Chapter 7 The hand ANATOMY 173 The thumb 173 The fingers 173 Bony landmarks to be palpated 173 Ligaments 174 Muscles 174 Extensors 174 Flexors 175 Abductors, adductors and opposers 175 MEASUREMENT 176 Range of movement – CMC joint of the thumb 176 Abduction 176 Flexion/extension 177 Range of movement – MCP joint of the thumb 178 Flexion 178 Range of movement – IP joint of the thumb 179 Flexion 179 Range of movement – MCP joint of the finger 180 Flexion 180 Abduction 181 Range of movement – PIP joint of the finger 182 Flexion/extension 182 Range of movement – DIP joint of the finger 183 Flexion/extension 183 Observational/reflective checklist 185 Anatomy The thumb 1. The carpometacarpal (CMC) joint of the thumb is a synovial saddle joint. 2. It is an articulation between the trapezium and the base of the first metacarpal. 3. The two surfaces are reciprocally concavoconvex. 4. A loose but strong fibrous capsule encloses the joint. 5. Movements of flexion, extension, abduction, adduction and opposition occur at this joint. The fingers 1. The metacarpophalangeal (MCP) joint is synovial condyloid joint. 2. It is an articulation between the head of the metacarpal and the base of the proximal phalanx. 3. A loose fibrous capsule surrounds the joint. 4. There are strong collateral ligaments on either side of the joint. 5. The movements that take place at this joint are flexion, extension, abduction and adduction. 6. The interphalangeal (IP) joints are synovial hinge joints. 7. Each finger has three phalanges, therefore there is a proximal (PIP) and distal (DIP) interphalangeal joint. 8. A loose fibrous capsule surrounds the joint. 9. There are strong collateral ligaments on either side of the joint. 10. The movements that take place at the joint are flexion and extension. Bony Landmarks to be Palpated The carpus – scaphod, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, hamate. The metacarpals and phalanges. Ligaments Table 7.1Ligaments of the hand Muscles Extensors Table 7.2The extensors of the thumb Flexors Table 7.3The flexors of the thumb Abductors, adductors and opposers Table 7.4The abductors, adductors and opposers of the thumb Measurement Range of Movement – Carpometacarpal (CMC) Joint of the Thumb Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: visual analogue scale for pain respiratory system wrist/carpal joints ankle joint hip joint of studies assessing the reliability and validity of measuring tools in physiotherapy Stay updated, free articles. Join our Telegram channel Join Tags: A Physiotherapists Guide to Clinical Measurement Jun 4, 2016 | Posted by admin in MANUAL THERAPIST | Comments Off on hand Full access? Get Clinical Tree
Chapter 7 The hand ANATOMY 173 The thumb 173 The fingers 173 Bony landmarks to be palpated 173 Ligaments 174 Muscles 174 Extensors 174 Flexors 175 Abductors, adductors and opposers 175 MEASUREMENT 176 Range of movement – CMC joint of the thumb 176 Abduction 176 Flexion/extension 177 Range of movement – MCP joint of the thumb 178 Flexion 178 Range of movement – IP joint of the thumb 179 Flexion 179 Range of movement – MCP joint of the finger 180 Flexion 180 Abduction 181 Range of movement – PIP joint of the finger 182 Flexion/extension 182 Range of movement – DIP joint of the finger 183 Flexion/extension 183 Observational/reflective checklist 185 Anatomy The thumb 1. The carpometacarpal (CMC) joint of the thumb is a synovial saddle joint. 2. It is an articulation between the trapezium and the base of the first metacarpal. 3. The two surfaces are reciprocally concavoconvex. 4. A loose but strong fibrous capsule encloses the joint. 5. Movements of flexion, extension, abduction, adduction and opposition occur at this joint. The fingers 1. The metacarpophalangeal (MCP) joint is synovial condyloid joint. 2. It is an articulation between the head of the metacarpal and the base of the proximal phalanx. 3. A loose fibrous capsule surrounds the joint. 4. There are strong collateral ligaments on either side of the joint. 5. The movements that take place at this joint are flexion, extension, abduction and adduction. 6. The interphalangeal (IP) joints are synovial hinge joints. 7. Each finger has three phalanges, therefore there is a proximal (PIP) and distal (DIP) interphalangeal joint. 8. A loose fibrous capsule surrounds the joint. 9. There are strong collateral ligaments on either side of the joint. 10. The movements that take place at the joint are flexion and extension. Bony Landmarks to be Palpated The carpus – scaphod, lunate, triquetral, pisiform, trapezium, trapezoid, capitate, hamate. The metacarpals and phalanges. Ligaments Table 7.1Ligaments of the hand Muscles Extensors Table 7.2The extensors of the thumb Flexors Table 7.3The flexors of the thumb Abductors, adductors and opposers Table 7.4The abductors, adductors and opposers of the thumb Measurement Range of Movement – Carpometacarpal (CMC) Joint of the Thumb Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: visual analogue scale for pain respiratory system wrist/carpal joints ankle joint hip joint of studies assessing the reliability and validity of measuring tools in physiotherapy Stay updated, free articles. Join our Telegram channel Join Tags: A Physiotherapists Guide to Clinical Measurement Jun 4, 2016 | Posted by admin in MANUAL THERAPIST | Comments Off on hand Full access? Get Clinical Tree
