Kinesiology

Wrist Terms
(matching)

1. Superficialis = A. Digits or finger

2. Profundus = B. Long
3. Carpi = C. Thumb
4. Digitorum = D. Wrist
5. Longus = E. Superficial
6. Brevis =
F. Short
7. Pollex =
G. Deep
Bone Overview
 BONES
of the
WRIST and HAND

?
Phalanges

• Distal
– (further from the
body)

• Middle
• Proximal
– (closer to the body)
 Metacarpals
(1 through 5)

2 3 4 5
1
 Carpal Bones

H
Tz C
Tp
P
S Tq
L
 Carpal Bones

Eight total

Two rows

Proximal (closer to the

body)

Distal (further from the

body)
Carpal Bones
Carpal Bones
 Carpal Bones (proximal row)
1. Scaphoid
anatomical snuff box (boat shaped)
articulates with radius
2. Lunate
(moon shaped)
articulates with radius
3. Triquetrum
(Triquetral, Cuniform)
articulates with radius
Compare to Fig 7.1
4. Pisiform (pea like)
(base of the hypothenar eminence; on top of triquetrum)
 Carpal Bones (distal row)

1. Trapezium (Multagulum major)

articulates with 1st MC
2. Trapezoid (Multagulum minor)
smallest of second row
articulates with 2nd MC
3. Capitate (Os Magnum)
Largest carpal bone
Articulates with 3rd MC)
4. Hamate (Unciform, hook like)
Compare to Fig 7.1
(Articulates with 4th and 5th MC)
 Simplified Anterior/Palmar View of
Right Hand
little finger thumb

Hamate Capitate Trapezoid Trapezium

Pisiform Triquetrum Lunate Scaphoid

Review
Moving On…
 Radius

Head Styloid process

Radial tuberosity
Ulna

Styloid process
Styloid Process
 Humerus

Lateral epicondyle

Medial epicondyle
 Joints of the Wrist and Hand

Interphalangeal
Metacarpophalangeal
Carpometacarpal
• Intermetacarpal
• Midcarpal
• Intercarpal
Radiocarpal
 Assignment

Be able to demonstration the movements of the fingers and of the

wrist.
 Movements of the Wrist
(Radiocarpal)

Flexion of the wrist

Extension of the wrist

Adduction or Radial Flexion

of the wrist

Abduction or Ulnar Flexion

of the wrist
 Movement of the Fingers
(Interphalangeal Joints)

Flexion of
the
fingers
Extension
of the
fingers
 Movement of the Fingers
(Metacarpophalangeal Joint)

Fingers
– a. flexion
– b. extension
– c. abduction
– d. adduction
The Carpometacarpal Joint of the Thumb (A
Saddle Joint)

Trapezium
1St Metacarpal

Trapezium
1St Metacarpal
 Movements of the Carpometacarpal Joint
of the Thumb

• Extension – angle between

thumb and index increasing
(sideward movement)

• Flexion – return from extension

• Others
 Movements of the Midcarpal (lst and 2nd
rows) and Intercarpal Joints (within rows).

• No significant movement
occurs at these joints
 Wrist and Hand Muscles
• Extrinsic muscles (15)

• All multiarticular

• Elbow/wrist/hand (1)

• Elbow/wrist (6)

• Wrist/hand (8)

• Intrinsic muscles (18)

 Extrinsic Wrist and Hand Muscles (15)
• Elbow, Wrist and Hand (3)
• Elbow flexion, wrist flexion, finger flexion (1)
• Elbow extension, wrist extension, finger extension (2)
• Fingers 2, 3, 4, 5
• Pinky
• Elbow and Wrist (6)
• Elbow flexion, wrist flexion (3)
• 1 wrist abductor
• 1 wrist adductor
• 1 flexor only
• Elbow flexion, wrist extension (2)
• 1 wrist abductor
• 1 wrist adductor
• Elbow extension, wrist extension (1)
• Wrist adductor
• Wrist and Hand (6)
• Wrist flexion, finger flexion (1)
• Wrist flexion, thumb flexion (1)
• Wrist abductor
• Wrist extension, index finger extension (1)
• Wrist extension, thumb extension (2)
• Wrist abductors
• Wrist flexion, thumb abduction (1)
• Wrist abductor
 Attachments

• Elbow, Wrist and Hand (3)

• Elbow flexion, wrist flexion, finger flexion (1)

• Elbow extension, wrist extension, finger extension (2)

• Fingers 2, 3, 4, 5

• Pinky
 Attachments

• Elbow, Wrist and Hand (3)

• Elbow flexion, wrist flexion, finger flexion (1)

• Elbow extension, wrist extension, finger extension (2)

• Fingers 2, 3, 4, 5

• Pinky
 Attachments
• Elbow and Wrist (6)
• Elbow flexion, wrist
flexion (3)
• 1 wrist abductor
• 1 wrist adductor
• 1 flexor only
• Elbow flexion, wrist
extension (2)
• 1 wrist abductor
• 1 wrist adductor
• Elbow extension, wrist
extension (1)
• Wrist adductor
 Attachments
• Elbow and Wrist (6)
• Elbow flexion, wrist
flexion (3)
• 1 wrist abductor
• 1 wrist adductor
• 1 flexor only
• Elbow flexion, wrist
extension (2)
• 1 wrist abductor
• 1 wrist adductor
• Elbow extension, wrist
extension (1)
• Wrist adductor
 Attachments
• Elbow and Wrist (6)
• Elbow flexion, wrist
flexion (3)
• 1 wrist abductor
• 1 wrist adductor
• 1 flexor only
• Elbow flexion, wrist
extension (2)
• 1 wrist abductor
• 1 wrist adductor
• Elbow extension, wrist
extension (1)
• Wrist adductor
 Attachment Rules
• Elbow/Wrist/Hand and
Elbow/Wrist Muscles
• Wrist Flexors
• Proximal: Medial or
Lateral epicondyle of
humerus
• Distal: Depends
• Wrist Extensors
• Proximal: Medial or
Lateral epicondyle of
humerus
• Distal: Depends
 Attachments
• Wrist and Hand (6)
• Wrist flexion, finger flexion
(1)
• Wrist flexion, thumb
flexion (1)
• Wrist abductor
• Wrist flexion, thumb
abduction (1)
• Wrist abductor
• Wrist extension, index
finger extension (1)
• Wrist extension, thumb
extension (2)
• Wrist abductors
 Attachments
• Wrist and Hand (6)
• Wrist flexion, finger flexion
(1)
• Wrist flexion, thumb
flexion (1)
• Wrist abductor
• Wrist flexion, thumb
abduction (1)
• Wrist abductor
• Wrist extension, index
finger extension (1)
• Wrist extension, thumb
extension (2)
• Wrist abductors
 Attachment Rules

• Wrist/Hand Muscles
• Wrist Flexors
• Proximal: Anterior or
Posterior forearm
• Distal: Depends
• Wrist Extensors
• Proximal: Anterior or
Posterior forearm
• Distal: Depends
Intrinsic Muscles (18)
Name That Action
Actions
Actions
 Actions Summary
Fingers

Flexion or Extension

Adduction or Abduction

Thumb

Flexion or Extension

Adduction or Abduction

Wrist

Flexion or Extension

Adduction or Abduction
 Assignment

Be able to name one action of each wrist muscle