ANAT30007 Lecture Notes - Lecture 18: Medial Collateral Ligament, Midcarpal Joint, Ulnar Nerve
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Radiocarpal
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Intercarpal
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Midcarpal (physiological/functional)
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Joints of wrist
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Carpometacarpal
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Intermetacarpal
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Metacarpophalangeal
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Interphalangeal
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Joints of hand
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Wrist joint: Radiocarpal b/w distal radius and scaphoid, lunate, triquetrum
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Intercarpal: B/w individual proximal and distal carpal bones
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Midcarpal (Physiological joint): B/w proximal and distal carpal rows
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Wrist complex
Radiocarpal
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Condyloid joint - reciprocal convex/concave surfaces
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Medial (radial) collateral
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Lateral (ulnar) collateral
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Palmar and dorsal radiocarpal
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Palmar and dorsal ulnocarpal
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Palmar and dorsal radioulnar
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Oblique configuration of ligaments is important - V-shaped sling (radio-triquetral sling)
for preventing proximal carpals from moving towards ulna due to concavity of radius
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Ligaments:
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Triangular fibrocartilaginous disc at distal end of ulna, prevents contact - also part of distal
radioulnar joint
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Blood supply: Branches of palmar and dorsal carpal arches
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Innervation: Anterior(from median)/Posterior (from radial) Interosseus nerves [aka deep
branches of median/radial nerves], deep branch of Ulnar nerve
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Wrist joint
6.3 Wrist and Hand Joints
Monday, 13 April 2015
11:14 PM
Locomotor Page 1
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Flexion: FCR, FCU, FDS, FDP, FPL, PL, APL
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Extension: ECRL, ECRB, ECU, ED, EI, EDM, EPL, EPB
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Radial deviation (Abduction): APL, FCR, ECRL
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Ulnar deviation (Adduction): ECU, FCU
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Because distal end of radius projects more than distal end of ulna, there is a greater degree of
ulnar deviation at the wrist
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Movements at wrist joint
Locomotor Page 2
Document Summary
Wrist joint: radiocarpal b/w distal radius and scaphoid, lunate, triquetrum. Intercarpal: b/w individual proximal and distal carpal bones. Midcarpal (physiological joint): b/w proximal and distal carpal rows. Oblique configuration of ligaments is important - v-shaped sling (radio-triquetral sling) for preventing proximal carpals from moving towards ulna due to concavity of radius. Triangular fibrocartilaginous disc at distal end of ulna, prevents contact - also part of distal radioulnar joint. Blood supply: branches of palmar and dorsal carpal arches. Innervation: anterior(from median)/posterior (from radial) interosseus nerves [aka deep branches of median/radial nerves], deep branch of ulnar nerve. Flexion: fcr, fcu, fds, fdp, fpl, pl, apl. Extension: ecrl, ecrb, ecu, ed, ei, edm, epl, epb. Because distal end of radius projects more than distal end of ulna, there is a greater degree of ulnar deviation at the wrist. B/w individual carpal bones in proximal and distal row.