1. Presented by: Selene Bonnell-Hall Mettelisa Jen Smart
Wrist and Hand
Presented by:
Selene Bonnell-Hall
Mettelisa
Jen Smart

2. WRIST (CARPAL) BONES

3. WRIST AND DISTAL PORTION OF FOREARM BONES RADIUS STYLOID PROCESS
HEAD OF ULNA
RADIUS STYLOID PROCESS
RADIUS ULNAR NOTCH
ULNA STYLOID PROCESS

4. WRIST (CARPAL) BONES

5. WRIST (CARPAL) BONES

7. WRIST (CARPAL) BONES

9. ARTICULAR (JOINT) CAPSULE

10. WRIST AND HAND JOINTS

11. PALMER APONEUROSIS (FASCIA)
HAND LIGAMENTS
PALMER APONEUROSIS (FASCIA)

12. WRIST LIGAMENTS

13. WRIST LIGAMENTS
EXTENSOR RETINACULUM

14. WRIST LIGAMENTS
COMMON FLEXOR SHEATH

15. HAND COMPARTMENTS AND SPACES
THENAR SPACE
THENAR COMPARTMENT
CENTRAL COMPARTMENT
HYPOTHENAR COMPARTMENT
ADDUCTOR COMPARTMENT
MIDPALMER SPACE
INTEROSSEOUS COMPARTMENT

16. HAND COMPARTMENTS AND SPACES

17. HAND COMPARTMENTS AND SPACES

18. HAND TEST

19. SURFACE ANATOMY
Site for Ulnar & Radial pulse

20. SURFACE ANATOMY
Median Nerve
Distal Wrist Crease

21. ANATOMICAL SNUFF BOX  

22. THENAR EMINANCE & HYPOTHENAR EMINANCE

23. NERVES

24. NERVES
PALMER CUTANEOUS BRANCHES
DORSAL CUTANOUS BRANCH

25. ARTERIES Common Palmer Digitals Superficial Palmer Arch
Deep Palmer Arch
Ulnar Artery
Radial Artery

26.   VEINS
DORSAL VENOUS
NETWORK
CEPHALIC VEIN
BASILIC VEIN

27. Carpel Tunnel Syndrome
What is it?
A progressively painful hand/arm condition
Caused by excessive pressure on median nerve
SYMPTOMS:
Tingling & Numbness
Radiating pain
Weak grip

28. Risk Factors:
May be caused by repetitive motions but studies have not proved it.
Most common for y/o, esp. women.
Cyst, tumor, bone fractures
Anatomy = small tunnel
Arthritis (both types) & diabetes
Obesity, Alcohol abuse, fluid retention

29. Treatment Options for Carpal Tunnel Syndrome
Non-Surgical Therapy:  Wrist Splinting, NSAIDs, Corticosteroids (oral & injections), Warm/Cold compresses, Ergonomics, Exercise & Stretching
Carpal Tunnel : Median Nerve Stretches for Relieving Carpal Tunnel  
SURGERY
OPEN SURGERY
ENDOSCOPIC SURGERY

30. I-Distal phalanx of digits 2-5
O-Upper 3/4s of ulna
I-Distal phalanx of digits 2-5
A-Flexes all three joints of fingers (just the tips)
N-Median/Ulnar
V-Ulnar Artery
Deep
Deep
O-Anterior surface of radius
I-Distal phalanx of pollex
A-Flexes all joints of the pollex or thumb (hides thumb)
N-Median
V-Radial artery
Right anterior forearm
Jen

31. Flexor Digitorum Superficialis
O-Common flexor tendon, coronoid process and radius
I-Sides of middle phalanx of four fingers
A-Flexes MP and PIP joints of fingers (girly fist or bye-bye)
N-Median
V-Ulnar artery
Intermediate
Jen

32. Flexor Carpi Radialis O-Medial epicondyle of the humerus
I-Base 2nd and 3rd metacarpals
A-Wrist flexion, radial deviation
N-Median
V-Radial/Ulnar arteries
Superficial
Jen

33. Flexor Carpi Ulnaris O-Medial epicondyle of the humerus
I-Base 5th metacarpal, pisiform
A-Wrist flexion, ulnar deviation
N-Ulnar
V-Ulnar artery
Superficial
Jen

34. Palmaris Longus O-Medial epicondyle of the humerus I-Palmar fascia
A-Assists in wrist flexion
N-Median
V-Ulnar artery
Superficial
Jen

35. Tendon of Flexor carpi ulnaris Tendon of Flexor carpi radialis
Tendon of Palmaris Longus
Jen

36. Jen

37. Extensor Carpi Radialis Longus
O-Supracondylar ridge of humerus
I-Base of 2nd metacarpal
A-Wrist extension, radial deviation
N-Radial
V-Radial artery
Jen

38. Extensor Carpi Radialis Brevis
O-Lateral epicondyle of humerus
I-Base of 3rd metacarpal
A-Wrist extension
N-Radial
V-Radial artery
Jen

39. Extensor Carpi Radialis Brevis Extensor Carpi Radialis Longus
Jen

40. Extensor Digitorum O-Lateral epicondyle of humerus
I-Base of distal phalanx of 2nd-5th fingers
A-Extends all three joints of the fingers
N-Radial
V-Recurrent interosseous artery
Jen

41. Extensor Carpi Ulnaris
O-Lateral epicondyle of humerus
I-Medial side of base of 5th metacarpal
A-Extends and adducts wrist
N-Deep radial
V-Ulnar artery
Jen

42. Jen

43. Extensor Digiti Minimi
O-Lateral epicondyle of the humerus
I-Base of distal phalanx of 5th finger
A-Extends all joints of fifth finger
N-Radial
V-Recurrent interosseus artery
Jen

44. O-Posterior distal radius I-Base of proximal phalanx of pollex
A-Extends MP joint of thumb
N-Radial
V-Posterior interosseus artery
O-Posterior radius, interosseus membane, middle ulna
I-Base of 1st metacarpal
A-Abducts pollex
N-Radial
V-Posterior interosseus artery
Jen

45. O-Middle posterior ulna and interosseus membrane
I-Base of distal phalanx of pollex
A-Extends MP and IP joints of thumb
N-Radial
V-Posterior interosseus artery
Jen

46. Tendons
Jen

47. Anatomical Snuff Box
BLOW
Jen

48. Human Anatomy Dissection 23 (part 1 of 2) Forearm and Hand - YouTube
Jen