 Key bony landmarksfor wrist & handmuscles medial epicondyle lateral epicondyle lateral supracondylarridge6-3
 Ginglymus or hinge-type joint Allows only flexion & extension 2 interrelated joints humeroulnar joint radiohumeral j...
 Radioulnar joint Trochoid or pivot-type joint Radial head rotates aroundat proximal ulna Distal radius rotates around...
 Key distal bonylandmarksfor muscles involved inwrist motion base of 2nd, 3rd, & 5thmetacarpals, pisiform, &hamateManual...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-7 Wrist joint condyloid-type joint allowsflexion, extension...
 Wrist joint 70 to 90 degrees of flexion 65 to 85 degrees ofextension 15 to 25 degrees ofabduction 25 to 40 degrees o...
 Pronation internal rotary movementof radius on ulna thatresults in hand movingfrom palm-up to palm-down position Supin...
 Radioulnar pronators Pronator teres Pronator quadratus Brachioradialis Radioulnar supinators Biceps brachii Supina...
 “Tennis elbow" - common problem usuallyinvolving extensor digitorum muscle near itsorigin on lateral epicondyle known l...
 Anterior Primarily elbowflexion & pronation Biceps brachii Brachialis Brachioradialis Pronator teres Pronator quad...
Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-15Elbow flexion when pronated orNeutral.Pronation and su...
Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-16Actions: Pronationand elbow flexion
Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-17Action: Pronation
Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-18Action: Supination
 All wrist flexors generally havetheir origins on anteromedialaspect of proximal forearmand medial epicondyle ofhumerus w...
Extrinsic muscles of wrist & hand groupedaccording to function & location muscles move wrist 6 wrist flexors (Anterior)...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-21 Primarily wrist flexion Flexor carpi radialis Flexor car...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-22 Anteromedially at elbow& forearm and anteriorat hand Prim...
Flexor digitorumprofundusO: Profundus – prox.Two-thirds of ulnaI: distal phalanx of 2-5Flexor pollicis longus O: middle h...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-28Wrist flexionWrist abductionWeak elbow flexion andpronationO...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-29Wrist flexionWrist adduction inConcert with ext.Carpi ulnari...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-30Wrist flexionWeak elbowflexionOrigin: Medial epicondyleInser...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-31 AgonistsFlexor carpiradialisFlexor carpiulnarisPalmaris lo...
wrist extensors (Posterior)extensor carpi radialis longus O: Supracondylar ridgeI: Base of 2nd metacarpalextensor carpi ra...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-33 Wrist extensors generally have their origins onposterolate...
 Extensors Extensor digitorum Extensor indicis Extensor digiti minimi Extensor pollicis longus(thumb extensor) Exten...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-35 Extensor carpi radialislongus Extensor carpi radialisbrev...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-36Wrist extensionAbduction of wristWeak elbow flexionOrigin: L...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-37Wrist extensionWrist abductionOrigin: Lateral epicondyleInse...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-38Wrist extensionWrist adduction in concertwith flexor carpi u...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-39
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-40 Agonists Extensor carpiradialis longus Extensor carpirad...
Ext. pollicus longusO: Post. Surface of middle third of ulnaI: Distal phalanxExt. pollicus brevisO: Post surface of radius...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-42 Agonists Extensor pollicislongus Extensor pollicisbrevis
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-44 Wrist abductors Generally cross wrist joint anterolateral...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-45 Agonists Flexor carpi radialis Extensor carpiradialis lo...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-46 Agonists Abductor pollicislongus Extensor pollicislongus...
Manual ofStructural Kinesiology The Wrist and Hand Joints 7-47 Agonists Flexor carpiulnaris Extensor carpiulnaris
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
Kinesiology antebrachium and elbow
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Kinesiology antebrachium and elbow

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Kinesiology antebrachium and elbow

  1. 1.  Key bony landmarksfor wrist & handmuscles medial epicondyle lateral epicondyle lateral supracondylarridge6-3
  2. 2.  Ginglymus or hinge-type joint Allows only flexion & extension 2 interrelated joints humeroulnar joint radiohumeral jointsManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-4
  3. 3.  Radioulnar joint Trochoid or pivot-type joint Radial head rotates aroundat proximal ulna Distal radius rotates arounddistal ulna Annular ligament maintainsradial head in its jointManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-5
  4. 4.  Key distal bonylandmarksfor muscles involved inwrist motion base of 2nd, 3rd, & 5thmetacarpals, pisiform, &hamateManual ofStructural Kinesiology The Wrist and Hand Joints 7-6
  5. 5. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-7 Wrist joint condyloid-type joint allowsflexion, extension, abduction, & adduction motion occurs primarilybetween distal radius &proximal carpal row(scaphoid, lunate, &triquetrum)
  6. 6.  Wrist joint 70 to 90 degrees of flexion 65 to 85 degrees ofextension 15 to 25 degrees ofabduction 25 to 40 degrees ofadductionManual ofStructural Kinesiology The Wrist and Hand Joints 7-9
  7. 7.  Pronation internal rotary movementof radius on ulna thatresults in hand movingfrom palm-up to palm-down position Supination external rotarymovement of radius onulna that results in handmoving from palm-downto palm-up positionManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-11
  8. 8.  Radioulnar pronators Pronator teres Pronator quadratus Brachioradialis Radioulnar supinators Biceps brachii Supinator muscle BrachioradialisManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-12
  9. 9.  “Tennis elbow" - common problem usuallyinvolving extensor digitorum muscle near itsorigin on lateral epicondyle known lateral epicondylitis associated with gripping & lifting activities Medial epicondylitis somewhat less common known as golfers elbow associated with medial wrist flexor & pronator groupnear their origin on medial epicondyle Both conditions involve muscles which cross elbowbut act primarily on wrist & handManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-13
  10. 10.  Anterior Primarily elbowflexion & pronation Biceps brachii Brachialis Brachioradialis Pronator teres Pronator quadratusManual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-14
  11. 11. Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-15Elbow flexion when pronated orNeutral.Pronation and supination
  12. 12. Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-16Actions: Pronationand elbow flexion
  13. 13. Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-17Action: Pronation
  14. 14. Manual ofStructural Kinesiology The Elbow and Radioulnar Joints 6-18Action: Supination
  15. 15.  All wrist flexors generally havetheir origins on anteromedialaspect of proximal forearmand medial epicondyle ofhumerus with insertions onanterior aspect of wrist & hand Median nerve & all flexortendons except flexor carpiulnaris & palmaris longuspass through carpal tunnelManual ofStructural Kinesiology The Wrist and Hand Joints 7-19
  16. 16. Extrinsic muscles of wrist & hand groupedaccording to function & location muscles move wrist 6 wrist flexors (Anterior) flexor carpi radialis flexor carpi ulnaris Superficial palmaris longus flexor digit. superficialis Middle flexor digit. profundus Deep Flexor pollicis longusManual ofStructural Kinesiology The Wrist and Hand Joints 7-20
  17. 17. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-21 Primarily wrist flexion Flexor carpi radialis Flexor carpi ulnaris Palmaris longus
  18. 18. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-22 Anteromedially at elbow& forearm and anteriorat hand Primarily wrist &phalangeal flexion Flexor digitorumsuperficialis O: medial epi andcoronoid process I: base of middle phalanx
  19. 19. Flexor digitorumprofundusO: Profundus – prox.Two-thirds of ulnaI: distal phalanx of 2-5Flexor pollicis longus O: middle half of radius
  20. 20. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-28Wrist flexionWrist abductionWeak elbow flexion andpronationOrigin: Medial epicondyleInsertion: Base of 2nd – 3rdmetacarpal
  21. 21. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-29Wrist flexionWrist adduction inConcert with ext.Carpi ulnarisOrigin: medial epicondyleUpper two-thirds of dorsalborder of ulnaInsertion: pisiform, hamateand 5th metacarpal
  22. 22. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-30Wrist flexionWeak elbowflexionOrigin: Medial epicondyleInsertion: palmararAponeurosis of palmmetacarpals
  23. 23. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-31 AgonistsFlexor carpiradialisFlexor carpiulnarisPalmaris longus
  24. 24. wrist extensors (Posterior)extensor carpi radialis longus O: Supracondylar ridgeI: Base of 2nd metacarpalextensor carpi radialis brevisI: Base of 3rd metacarpalextensor carpi ulnarisI: Base of 5th metacarpalExtensor digitorumI: Middle and distal phalanxExt. digiti minimi (not covered)
  25. 25. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-33 Wrist extensors generally have their origins onposterolateral aspect of proximal forearm &lateral humeral epicondyle with insertionslocated on posterior aspect of wrist & hand Flexor & extensor tendons immediatelyproximal to wrist are held in place on palmar &dorsal aspects by transverse bands of tissueknown as flexor & extensor retinaculum toprevent the tendons from bowstringing duringflexion & extension
  26. 26.  Extensors Extensor digitorum Extensor indicis Extensor digiti minimi Extensor pollicis longus(thumb extensor) Extensor pollicis brevis(thumb extensor) Abductor of thumb & wrist Abductor pollicis longusManual ofStructural Kinesiology The Wrist and Hand Joints 7-34
  27. 27. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-35 Extensor carpi radialislongus Extensor carpi radialisbrevis Extensor carpi ulnaris Extensor digitorum Brachioradialis
  28. 28. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-36Wrist extensionAbduction of wristWeak elbow flexionOrigin: Lower third ofSupracondylar ridgeAnd lateral epicondyleInsertion: Dorsal surfaceof 1st metacarpal
  29. 29. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-37Wrist extensionWrist abductionOrigin: Lateral epicondyleInsertion: Base of thirdmetacarpal
  30. 30. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-38Wrist extensionWrist adduction in concertwith flexor carpi ulnarisOrigin: lateral epicondyleInsertion: base of 5thmetacarpal
  31. 31. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-39
  32. 32. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-40 Agonists Extensor carpiradialis longus Extensor carpiradialis brevis Extensor carpiulnaris
  33. 33. Ext. pollicus longusO: Post. Surface of middle third of ulnaI: Distal phalanxExt. pollicus brevisO: Post surface of radius and Interosseusmem.I: Proximal phalanxAbductor pollicus longusO: Post. Surface of radius and ulnaI: Base of first metacarpal
  34. 34. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-42 Agonists Extensor pollicislongus Extensor pollicisbrevis
  35. 35. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-44 Wrist abductors Generally cross wrist joint anterolaterally &posterolaterally to insert on radial side of hand Flexor carpi radialis Extensor carpi radialis longus Extensor carpi radialis brevis Abductor pollicis longus Extensor pollicis longus Extensor pollicis brevis
  36. 36. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-45 Agonists Flexor carpi radialis Extensor carpiradialis longus Extensor carpiradialis brevis
  37. 37. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-46 Agonists Abductor pollicislongus Extensor pollicislongus Extensor pollicisbrevis
  38. 38. Manual ofStructural Kinesiology The Wrist and Hand Joints 7-47 Agonists Flexor carpiulnaris Extensor carpiulnaris

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