extensor region and the hand (ANATOMY FINAL)
what lumbricals are innervated by the median nerve?
1 and 2
on the radial side of the superficial palm, the radial artery gives rise to the ___
Radialis Indicis Artery goes up to the lateral aspect of the index finger
what muscle is found on the hypothenar side that abducts the pinky?
abductor digiti minimi
what muscle is found on the thenar side of the hand?
abductor pollicis brevis
as a rule of thumb, the superficial layer in the extensor compartment of the forearm come from/originate from the:
common extensor tendon on the lateral epicondyle of the humerus
the ___ artery also comes off the dorsal branch of radial artery on the dorsal surface of the hand
dorsalis pollicis artery
extends and adducts the hand at the wrist joint (also active during fist clenching)
extensor carpi ulnaris
(flexor/extensor compartment of the forearm): -innervated by radial nerve and its branches -extend the hand/digits -supination
extensor compartment
what is there a good amount of in the digit?
fat
the synovial sheath in the digit is wrapped by many ___
fibrous digital sheaths
(flexor/extensor compartment of the forearm): -innervated on the radial side by the median nerve and ulnar side on by the ulnar nerve -flex the hands/digits -pronation
flexor compartment
in the deeper palm, what muscle is found medial to the opponens pollicis muscle?
flexor pollicis brevis
what muscle is found medial to abductor pollicis brevis?
flexor pollicis brevis
what does the radialicis indices artery supply?
lateral side of the index finger
during flexion and extension of the digits, they will also go through
rotation
this is the major supination muscle in the deep layer
supinator
the extensor retinaculum passes over the tendons that extend into the wrist and hand on the extensor side with different ___ that surround the tendons
synovial sheaths they provide lubrication for the tendons as they pass over certain joints or under certain ligaments to prevent impingement
since there are no muscle bellies in the digit, what produces the movements of the digits?
tendons and ligaments
the ___ eminence of the hand is on the thumb side and has protrusion of the muscles acting on the thumb
thenar
what artery does the deep palmar arch of the hand come off?
ulnar artery the superficial palmar arch comes from radial artery + ulnar artery
what passes through the ulnar/Guyon's canal?
ulnar nerve and artery
true opposition is between what digits?
1 and 5 opposition occurs across the palm but cause flexion of digits 2-4
what other muscles are found on the hypothenar side with opponens digiti minimi?
1. abductor digiti minimi and 2. flexor brevis digiti minimi
what 2 muscles are found at the extensor compartment of the forearm that have contributions to the thumb?
1. abductor pollicis longus 2. extensor pollicis brevis
what other muscles does the posterior interosseous nerve innervate?
1. abductor pollicis longus 2. extensor pollicis longus 2. extensor pollicis brevis outcropping muscles
these are the outcropping muscles that go to the thumb they extend the thumb more laterally than anything in the hand
1. abductor pollicis longus 2. longus extensor pollicis brevis/longus
on the palmar side of the hand, the superficial palmar arch gives off what two branches?
1. common palmar digital artery 2. proper palmar digital artery
deep branch of ulnar nerve innervates:
1. flexor pollicis brevis (deep head) 2. adductor pollicis 3. abductor digiti minimi 4. flexor digiti minimi brevis 5. opponens digiti
recurrent branch of the median nerve innervates:
1. opponens pollicis 2. abductor pollicis brevis 3. flexor pollicis brevis (superficial head)
the dorsal digital arteries only go up to about the middle phalange for what digits?
2, 3, and 4
how many palmar interossei are there and what digits do they go to?
3 digits 2, 4, and 5
what lumbricals are innervated by the deep branch of ulnar nerve?
3 and 4
how many lumbricals are there and what digits do they go to?
4 digits 2, 3, 4, and 5
how many dorsal interossei are there and what digits do they go to?
4 digits 2, 3, and 4
what nerve innervates digits 4-5? what about digits 1-3?
4-5: ulnar nerve (medial aspect of 4 and all of 5) 1-3: median nerve (and half of 4) ventral surface
the dorsal side of the hand gets blood supply from the continuation of posterior interosseous artery and a small branch from the ___ artery
Anterior Interosseous artery
extends and abducts the hand at the wrist joint; ___ active during fist clenching
ECR longus and brevis ECR longus is active during fist clenching
extensor carpi radialis (longus/brevis) is longer
ECR longus is longer
the ___ tendon gets split to allow the FDP tendon to reach the distal phalange
FDS
deep to the superficial muscles of the palm that draws the thumb towards the midline
adductor pollicis
this space in the hand helps with adduction of the first digit
adductor space
this is a space on the hand formed by extensor pollicis brevis (anterior) and extensor pollicis longus (posterior)
anatomical snuff box
this muscle sits as the divider between the flexor and extensor compartment of the forearm
brachioradialis
what muscle is called the "suitcase or beer drinking muscle" that has a major crossing over the elbow joint, and it one of the main flexors across the elbow when in mid pronation and supination
brachioradialis
what muscles are found superficial in the extensor compartment of the forearm?
brachioradialis, extensor carpi radialis longus/brevis, extensor carpi ulnaris, extensor digitorum, and extensor digiti minimi anconeus is in the extensor compartment of the arm, not forearm
over the carpal bones on the palmar side of the hand is a ___ branch that contributes to some of the other blood supply to the hand
carpal branch
this space of the hand is found over the palm or under the palm
central space
the superficial palmar arch gives off ___ arteries
common palmar digital arteries going to the digits
what two compartments can the deep layer of the extensor compartment muscles be divided into?
deep and outcropping
what nerve innervates extensor carpi radialis brevis?
deep branch of radial nerve
what nerve innervates extensor carpi ulnaris?
deep branch of radial nerve
what nerve innervates extensor digitorum and extensor digit minimi?
deep branch of radial nerve
what nerve innervates supinator muscle?
deep branch of radial nerve
what nerve innervates the dorsal and palmar interossei?
deep branch of ulnar nerve
parent artery to the Radialicis Indicis artery
dorsal branch of the radial artery
the deep palmar branch passes from the hypothenar side to the thenar side, meeting up with which artery which then passes over the thumb to the palm?
dorsal branch of the radial artery
the anterior interosseous artery goes to the __ arch, which has a connection with the dorsal branch of the radial artery supplying the carpal bones on the dorsal side
dorsal carpal arch
from the dorsal carpal arch and the dorsal carpal arteries is the ___ arteries
dorsal digital arteries they run on the dorsal surface of different fingers
what is the dorsal artery on the index finger?
dorsalis indicis artery
this muscle extends the 5th digit/pinky
extensor digiti minimi
extends the medial four digits primarily
extensor digitorum
on the extensor side, ___ goes onto the middle phalange and inserts onto an extensor hood that expands over the rest of the digit
extensor digitorum tendon
this muscle exclusively extends the index finger (digit #2)
extensor indicis
a lot of the muscles in the extensor compartment of the forearm pass under this structure that holds tendons in place and give them a lever point for mechanical advantage
extensor retinaculum
on the flexor side, what tendon goes to the distal phalange?
flexor digitorum profundus tendon
the lumbrical muscles extend off the ___ tendon
flexor digitorum profundus tendon
on the flexor side, what tendon goes to the middle phalange?
flexor digitorum superficialis tendon
the ___ eminence of the hand is on the pinky side - bump that contains the muscles acting on digit minimi side
hypothenar
what inserts onto the extensor hood?
lumbricals and interossei
cutaneous innervation of the ventral surface of the hand
median nerve: digits 1, 2, 3, and part of 4 ulnar nerve: rest of digits 4 and 5
cutaneous innervation of the dorsal surface of the hand
median nerve: tips of digits 1, 2, 3, and part of 4 radial nerve: the rest of 1, 2, and 3 ulnar nerve: digits 4 and 5
thumb side tends to get innervations from the ___ nerve and pinky side gets ___ nerve
median; ulnar
___ arteries extend between the superficial and deep palmar arches
metacarpal
what do you not find out in the muscle bellies of the digits?
muscle bellies
what is found in the spaces of the hand?
nothing muscle bellies or tendons pass through these different compartments
opponens pollicis helps to draw the thumb into opposition with the ___ muscle found on the thenar side
opponens digiti minimi
in the deeper palm, what muscle is found deep to abductor pollicis brevis?
opponens pollicis
along with the superficial muscles, these muscles also come from the common extensor tendon
outcropping muscles
where does the palmar aponeurosis extend from?
palamris longus tendon has insertion from palmaris brevis
the major blood supply of the hand comes from the (palmar/dorsal) side
palmar
one of the most superficial features of the hand
palmar aponeurosis
what muscle is extending from the hypothenar side of the hand onto the palmar aponeurosis?
palmaris brevis
what is the only blood supply for the extensor compartment of the forearm?
posterior interosseous artery
what nerve innervates extensor indicis?
posterior interosseous nerve it is a continuation of the deep branch of radial nerve
what artery supplies the tips of the fingers on the dorsal side?
proper palmar digital arteries
what neruovasculature is found in this cross-section of the digit?
proper palmar digital nerve, artery, and vein
the lumbricals extend from the flexor digitorum profundus tendon and insert on the ___ phalange
proximal
what artery do you find/can palpate for a pulse in the anatomical snuffbox?
radial artery
what nerve innervates brachioradialis?
radial nerve
what nerve innervates extensor carpi radialis longus?
radial nerve
what nerve innervates the extensor compartment of the forearm?
radial nerve
the anatomical snuffbox formed on the posterior by EPL and on the anterior by EPB is also a site for what nerve passing through with the radial artery?
radial nerve (superficial branches)
the main blood supply for the flexor compartment of the forearm
radial or ulnar artery, continuing into the hand it would come from the posterior interosseous artery if deeper by the IS membrane
this arch is formed predominantly by the ulnar artery, with some contributions from the superficial palmar branch of the radial artery
superficial palmar arch
the fibrous digital sheaths in the digit have insertions from?
tendons of flexor digitorum superficialis and profundus and the extensor expansion
parent artery to princeps pollicis artery
the dorsal branch of the radial artery
the recurrent branch of the median nerve is on the (thenar/hypothenar) eminence
thenar
the thenar compartment is separated by the ___
thenar space
what does the princeps pollicis artery supply?
thumb main artery of the thumb