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Wrist Joints

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EXSC 322
Wrist and Hand Lab
Name: ____________________________________________ Date: _____________
Please perform the following tasks and answer the corresponding questions. All answers must be typed.

Palpation of bony landmarks and other structures
Palpate for the following structures and mark their locations:

1. Medial epicondyle of humerus 2. Lateral epicondyle of humerus 3. Capitate 4. Outline the “Anatomical Snuff Box” 5. Scaphoid 6. Hook of the Hamate 7. Pisiform 8. Ulnar styloid 9. Radial styloid 10. CMC joint of the thumb 11. MCP joints of the thumb and fingers 12. IP joint of the thumb 13. PIP joint of the fingers 14. DIP joint of the fingers 15. Have your partner perform full finger and wrist extension so the tendons passing into the hand become prominent. Palpate these tendons AND determine to which muscles they belong. 16. Have your partner perform full finger and wrist flexion so the tendons passing into the hand at the wrist become prominent. Palpate these tendons AND determine to which muscles they belong.

Identification
Following the palpation and marking of the structures above, please identify:

-The muscles that perform PIP joint flexion: __First Digit_________________________
-The muscle group(s) that originates from the medial epicondyle: ________________________
-The muscle group(s) that originates from the lateral epicondyle: _________________________
-The muscle(s) that has an origin/insertion on the pisiform bone:flexi carpi ulnaris, deltoid muscle___________________

The Anatomical Snuff Box
Perform radial abduction of the thumb against resistance in order for the tendons comprising the anatomical snuff box to become prominent. To which muscles do these tendons belong to? Which tendons form the lateral border, middle and the medial border of the anatomical snuff box? What bone is contained in the anatomical snuff box? Abductor Pollicis Longus, Extensor Pollicis Brevis, and Extensor Pollicis Longus. All of these are inervated by the radial nerve.

Actions of the Thumb
Thumb wrestle with a partner for 25 seconds (or until someone claims victory). Describe the motions that occur at the thumb. Describe relative to the “phases” of thumb wrestling-(attack, defense, tie up, victory, defeat, etc)
Thumb starts in a flexed position, while dodging the thumb is abducting,adducting extending and flexing, during the tie up the thumb is flexed. During victory the the thumb extended. In defeat the thumb is still extended but attempting to flex back upward.

Eminences of the Hand
Locate the hypothenar and thenar eminences of the hand. List the muscles that are associated with each structure. Compare them bilaterally on your partner. Are there any differences? If so, why do you think this is the case? If there are no differences present, why do you think one would occur?
The muscles associated with the thenar eminece are abductor pollis brevis,Flexor pollis brevis, and oppens pollicis. The structure of the hypothenar eminence are abductor digiti minimi, Flexor digiti minimi brevis and oppenons digiti minimi.

Grip Styles
Define and distinguish the differences between a “power grip” and a “precision grip”. Give 2 examples of each type of the grip and describe the position of the wrist, hand, and fingers for each example. A basic grasp where the fingers are wrapped around an object and the thumb placed against.
,A grasp in which something is held between the thumb and another one of the fingertips.

Grabbing a steering wheel would be power grip
Grabbing a baseball bat would be power grip

Precision grip would be picking up a needle or picking up a quarter.

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