

Muscles of Mastication

Muscles of Mastication Muscles of Mastication Masseter Zygomatic Arch Mandibular angle Elevates mandible Mandibular ramus Temporalis Temporal fossa of the temporal bone Coronoid process of the mandible Elevates mandible Retracts

More information

Elbow & Forearm. Notes. Notes. Lecture Slides - A.D.A.M. Lab Pics. Bones & Joints: Elbow & Forearm

Elbow & Forearm. Notes. Notes. Lecture Slides - A.D.A.M. Lab Pics. Bones & Joints: Elbow & Forearm Elbow & Forearm Elbow & Forearm Notes Lecture Slides - A.D.A.M. Lab Pics Notes Bones & Joints: The elbow joint is a combination of joints but common reference is usually to the articulation of the distal

More information

The Elbow, Forearm, Wrist, and Hand

The Elbow, Forearm, Wrist, and Hand Elbow - Bones The Elbow, Forearm, Wrist, and Hand Chapters 23 & 24 Humerus Distal end forms the medial & lateral condyles Lateral: capitulum Medial: trochlea Radius Ulna Sports Medicine II Elbow - Bones

More information

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide C5 Elbow Flexors Biceps Brachii, Brachialis Patient Position: The shoulder is in neutral rotation, neutral flexion/extension, and adducted. The elbow is fully extended, with the forearm in full supination.

More information

Skin of eyebrows galea aponeurotica. Muscle and skin of mouth

Skin of eyebrows galea aponeurotica. Muscle and skin of mouth : SEE ALSO THE AP SITE FOR OTHER TABLES GROSS ANATOMY OF THE MUSCULAR SYSTEMM Muscles of the Head and Neck: Occipitofrontalis Frontalis Occipitalis Orbicularis oculi Orbicularis oris Buccinator Masseter

More information

Whether a physician is

Whether a physician is ILLUSTRATIONS BY SCOT BODELL Hand and Wrist Injuries: Part I. Nonemergent Evaluation JAMES M. DANIELS II, M.D., M.P.H., Southern Illinois University School of Medicine, Quincy, Illinois ELVIN G. ZOOK,

More information

EXTENSOR POLLICIS TENDONITIS SYNDROME

EXTENSOR POLLICIS TENDONITIS SYNDROME EXTENSOR POLLICIS TENDONITIS SYNDROME The extensor pollicis longus muscle has its origin on the lateral part of the middle third of the ulnar shaft on the dorsal border below the abductor pollicis longus

More information

by joe muscolino body mechanics

by joe muscolino body mechanics by joe muscolino body mechanics carpal tunnel syndrome The word carpal means wrist. Therefore, the carpal tunnel is a tunnel that is formed by the structural configuration of the wrist (carpal) bones.

More information

Musculoskeletal Ultrasound Technical Guidelines. II. Elbow

Musculoskeletal Ultrasound Technical Guidelines. II. Elbow European Society of MusculoSkeletal Radiology Musculoskeletal Ultrasound Technical Guidelines II. Ian Beggs, UK Stefano Bianchi, Switzerland Angel Bueno, Spain Michel Cohen, France Michel Court-Payen,

More information

Elbow, Forearm, Wrist, & Hand. Bony Anatomy. Objectives. Bones. Bones. Bones

Elbow, Forearm, Wrist, & Hand. Bony Anatomy. Objectives. Bones. Bones. Bones Objectives Elbow, Forearm, Wrist, & Hand Chapter 19 Identify and discuss the functional anatomy of the elbow and forearm Discuss the common injuries associated with these anatomical structures Bones Humerus

More information

Examination of the Elbow. Elbow Examination. Structures to Examine. Active Range of Motion. Active Range of Motion 8/22/2012

Examination of the Elbow. Elbow Examination. Structures to Examine. Active Range of Motion. Active Range of Motion 8/22/2012 Examination of the Elbow The elbow is a complex modified hinge joint The humero-ulnar joint is a hinge joint allowing flexion and extension The radio-ulnar joint allows for pronation and supination of

More information

Coding for Difficult Tendon Repairs and Transfers. Current Procedural Terminology 2013 American Medical Association. All Rights Reserved.

Coding for Difficult Tendon Repairs and Transfers. Current Procedural Terminology 2013 American Medical Association. All Rights Reserved. Coding for Difficult Tendon Repairs and Transfers Rotator Cuff Repair 23420 February 2002 page 11 Code 23420 describes a repair of a complete shoulder (rotator) cuff avulsion, referring to the repair of

More information

Hemiplegic shoulder pain/shoulder subluxation

Hemiplegic shoulder pain/shoulder subluxation UPPER LIMB NEUROMUSCULAR ELECTRICAL STIMULATION: Electrode positions Please note that the polarity (red and black leads) can be altered according to your clinical reasoning. The area in which you want

More information

www.ghadialisurgery.com

www.ghadialisurgery.com P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

Muscles of the Neck and Vertebral Column Sternocleidomastoid (anterior neck) Origin Insertion Action

Muscles of the Neck and Vertebral Column Sternocleidomastoid (anterior neck) Origin Insertion Action Muscular movements of the head (at the cervical spine/neck) and of the torso (thoracic and lumbar spine/upper, middle, and lower back): flexion, extension, lateral flexion, rotation. Muscles of the Neck

More information

Buccinator Presses cheek against molar teeth Facial (CNVII) wrinkles forehead

Buccinator Presses cheek against molar teeth Facial (CNVII) wrinkles forehead Muscles to Identify on the Cadaver and/or Models You are required to identify each of the following muscles or associated structures on the cadavers and/or models in lab. If the box is shaded in a particular

More information

Ulnar Neuropathy Differential Diagnosis and Prognosis. Disclosures: None

Ulnar Neuropathy Differential Diagnosis and Prognosis. Disclosures: None Ulnar Neuropathy Differential Diagnosis and Prognosis Disclosures: None Goals of Lecture Describe anatomy: sites of entrapment Ulnar nerve Discuss differential diagnosis of ulnar nerve pathology Identify

More information

Carpal Tunnel Syndrome, an overview

Carpal Tunnel Syndrome, an overview Carpal Tunnel Syndrome, an overview Jim Lewis, R.NCS.T. Learning Objectives: Median nerve compression at the wrist is the most common entrapment seen in the electrodiagnostic laboratory. Although it is

More information

Diagnostic MSK Case Submission Requirements

Diagnostic MSK Case Submission Requirements Diagnostic MSK Case Submission Requirements Note: MSK Ultrasound-Guided Interventional Procedures (USGIP) is considered a separate specialty. Corresponds with 4/21/16 Accred Newsletter* From the main site:

More information

The Symptomatic Upper Extremity: An Algorithmic Approach to Diagnosis, Part 2

The Symptomatic Upper Extremity: An Algorithmic Approach to Diagnosis, Part 2 Journal of the American Chiropractic Association May 1999 The Symptomatic Upper Extremity: An Algorithmic Approach to Diagnosis, Part 2 By David J. Schimp, DC, DACNB, DAAPM Dorsal scapular nerve entrapment:

More information

Dimensional Massage Therapy Techniques for Soft-tissue Conditions of the Elbow and Radioulnar Joints, Hand and Wrist. AMTA National Convention

Dimensional Massage Therapy Techniques for Soft-tissue Conditions of the Elbow and Radioulnar Joints, Hand and Wrist. AMTA National Convention Dimensional Massage Therapy Techniques for Soft-tissue Conditions of the Elbow and Radioulnar Joints, Hand and Wrist AMTA National Convention Date: Wednesday September 17, 2014 Place: Denver, CO By Nancy

More information

Structure & Function of the Ankle and Foot. A complicated model of simplicity that you really think little about until you have a problem with one.

Structure & Function of the Ankle and Foot. A complicated model of simplicity that you really think little about until you have a problem with one. Structure & Function of the Ankle and Foot A complicated model of simplicity that you really think little about until you have a problem with one. The Foot and Ankle Terminology Plantar flexion Dorsi flexion

More information

NOW PLAYING THE WRIST. David Costa, OTR/L October 20, 2007

NOW PLAYING THE WRIST. David Costa, OTR/L October 20, 2007 NOW PLAYING THE WRIST David Costa, OTR/L October 20, 2007 Starring Radius Ulna Scaphoid Lunate Triquetrum Trapezium Trapezoid Capitate Hamate Pisiform TFCC Transverse Carpal Ligament Scapholunate Ligament

More information

Differentiating Cervical Radiculopathy and Peripheral Neuropathy. Adam P. Smith, MD

Differentiating Cervical Radiculopathy and Peripheral Neuropathy. Adam P. Smith, MD Differentiating Cervical Radiculopathy and Peripheral Neuropathy Adam P. Smith, MD I have no financial, personal, or professional conflicts of interest to report Radiculopathy versus Neuropathy Radiculopathy

More information

Injuries to Upper Limb

Injuries to Upper Limb Injuries to Upper Limb 1 The following is a list of common sporting conditions and injuries. The severity of each condition may lead to different treatment protocols and certainly varying levels of intervention.

More information

The Hand Exam: Tips and Tricks

The Hand Exam: Tips and Tricks The Hand Exam: Tips and Tricks Nikki Strauss Schroeder, MD Assistant Clinical Professor, UCSF Department of Orthopaedic Surgery November 4, 2013 Outline Surface Anatomy Hand Anatomy Exam Management of

More information

Fractures around wrist

Fractures around wrist Fractures around wrist Colles Fracture Smiths fracture Barton s fracture Chauffer s fracture Scaphoid fracture Lunate dislocation Vivek Pandey Colles fracture Definition: Fracture of the distal end radius

More information

SPLINTING THE HAND WITH A PERIPHERAL-NERVE INJURY

SPLINTING THE HAND WITH A PERIPHERAL-NERVE INJURY Chapter 34 SPLINTING THE HAND WITH A PERIPHERAL-NERVE INJURY Judy C. Colditz Splinting the hand with a peripheral-nerve injury is both easy and difficult. The ease of splinting results from the readily

More information

Chapter 10: The Muscular System

Chapter 10: The Muscular System Chapter 10: The Muscular System Objectives: 1. Describe the function of prime movers, antagonists, synergists, and fixators. 2. List the criteria used in naming muscles. Provide an example to illustrate

More information

Boxing/Kickboxing Shoulder Injuries and Prevention

Boxing/Kickboxing Shoulder Injuries and Prevention Boxing/Kickboxing Shoulder Injuries and Prevention Dr. Paul Newhart, D.C. Kickboxing and boxing are an excellent workout regimen, as long as precautions are taken so as not to injure the shoulders, elbows

More information

THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T

THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T THE SHOULDER JOINT T H E G L E N O H U M E R A L ( G H ) J O I N T CLARIFICATION OF TERMS Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus Lippert, p115

More information

Scottish Adult Brachial Plexus Injury Service

Scottish Adult Brachial Plexus Injury Service Scottish Adult Brachial Plexus Injury Service Information for Physiotherapists Scottish Adult Brachial Plexus Injury Service The Victoria Infirmary Langside Road, Glasgow G42 9TY BPI Service Administrator

More information

Anatomy of Human Muscles

Anatomy of Human Muscles Anatomy of Human Muscles PURPOSE: To develop skill in identifying muscle names and locations relative to other regional structures. To determine origin, insertion and principle action of muscles through

More information

Basic Concepts. Focal and Entrapment Neuropathies and EMG. Pathophysiology. Median Nerve. A Clinical Approach

Basic Concepts. Focal and Entrapment Neuropathies and EMG. Pathophysiology. Median Nerve. A Clinical Approach Basic Concepts Focal and Entrapment Neuropathies and EMG A Clinical Approach Nerves predisposed by a narrow anatomic pathway or superficial course are most susceptible May occur acutely, intermittantly,

More information

Anatomical Consideration and Brachial Plexus Anesthesia. Anatomy

Anatomical Consideration and Brachial Plexus Anesthesia. Anatomy Brachial Plexus Anesthesia There are four approaches to the brachial plexus. These include the interscalene, supraclavicular, infraclavicular, and axillary approach. For the purposes of this lecture we

More information

Thank You for Your Support!

Thank You for Your Support! Thank You for Your Support! This PDF document has been placed on the Internet with the goal of providing quality learning material at a low price to cover web operating expenses. This document is shareware,

More information

CONTENTS. Introduction PART I. EXAMINATION

CONTENTS. Introduction PART I. EXAMINATION 'IS CONTENTS I I Introduction PART I. EXAMINATION 1. History and General Examination History Terminology Physical Examination 2 - Examination of Specific Systems Skin The Fingertip and Nailbed Muscles

More information

Medical Report Checklist: Upper Extremities Peripheral Nerve Disorders Impairments (PND)

Medical Report Checklist: Upper Extremities Peripheral Nerve Disorders Impairments (PND) http://www.pdratings.com/ Craig Andrew Lange craig@pdratings.com California Workers Compensation Certified AMA Guides Impairment & Disability Rating Specialists Voice: (415) 861-4040 / Fax: (415) 276-3741

More information

Brachial Plexopathy, an overview

Brachial Plexopathy, an overview Brachial Plexopathy, an overview Learning Objectives: The brachial plexus is the network of nerves that originate from cervical and upper thoracic nerve roots and eventually terminate as the named nerves

More information

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com Anatomy Review Part I Anatomical Terminology and Review Questions (through pg. 80) Define the following: 1. Sagittal Plane 2. Frontal or Coronal Plane 3. Horizontal Plane 4. Superior 5. Inferior 6. Anterior

More information

7 Cubital Tunnel Release and Ulnar Nerve Transposition

7 Cubital Tunnel Release and Ulnar Nerve Transposition C H A P T E R 7 Cubital Tunnel Release and Ulnar Nerve Transposition Julia A. Kenniston and David R. Steinberg 70 Carpal tunnel syndrome is seen in 40% of patients with cubital tunnel syndrome. As it courses

More information

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS Learning Objective Radiology Anatomy of the Spine and Upper Extremity Identify anatomic structures of the spine and upper extremities on standard radiographic and cross-sectional images Timothy J. Mosher,

More information

The Emergent Evaluation and Treatment of Hand and Wrist Injuries

The Emergent Evaluation and Treatment of Hand and Wrist Injuries The Emergent Evaluation and Treatment of Hand and Wrist Injuries Michael K. Abraham, MD, MS a,b, *, Sara Scott, MD a,c KEYWORDS Hand and wrist injuries Emergency physician Emergent evaluation Treatment

More information

The Muscular System. PowerPoint Lecture Presentations prepared by Jason LaPres. Lone Star College North Harris. 2012 Pearson Education, Inc.

The Muscular System. PowerPoint Lecture Presentations prepared by Jason LaPres. Lone Star College North Harris. 2012 Pearson Education, Inc. 11 The Muscular System PowerPoint Lecture Presentations prepared by Jason LaPres Lone Star College North Harris An Introduction to the Muscular System Learning Outcomes 11-1 Describe the arrangement of

More information

Upper Extremity Special Tests. Cervical Tests. TMJ Dysfunction

Upper Extremity Special Tests. Cervical Tests. TMJ Dysfunction Upper Extremity Special Tests Cervical Tests Vertebral Artery Test: used to test for vertebral artery occlusion or insufficiency. The subject lies supine on the plinth with the examiner seated behind with

More information

Compression Neuropathies. Andrew Martin DO, MBA, CAQSM OMED 2013

Compression Neuropathies. Andrew Martin DO, MBA, CAQSM OMED 2013 Compression Neuropathies Andrew Martin DO, MBA, CAQSM OMED 2013 Compression Neuropathies Carpal Tunnel Syndrome Cubital Tunnel Syndrome Spinal Accessory Nerve Upper/Lower Trunk Plexopathy Long Thoracic

More information

WRIST EXAMINATION. Look. Feel. Move. Special Tests

WRIST EXAMINATION. Look. Feel. Move. Special Tests WRIST EXAMINATION Look o Dorsum, side, palmar- palmar flex wrist to exacerbate dorsal swellings o Deformity e.g. radial deviation after colles, prominent ulna o Swellings e.g. ganglion o Scars, muscle

More information

Chapter 5. The Shoulder Joint. The Shoulder Joint. Bones. Bones. Bones

Chapter 5. The Shoulder Joint. The Shoulder Joint. Bones. Bones. Bones Copyright The McGraw-Hill Companies, Inc. Reprinted by permission. Chapter 5 The Shoulder Joint Structural Kinesiology R.T. Floyd, Ed.D, ATC, CSCS Structural Kinesiology The Shoulder Joint 5-1 The Shoulder

More information

Sonographic Evaluation of the Thenar Compartment Musculature

Sonographic Evaluation of the Thenar Compartment Musculature Sonographic Evaluation of the Thenar ompartment Musculature Wolfgang Grechenig, MD, Gerolf Peicha, MD, ndreas Weiglein, MD, Peter Tesch, MD, Karin Lawrence, MD, Johannes Mayr, MD, Klaus W. Preidler, MD

More information

I have been provided with information to answer your request by Ms Lyn McDonald, Site Director, Royal Infirmary of Edinburgh.

I have been provided with information to answer your request by Ms Lyn McDonald, Site Director, Royal Infirmary of Edinburgh. Lothian NHS Board = Waverley Gate 2-4 Waterloo Place Edinburgh EH1 3EG = Telephone: 0131 536 9000 www.nhslothian.scot.nhs.uk Date: 15/06/2015 Our Ref: 5229 Enquiries to : Bryony Pillath Extension: 35676

More information

The Wrist I. Anatomy. III. Wrist Radiography Typical wrist series: Lateral Oblique

The Wrist I. Anatomy. III. Wrist Radiography Typical wrist series: Lateral Oblique monteleoneg@wvuh.com The Wrist I. Anatomy The wrist is a complex system of articulations comprising 27 articular surfaces among the radius, ulna, carpus, and metacarpals. It is generally agreed that the

More information

Chapter 8. Muscular System: Skeletal Muscles of the Body

Chapter 8. Muscular System: Skeletal Muscles of the Body Chapter 8 Muscular System: Skeletal Muscles of the Body INTRODUCTION This chapter continues our study of the muscular system by examining the distribution of muscles throughout the body. We learned in

More information

SPORT AND PHYSICAL ACTIVITY

SPORT AND PHYSICAL ACTIVITY 2016 Suite Cambridge TECHNICALS LEVEL 3 SPORT AND PHYSICAL ACTIVITY Unit 1 Body systems and the effects of physical activity K/507/4452 Guided learning hours: 90 Version 2 - Revised content - March 2016

More information

Entrapment and Compressive Neuropathies

Entrapment and Compressive Neuropathies Entrapment and Compressive Neuropathies Barbara E. Shapiro, MD, PhD*, David C. Preston, MD KEYWORDS Entrapment neuropathy Compressive neuropathy Entrapment and compressive neuropathies of the upper and

More information

Pediatric Sports Injuries of the Wrist and Hand. Sunni Alford, OTR/L,CHT Preferred Physical Therapy

Pediatric Sports Injuries of the Wrist and Hand. Sunni Alford, OTR/L,CHT Preferred Physical Therapy Pediatric Sports Injuries of the Wrist and Hand Sunni Alford, OTR/L,CHT Preferred Physical Therapy Wrist injuries TFCC ECU/ FCU tendonitis Instability Growth Plate Fractures Ulnar abutment syndrome Triangular

More information

Effects of Upper Extremity Mobilization Techniques on Fine-Motor Performance in Children with Neuromotor Disorders

Effects of Upper Extremity Mobilization Techniques on Fine-Motor Performance in Children with Neuromotor Disorders This program has been approved for CEUs by the American Occupational Therapy Association (AOTA), the Board of Certification (BOC), and is accepted for PDUs by the National Board of Certification of Occupational

More information

Upper limb electrical stimulation exercises. P Taylor, G Mann, C Johnson, L Malone

Upper limb electrical stimulation exercises. P Taylor, G Mann, C Johnson, L Malone Upper limb electrical stimulation exercises. P Taylor, G Mann, C Johnson, L Malone In this article we wish to document some of the electrical stimulation techniques we use for the upper limb, primarily

More information

Work-related upper extremity disorders associated

Work-related upper extremity disorders associated Nerve entrapments of the wrist Early treatment preserves function Nerve entrapment syndromes may affect as many as one in four office workers. Prompt diagnosis is critical to the selection of an appropriate

More information

Development of a Rigid Body Computational Model for Investigation of Wrist Biomechanics

Development of a Rigid Body Computational Model for Investigation of Wrist Biomechanics Virginia Commonwealth University VCU Scholars Compass Theses and Dissertations Graduate School 2010 Development of a Rigid Body Computational Model for Investigation of Wrist Biomechanics Benjamin Majors

More information

Muscle Movements, Types, and Names

Muscle Movements, Types, and Names Muscle Movements, Types, and Names A. Gross Skeletal Muscle Activity 1. With a few exceptions, all muscles cross at least one joint 2. Typically, the bulk of the muscle lies proximal to the joint it crossed

More information

The material in this ebook also appears in the print version of this title: 0-07-148980-0.

The material in this ebook also appears in the print version of this title: 0-07-148980-0. Case Files Anatomy Second Edition EUGENE C.TOY, MD The John S. Dunn, Senior Academic Chief and Program Director The Methodist Hospital-Houston Obstetrics and Gynecology Residency Program Houston,Texas

More information

Chapter 11 The Muscular System. Muscle Attachment Sites: Origin and Insertion

Chapter 11 The Muscular System. Muscle Attachment Sites: Origin and Insertion Chapter 11 The Muscular System Skeletal muscle major groupings How movements occur at specific joints Learn the origin, insertion, function and innervation of all major muscles Important to allied health

More information

Anatomy and Physiology 121: Muscles of the Human Body

Anatomy and Physiology 121: Muscles of the Human Body Epicranius Anatomy and Physiology 121: Muscles of the Human Body Covers upper cranium Raises eyebrows, surprise, headaches Parts Frontalis Occipitalis Epicranial aponeurosis Orbicularis oculi Ring (sphincter)

More information

NERVE COMPRESSION DISORDERS

NERVE COMPRESSION DISORDERS Common Disorders of the Hand and Wrist Ryan Klinefelter, MD Associate Professor of Orthopaedics Department of Orthopaedics The Ohio State University Medical Center NERVE COMPRESSION DISORDERS 1 Carpal

More information

Elbow Examination. Haroon Majeed

Elbow Examination. Haroon Majeed Elbow Examination Haroon Majeed Key Points Inspection Palpation Movements Neurological Examination Special tests Joints above and below Before Starting Introduce yourself Explain to the patient what the

More information

Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D.

Hand and Upper Extremity Injuries in Outdoor Activities. John A. Schneider, M.D. Hand and Upper Extremity Injuries in Outdoor Activities John A. Schneider, M.D. Biographical Sketch Dr. Schneider is an orthopedic surgeon that specializes in the treatment of hand and upper extremity

More information

How To Balance Exercise

How To Balance Exercise 2011 Myositis Association Annual Conference Banner Good Samaritan Rehabilitation Institute, Phoenix, AZ. Neuroscience Clinics John Bargas, MS, PT Northern Arizona University; Neuroscience Clinics: ALS,

More information

Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma. Magee, 2008. pg.

Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma. Magee, 2008. pg. PTA 216 Most active and intricate part of the upper extremity Especially vulnerable to injury Do not respond well to serious trauma Magee, 2008. pg. 396 28 bones Numerous articulations 19 intrinsic muscles

More information

Manual of Nerve Conduction Studies. Second Edition

Manual of Nerve Conduction Studies. Second Edition Manual of Nerve Conduction Studies Second Edition This page intentionally left blank Manual of Nerve Conduction Studies Second Edition Ralph M. Buschbacher, MD Nathan D. Prahlow, MD Indiana University

More information

Hand and Wrist Injuries and Conditions

Hand and Wrist Injuries and Conditions Hand and Wrist Injuries and Conditions Julia Wild Hand Therapist www.southernhandtherapy.com.au 02 9553 8597 POSI Position of Safe Immobilisation So everything is balanced Wrist 30⁰ ext MCP 70⁰ flex for

More information

Elbow and Forearm Radiating Pain

Elbow and Forearm Radiating Pain 1 Elbow and Forearm Radiating Pain ICD-9-CM code: 354.1 Other lesion of median nerve 354.3 Lesion of radial nerve 354.2 Lesion of ulnar nerve ICF codes: Activities and Participation Domain code: d4301

More information

Name the muscle, A: (Action), O: (Origin), and I: (Insertion)

Name the muscle, A: (Action), O: (Origin), and I: (Insertion) FRONTALIS - A: (Action) Elevates eyebrows in glancing upward and expressions of surprise or fright; draws scalp forward and wrinkles skin of forehead; O: (Origin) Galea aponeurotica; I: Subcutaneous tissue

More information

How To Perform An Elbow Operation

How To Perform An Elbow Operation Coonrad/Morrey Total Elbow Surgical Technique Interchangeability, Anterior Flange, Clinical History Coonrad/Morrey Total Elbow Surgical Technique 1 Coonrad/Morrey Total Elbow Surgical Technique Table

More information

Background Š Compression neuropathy: Nerve compression resulting in nerve dysfunction. Upper Extremity Nerve Entrapments

Background Š Compression neuropathy: Nerve compression resulting in nerve dysfunction. Upper Extremity Nerve Entrapments Upper Extremity Nerve Entrapments Compression Neuropathies: Pathophysiology Scott P. Olvey, MD 1 2 Goals Understand peripheral nerve histology Understand the pathophysiology of peripheral nerve compression

More information

Abdominal Pedicle Flaps To The Hand And Forearm John C. Kelleher M.D., F.A.C.S.

Abdominal Pedicle Flaps To The Hand And Forearm John C. Kelleher M.D., F.A.C.S. Abdominal Pedicle Flaps To The Hand And Forearm John C. Kelleher M.D., F.A.C.S. Global-HELP Publications Chapter Eight: TECHNICAL REQUIREMENTS FOR FORMATION OF A TUBED PEDICLE FLAP Creating a tube pedicle

More information

UPPER EXTREMITY INJURIES IN SPORTS

UPPER EXTREMITY INJURIES IN SPORTS UPPER EXTREMITY INJURIES IN SPORTS Wrist and Hand Injuries in the Athlete Tim L. Uhl, PhD, ATC, PT Philip Blazar, MD Greg Pitts, MS, OTR/L, CHT Kelly Ramsdell, ATC CHAPTER 2 Sports Physical Therapy Section

More information

Chapter 9 Anatomy and Physiology Lecture

Chapter 9 Anatomy and Physiology Lecture Chapter 9 1 JOINTS Chapter 9 Anatomy and Physiology Lecture Chapter 9 2 JOINTS (Bones are too rigid to bend without causing damage.) (Bones are held together at joints by flexible connective tissue.) (Imagine

More information

ITEC Level 3 Diploma in Reflexology

ITEC Level 3 Diploma in Reflexology ITEC Level 3 Diploma in Reflexology Unit 4 Reflexology Recommended guided learning hours 75 Pre-requisite Students must hold the ITEC Anatomy and Physiology or equivalent and the ITEC Professional Conduct

More information

Ken Ross BSc ST, Nat Dip ST

Ken Ross BSc ST, Nat Dip ST Ken Ross BSc ST, Nat Dip ST Trunk Most people will suffer from back pain at some point in their lives. Good spinal posture places minimal strain on the muscles which maintain the natural curve of the spine

More information

INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D.

INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D. 05/05/2007 INJURIES OF THE HAND AND WRIST By Derya Dincer, M.D. Hand injuries, especially the fractures of metacarpals and phalanges, are the most common fractures in the skeletal system. Hand injuries

More information

Musculoskeletal problems are

Musculoskeletal problems are Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach RAMSEY SHEHAB, MD, Henry Ford Health System, Detroit, Michigan MARK H. MIRABELLI, MD, University of Rochester Medical Center, Rochester, New

More information

Chapter 9 The Hip Joint and Pelvic Girdle

Chapter 9 The Hip Joint and Pelvic Girdle Copyright The McGraw-Hill Companies, Inc. Reprinted by permission. The Hip Joint and Pelvic Girdle Chapter 9 The Hip Joint and Pelvic Girdle Structural Kinesiology R.T. Floyd, Ed.D, ATC, CSCS Hip joint

More information

Skeletal system. 2012 Pearson Education, Inc.

Skeletal system. 2012 Pearson Education, Inc. NURS1004 Week 6 Part I Prepared by Didy Button Skeletal system An Introduction to the Skeletal System The Skeletal System Includes: Bones of the skeleton Cartilages, ligaments, and connective tissues 6-1

More information

50 Hand and Wrist Pain

50 Hand and Wrist Pain 50 Hand and Wrist Pain CARRIE R. SWIGART KEY POINTS Patients with carpal tunnel syndrome typically present with nocturnal paresthesias associated with intermittent pain or paresthesia during the day. Ganglia

More information

Clarification of Terms

Clarification of Terms Shoulder Girdle Clarification of Terms Shoulder girdle = scapula and clavicle Shoulder joint (glenohumeral joint) = scapula and humerus What is the purpose (or function) of the shoulder and entire upper

More information

Anatomy for Workers Compensation Attorneys

Anatomy for Workers Compensation Attorneys Anatomy for Workers Compensation Attorneys Donato J. Borrillo MD JD Plant Medical Advisor Chrysler/Jeep Assembly Toledo Zoll, Kranz, and Borgess May 16, 2015 Imaging studies neck 1 Bulge and herniation

More information

CONTINUING EDUCATION COURSES. for Massage Therapists. Online!

CONTINUING EDUCATION COURSES. for Massage Therapists. Online! CONTINUING EDUCATION COURSES for Massage Therapists Online! ccmh Halifax Canadian College of Massage & Hydrotherapy Online Continuing Education Program CCMH Halifax offers a variety of Continuing Education

More information

Definition: A joint or articulation is a place in the body where two bones come together.

Definition: A joint or articulation is a place in the body where two bones come together. Definition: A joint or articulation is a place in the body where two bones come together. CLASSES OF JOINTS. 1. Joints are classified according to how the bones are held together. 2. The three types of

More information

Ergonomics Monitor Training Manual

Ergonomics Monitor Training Manual Table of contents I. Introduction Ergonomics Monitor Training Manual II. Definition of Common Injuries Common Hand & Wrist Injuries Common Neck & Back Injuries Common Shoulder & Elbow Injuries III. Ergonomics

More information

Conditions peculiar to the hands

Conditions peculiar to the hands Conditions peculiar to the hands 5 The hand is mankind s greatest physical asset and, anatomically, one of his most distinctive features. It has enabled humans to use the tools that their brains have invented,

More information