Kinesiology Wrist and Hand

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)
3. Triquetrum
(Triquetral, Cuniform)
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)
• 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
• Fingers 2, 3, 4, 5
• Pinky
Attachments
• Fingers 2, 3, 4, 5
• Pinky
Attachments
• Elbow flexion, wrist
flexion (3)
• 1 flexor only
extension (2)
• Elbow extension, wrist
extension (1)
• Wrist adductor
Attachments
flexion (3)
• 1 flexor only
extension (2)
extension (1)
• Wrist adductor
Attachments
flexion (3)
• 1 flexor only
extension (2)
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 flexion, finger flexion
(1)
• Wrist flexion, thumb
flexion (1)
• Wrist abductor
abduction (1)
• Wrist abductor
• Wrist extension, index
finger extension (1)
• Wrist extension, thumb
extension (2)
• Wrist abductors
Attachments
• Wrist flexion, finger flexion
(1)
flexion (1)
• Wrist abductor
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
Wrist
Assignment
Be able to name one action of each wrist muscle

Kinesiology Wrist and Hand

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Kinesiology

1. Superficialis = A. Digits or finger

Proximal (closer to the

Distal (further from the

1. Trapezium (Multagulum major)

Hamate Capitate Trapezoid Trapezium

Pisiform Triquetrum Lunate Scaphoid

Head Styloid process

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

Flexion of the wrist

Extension of the wrist

Adduction or Radial Flexion

Abduction or Ulnar Flexion

• Extension – angle between

• Flexion – return from extension

• Intrinsic muscles (18)

• Elbow, Wrist and Hand (3)

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

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

• Elbow, Wrist and Hand (3)

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

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

Be able to name one action of each wrist muscle

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