Presentation on theme: "STRUCTURE OF THE HAND Carpals (8); scaphoid, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, and hamate Metacarpals (5); proximal base, medial."— Presentation transcript:
1STRUCTURE OF THE HANDCarpals (8); scaphoid, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, and hamateMetacarpals (5); proximal base, medial body, and distal headPhalanges (14); proximal, medial, & distal (the thumb has only proximal and distal)
2JOINTS OF THE WRISTThe wrist joints are composed of the radiocarpal joints and the intercarpal jointsradiocarpal joint formed by the distal end of the radius, an articular disk, and (3) of the (4) carpal bones in the proximal row (scaphoid, lunate & triquetral)intercarpal joints are divided into (3) groups: the joints between the proximal row bones; the joints between the distal row bones; and the midcarpal joint, the joint between the (2) rows
3JOINTS OF THE HANDThere are (12) hinge joints and (5) universal joints in the hand allowing for (22) degrees of freedom; note the thumb’s carpometacarpal joint is also called a saddle joint permitting extensive and unique mvts.Hinge joints (within the phalanges) 1 dofUniversal joints (MP) 2 dof
4MUSCLES OF THE WRIST AND HAND Six principle muscles act on the wrist, although the extrinsic muscles of the hand can act as agonists: flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis, extensor carpi radialis longus, extensor carpi radialis brevis, and extensor carpi ulnaris
5MUSCLES OF THE WRIST AND HAND Intrinsic muscles of the hand are sub-divided into (3) groups: those of the thumb (thenar eminence) on the radial side, those of the little finger (hypothenar eminence)on the ulnar side, and those in the middle of the hand and between the metacarpals.(11) small intrinsic muscles are involved with mvt of the fingers (4) lumbricals, (4) dorsal interossei, & (3) palmar interossei
6MUSCLES OF THE WRIST AND HAND (3) muscles act only on the little finger: abductor digiti minimi, flexor digiti minimi brevis, & opponens digiti minimi(8) muscles act on the thumb, (4) are intrinsic to the hand (flexor pollicis brevis, opponens pollicis, abductor pollicis brevis, & adductor pollicis) extrinsic muscles are (extensor pollicis longus, extensor pollicis brevis, abductor pollicis longus, & flexor pollicis longus
7FUNCTION OF THE HANDOpposition is a movement by which the pulp surface of the thumb is placed squarely in contact with--or dramatically opposite to-the terminal pads of one or all of the remaining digitsThis mvt and the resultant manueverability of the thumb separate us from other primates: abduction, circumduction & rotation
8FUNCTION OF THE HANDOpposibility index = total length of thumb x 100/total length of index fingerA low index denotes a long first finger and a short thumb, in primates the mean values are between 40 and 65.Orangutans mean = 40humans mean = 60
9FUNCTION OF THE HANDWhat movement of the thumb separates Old World monkeys and apes from New World monkeys and prosimians?Which primates are closest to our opposibility factor? (apes, gorillas, baboons and mandrills)
10MOVEMENTS OF THE HANDThomas Ellis ( ) noted that the true position of rest in the hand “lies somewhere about a mean between the ranges of easy movement” Explain?How did Ellis come to this description?
11MOVEMENTS OF THE HAND Two Classes of Movement of the Hand Prehensile movements: an object, fixed or free, is held by a gripping or pinching action between the digits and the palmNonprehensile movements: include pushing, lifting, tapping, and punching movements of the fingers
12MOVEMENTS OF THE HANDThere are two main patterns and two subsidiary prehensile patterns:Mainprecision - thumb held against pulp (pulp to pulp)power - thumb held against palmSubsidiaryhook - without thumbscissors - without thumbThe type of grip used is a function of the activity itself & does not depend on the shape or size of the object gripped.
13MOVEMENTS OF THE HANDHow is this generalization effected by very small or very large objects?Differentiate the prehensile patterns in Old World and New World Primates.Regarding tools, should function dictate design?
14FUNCTION OF THE HANDWhat did your observational experiment yield regarding the (4) grips?