01:377:303 Lecture Notes - Lecture 5: Palpation, Ulnar Nerve Entrapment, Epicondylitis
Document Summary
Palpation of the lunate: passively flex the wrist. Palpation of the capitate: first depression after the lunate. Scaphoid: distal to radial styloid process; ud and rd. Arches of the hand: see figure three arches: Arches allow for flattening or cupping of the palm to grab objects. Flexion mostly occurs at the midcarpal joint (60%) Extension occurs mostly at the radiocarpal joint (67%) Radial/ulnar deviation the distal carpal rows go in same direction as rays while the proximal row goes in the opposite direction. Functional wrist motion most activities performed with wrist slightly flexed or wrist extension. Loss of wrist motion didn"t significantly impede loss of adl ability. Slight wrist extension improves strength of wrist flexors and vice versa. Grip strength is related to the wrist being in slight extension and ud. Ulnar nerve entrapment: medial epicondyle and tunnel of guyon created by pisohamate ligament.