CHIR12006

Week 9 Study Guide Answers

Q1. Which carpal bone is thought to be where the axis of movement occurs
to allow wrist flexion, extension, radial and ulnar deviation.

A2. Capitate

Q2. Which carpal bone is bordered medially by the trapezoid bone and
proximally by the scaphoid bone?

A2. Trapezium

Q3. What are the general functions of the wrist ligaments?

A3. The function of the wrist ligaments is to do the following

 Provide intercarpal stability
 Prevent bone displacement
 Absorb axial load
 Contribute to wrist motion by application of passive forces.

Q4. Complete Table 6-12 below

A4.

Table 6-12 Arthrokinematic and

Osteokinematic
Movements of the
Elbow
Osteokinematic Degrees Arthrokinematic
Movements Movements
Wrist Flexion 80 degrees Roll and Glide
Wrist Extension 70 degrees Roll and Glide
Ulnar Deviation 30 degrees Roll and Glide
Radial Deviation 20 degrees Roll and Glide
MCP Flexion 90 degrees Roll and Glide
MCP Extension 30- 45 degrees Roll and Glide
PIP Flexion 100 degrees Roll and Glide
PIP Extension 0 degrees Roll and Glide
DIP Flexion 90 degrees Roll and Glide
DIP Extension 10 degrees Roll and Glide
Finger Abduction 20 degrees Roll and Glide

Q5. What is the closed pack and loose packed positions for the Wrist and
Hand Joints?

A5.

Closed packed position Loose packed position

Wrist – Full dorsiflexion Palmer flexion with slight UD

Hand – Full extension Flexion with slight UD

Q6. What are the sensitive screening tests for patients with wrist injuries?

A6. Make a Fist, extend and abduct the fingers, adduct the fingers, abduct and
adduct the thumb, opposition of the thumb and little finger.

Q7. Complete Table 6-10 below.

A7.

Action Muscle
Wrist Flexion FCRB APL, PL, FPL FCU, FDS,
PROFUNDAS
Wrist extension ECR, ED, ECU, EPL
Wrist adduction (UD) ECU, FCU
Wrist abduction (RD) ECR, APL, EPL, EPB
 Finger Flexion FDS, FDP
Finger Extension ED, EDM, EI
Finger Abduction INTEROSSEUS MM

Q8. What is necessary for a screening test to be termed ideal when testing
for a disease.

A8. An ideal screening test needs to be very sensitive (high probability of

detecting disease) and extremely specific (high probability that those without
the disease will screen negative).

Q9. What is the term used to describe whether the screening test is
sufficiently accurate in gathering data?

A9.Specificity focuses on the accuracy of the screening test in correctly

classifying truly non-diseased people. It is the probability that non-diseased
subjects will be classified as normal by the screening test.

Q10. Name this radiographic view in the figure below?

A10. Left PA Hand

 L

Q11. Name this radiographic view in the figure below?

A11. Right Medial Oblique Hand

R
Q12. Name all of the structures of the wrist in the diagram below

B
D
A

A. Ulnar Styloid

B. Lunate

C. Triquetrum

D. Scaphoid

E. Radiocarpal Joint (RCJ)

A12.