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48 Cards in this Set
- Front
- Back
Proximall is it continuous with the flexor retinaculum, while distally it divides into four longitudinal bands that attach to the bases of the proximal phalanges and fuse the fibrous digital sheaths of each of the four fingers.
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Palmar aponeurosis
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The palmar aponeurosis divides into ___ longitudinal bands that attach to ________ and fuse with _____.
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4
bases of proximal phalanges fibrous digital sheaths of each of the 4 fingers |
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The tendon of the _____ inserts into the palmar aponeurosis.
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palmaris longus
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Palmar aponeurosis: ___ is is continuous with the flexor retinaculum, while ___ it divides into 4 _______.
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proximally
longitudinal bands |
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Bands of the palmar aponeurosis fuse with the _____ of each of the four fingers.
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fibrous digital sheaths
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From the later border of the palmar aponeurosis a _____ extends deeply to the 1st____.
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lateral fibrous septum
metacarpal |
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From the lateral border of the palmar aponeurosis a ____extends deeply to the 1st metacarpal.... So a ____ is formed lateral to this septum?
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lateral fibrous septum
lateral or thenar compartment |
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From the medial border of the palmar aponeurosis, a fibrous medial septum extends _____ to the _____. This forms a ____compartment.
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dorsally
5th metacarpal medial or hypothenar |
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Between the two septa lies a _____ containing the ____ and their sheaths, superficial palmar arch, and branches of _____.
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central compartment
flexor tendons median and ulnar nerves |
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The superficial palmar arch is found where?
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central compartment
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What divides the central compartment into lateral and mid-palmar spaces?
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oblique septum
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The oblique septum passes __ and ____ to the ____.
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deeply and obliquely to the 3rd metacarpal
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What is the compartment containing the adductor pollicis called?
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adductor comparment
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List the compartments of the HAND?
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hypothenar
thenar central (divided into lateral and mid palmar spaces) |
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What is the heavy thicken of the anterior antebrachial fascia at the level of the wrist joint?
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the flexor retinaculum
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The median nerve and all of the flexor tendons, except for the _____, course deep to the ______________ and pass into the hand.
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palmaris longus
flexor retinaculum |
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The flexor retinaculum along with the carpal bones forms a _____.
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carpal tunnel
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_________ is a thickening of the posterior antebrachial fascia.
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extensor retinaculum
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_____ separates the space deep to it into 6 typical compartments.
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extensor retinaculum
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The extensor retinaculum passes from the ____ border of the ____ to the _____border of the ____ and the triquetrum and the pisiform.
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lateral, radius
medial, ulna |
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Although the long and short flexor tendons to each finger lie within the same_____, each is enclosed in a separate ________.
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fribrous sheath,
synovial membrane |
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Why are long and short flexor tendons of the fingers enclosed in separate synovial membranes?
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so they can slide freely over each other
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Tendons of the flexor digitorum supericialis and flexor digitorum profundus pass deep to the ____ within a common flexor sheath.
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flexor retinaculum
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The tendons of what muscles pass deep to the flexor retinaculum within a common flexor sheath?
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flexor digitorum superficialis,
flexor digitorum profundus |
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Within the common flexor sheath, the tendons of the flexor dig superficialis and flexor dig profundus pass deep to the ______ to enter the ___ sheaths
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palmar aponeurosis,
osteofibrous flexor digital sheaths |
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Each ___ ___ ___ ___ begins at about the level of the MP joint and terminates proximal to the base of the distal phalanges.
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osteofibrous digital tendon sheath
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Each digital tendon sheath consists of what two layers?
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another fibrous layer and an inner synovial layer
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Close to the base of the ____ the _____ of the flexor digitorum superficialis splits and twists to surround the tendon of the _______.
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proximal phalanx,
tendon, flexor digitorum profundus |
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The flexor digitorum tendon splits into two halfs and inserts on the _____.
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margins of the middle phalanx
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Each ____ is attached to the osteofibrous sheat on the anterior surface of the phalanx by two strands of connective tissue known as ______
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tendons of the flexor digitorum superficialis and flexor digitorum profundus,
vincula tendinum |
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In each case the ___ viniculum is longer than the ___ viniculum.
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proximal,
distal |
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small blood vessels from the ______ pass through the long and short vinculum to supply the _______.
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periosteum of the phalanges,
flexor tendons |
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True or False:
Lumbricales are attached to the tendons of the flexor digitorum superficialis? |
FALSE
(flexor digitorum profundus) |
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Similar to flexor tendons each extensor tendon has a ____ which consists of an outer fibrous layer and an _______.
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tendon sheath,
inner synovial membrane |
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Unlike the flexor tendons, the extensor tendons to not share a _____
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common extensor sheath
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Long extensor tendons are compartmentalized by the ______ and only tendons _____ share an extensor sheath.
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extensor retinaculum,
within the same compartment |
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On the ____ of the hand there is a ____ connection between the ___ tendons of the extensor digitorum.
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dorsum,
intertendinous, 4 |
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True or False:
The tendons of the extensor digitorum insert at the bases of the proximal, middle, and distal phalanges? |
TRUE
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At the bases of the proximal phalanges the tendons the extensor digitorum ___ to form ____ to which the tendons of the ____ and the _____ insert.
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expand,
aponeuroses, lumbricales, interossei |
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Laterally each expansion of the extensor digitorum is thickened by the ______ and an ____.
Medially they are thickened by _____ , or in the case of little finger by the ______. |
tendon of insertion of a lumbrical and an interosseous,
interosseous alone, abductor digiti minimi |
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The extensor digitorum's expanded tendon of insertion is known as the _____ or the ____.
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extensor hood,
dorsal digital expansion |
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As each tendon of the extensor digitorum runs distally towards its insertion at the ____ it carries with it a portion of the ____/_____ which then spans the dorsum of each proximal phalanx
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base of the middle phalanx
extensor hood/ dorsal digital expansion |
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The distal prolongation of the extensor hood is known as the _____.
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extensor aponeurosis
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Towards the base of each middle phalanx, each ___ splits to form a ____(the main tendon) and two ____.
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extensor aponeurosis,
wide central band , lateral bands |
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The _____ inserts at the base of each middle phalanx.
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central band
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The lateral bands (of the extensor aponeurosis) unite on the _____ to insert jointly at the base of each ______.
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dorsum of each middle phalanx,
distal phalanx. |
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The functional consequence of the extensor aponeurosis band arrangements is that _______ while extension of the middle phalanges is similarly accompanied by extension of the distal phalanges.
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Flexoion of the distal phalanges is usually accompanied by an equal amount of flexion of the middle phalanges
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Because of the arrangement of the extensor aponeurosis bands, extension of the middle phalanges is accompanied by _____.
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extension of the distal phalanges
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