Structure and Function of the Wrist

8 small bones in 2 rows that articulate with the distal radius, ulna and proximal metacarpals

The Wrist  Articulations:  The radiocarpal joint  The midcarpal joint  Motions:  Flexion & Extension  Radial & Ulnar Deviation .

The Wrist  Palmar = anterior aspect of the wrist and hand  Dorsal = posterior aspect of the wrist and hand .

Distal Ulna & Radius Styloid Processes Head Styloid Process Radius Ulna .

Carpals Left Hand Palmar Aspect (Anterior Aspect) .

The Wrist with the Carpals .

Carpal Tunnel Syndrome  The Transverse Carpal Ligament .

Arthrology of the Wrist  Radiocarpal Joint  Accepts approximately 80% of the force that crosses the wrist  Concave radial surface & articular disc  Convex carpals: scaphoid (7) & lunate (8)  Midcarpal .

Intrinsic versus Extrinsic to the Wrist  Intrinsic Originating within the area and inserting in the area  Extrinsic Originating outside of the area but inserting in the area Triangular fibrocartilage (TFC) Lunotriquetral Ligament (L T Lig) Scaphoid Lunate (S L Lig) .

Wrist extension.Myology of the Wrist Extensor Carpi Radialis Brevis Origin Lateral epicondyle of the humeruscommon extensor tendon Base of the 3rd metacarpal-dorsal aspect Radial n. radial deviation What’s in a name? Common origin? Insertion Innervation Action “tidbit” .

Wrist extension. common extensor tendon Base of the second metacarpaldorsal aspect Radial n. radial deviation What’s in a name? Common origin? Insertion Innervation Action “tidbit” .Myology of the Wrist Extensor Carpi Radialis Longus Origin Lateral epicondyle of the humerus.

Wrist extension. ulnar deviation What’s in a name? Common origin? Insertion Innervation Action “tidbit” .Myology of the Wrist Extensor Carpi Ulnaris Origin Lateral epicondyle of the humerus-common extensor tendon and posterior border of the middle 1/3 of the ulna Base of the 5th metacarpal-dorsal surface Radial n.

radial deviation What’s in a name? Common origin? .Myology of the Wrist Flexor Carpi Radialis Origin Medial epicondyle of the humeruscommon flexor tendon Base of the 2nd metacarpal-palmar aspect Median n. Insertion Innervation Action “tidbit” Wrist flexion.

Myology of the Wrist Flexor Carpi Ulnaris Origin Medial epicondyle of the humeruscommon flexor tendon and posterior border of the middle 1/3 of the ulna Base of the 5th metacarpal and pisiform. Wrist flexion. ulnar deviation What’s in a name? Common origin? Insertion Innervation Action “tidbit” .palmar aspect Ulnar n.

common flexor tendon Transverse carpal ligament and the palmar fascia Median n. Wrist flexion “tidbit” Approximately 10% of the population will NOT have this muscle .Myology of the Wrist Palmaris Longus Origin Insertion Innervation Action Medial epicondyle of the humerus.

Identify!  Wrist extensors  Wrist flexors  Radial deviators  Ulnar deviators .

Identify!  Flexor Carpi Ulnaris  Palmaris Longus  Flexor Carpi Radials .

Identify!  Extensor carpi radialis brevis  Extensor carpi radials longus  Extensor carpi ulnaris  Flexor carpi ulnaris  Extensor retinaculum .