Anatomy of The Hand: Khalid Ayoub
Anatomy of The Hand: Khalid Ayoub
KHALID AYOUB
03/03/03
TOPICS
• Osteology
• Arthrology
• Extensor tendon
• Flexor tendon
• Nerve supply
• Blood supply
• Common pathological conditions
Osteology
Carpus:
• Mostly articular
P
• No tendon insertion
R
• Intrinsic Ligaments
• Shape
Osteology
Carpus:
1 6
• Mostly articular <1 5
• 6 2
No tendon insertion PP 5
4
• Intrinsic Ligaments 6 1
R
• Shape
• Ossification
ARTHROLOGY
A). Radiocarpal joint;
Radius Scaphoid
Lunate
TFC Triquetrum
ARTHROLOGY
Extrinsic Ligaments
1. Radio-scapho-lunate
(Lig. Of Testut)
>>
2. Radial collateral
3. Palmar radiocarpal;
- Radio-scapho-capitate
- Radio- lunate
4. Radio-luno-triquetral
ARTHROLOGY
Distal Row
Proximal Row
ARTHROLOGY PH
F) Metacarpo-Phalangeal Joint
• Ellipsoid joints MC
• Volar plate
• Collateral lig
• Hinge joint
• Volar plate
• Collateral Lig
• Accessary Lig
EXTENSOR APPARATUS
A. Wrist
• Extensor Retinaculum
• 6 compartments
EXTENSOR APPARATUS
B. Hand
• EDC
• EDM
• EI
EXTENSOR APPARATUS
C. MP Joints
• Interosseous M.
>>
• Common Extensor Tendon
• Sagital band
• Lateral Band/Tendon
• Transversr/Oblique I. L.
• Lumbrical M.
EXTENSOR APPARATUS
D. Finger IP Joint
• Central slip
>>
• Lateral slip
Palmar Spaces
PALM
• Deep Palmar abscess
PALM
• Synovial Sheath
& Bursa
FINGERS
• Superficial layer
• Ligaments
FINGERS
Cross-section
FINGER FLEXOR
• FDS • Fibrous flexor sheath
• FDP pulley system
• Synovial flexor sheath - Annulus
- Cruciate
FINGER FLEXOR
NAIL
• Pedicled vascularised
bone graft
• Arterial supply of
dorsal distal radius
• 1,2
intercompartmental
supraretinacular artery
Basic Function
1. Precision pinch
Basic Function
2. Pulp pinch: Pinch
Dynamometer (2-
5 kg)
Basic Function
3. Key pinch: Pinch
Dynamometer (6-10 kg)
Basic Function
4. Chuck grip:
Basic Function
5. Hook grip
Basic Function
6. Span grasp:
Basic Function
7. Power grip
Basic Function
8. Flat hand:
THANK YOU