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Table 9-10 Ligaments of the Wrist and Their Function
Function and Movement of the Hand 283 Table 9-10 Ligaments of the Wrist and Their Function Extrinsic Ligaments Function Palmar radiocarpal Volarly stabilizes radius to carpal bones; limits excessive wrist extension Dorsal radiocarpal Dorsally stabilizes radius to carpal bones; limits excessive wrist flexion Ulnar collateral Provides lateral stability of ulnar side of wrist between ulna and carpals Radial collateral Provides lateral stability of radial side of wrist between radius and carpals Ulnocarpal complex and articular Stabilizes and helps glide the ulnar side of wrist; stabilizes distal disk (or triangular fibrocartilage radioulnar joint complex) Intrinsic Ligaments Palmar midcarpal Forms and stabilizes the proximal and distal rows of carpal bones Dorsal midcarpal Forms and stabilizes the proximal and distal rows of carpal bones Interosseous Intervenes between each carpal bone contained within its proximal or distal row Accessory Ligament Transverse carpal Stabilizes carpal arch and contents of the carpal tunnel Adapted from Hertling, D., & Kessler, R. (2006). Management of common musculoskeletal disorders: Physical therapy principles and methods. Philadelphia, PA: Lippincott, Williams & Wilkins.; Oatis, C. A. (2004). Kinesiology: The mechanics and pathomechanics of human movement. Philadelphia, PA: Lippincott, Williams & Wilkins.; Weiss, S., & Falkenstein, N. (2005). Hand rehabilitation: A quick reference guide and review. St. Louis, MO: Mosby Elsevier. The radial and ulnar collateral ligaments provide lateral and medial support, respectively, to the wrist joint. The ulnocarpal complex is more likely to be referred to as the triangular fibro- cartilage complex (TFCC) and includes the articular disk of the wrist. The TFCC is the major stabilizer of the distal radioulnar joint (DRUJ) and can tear after direct compressive force such as a fall on an outstretched hand. -
Carpals and Tarsals of Mule Deer, Black Bear and Human: an Osteology Guide for the Archaeologist
Western Washington University Western CEDAR WWU Graduate School Collection WWU Graduate and Undergraduate Scholarship 2009 Carpals and tarsals of mule deer, black bear and human: an osteology guide for the archaeologist Tamela S. Smart Western Washington University Follow this and additional works at: https://cedar.wwu.edu/wwuet Part of the Anthropology Commons Recommended Citation Smart, Tamela S., "Carpals and tarsals of mule deer, black bear and human: an osteology guide for the archaeologist" (2009). WWU Graduate School Collection. 19. https://cedar.wwu.edu/wwuet/19 This Masters Thesis is brought to you for free and open access by the WWU Graduate and Undergraduate Scholarship at Western CEDAR. It has been accepted for inclusion in WWU Graduate School Collection by an authorized administrator of Western CEDAR. For more information, please contact [email protected]. MASTER'S THESIS In presenting this thesis in partial fulfillment of the requirements for a master's degree at Western Washington University, I grant to Western Washington University the non-exclusive royalty-free right to archive, reproduce, distribute, and display the thesis in any and all forms, including electronic format, via any digital library mechanisms maintained by WWu. I represent and warrant this is my original work, and does not infringe or violate any rights of others. I warrant that I have obtained written permissions from the owner of any third party copyrighted material included in these files. I acknowledge that I retain ownership rights to the copyright of this work, including but not limited to the right to use all or part of this work in future works, such as articles or books. -
Bone Limb Upper
Shoulder Pectoral girdle (shoulder girdle) Scapula Acromioclavicular joint proximal end of Humerus Clavicle Sternoclavicular joint Bone: Upper limb - 1 Scapula Coracoid proc. 3 angles Superior Inferior Lateral 3 borders Lateral angle Medial Lateral Superior 2 surfaces 3 processes Posterior view: Acromion Right Scapula Spine Coracoid Bone: Upper limb - 2 Scapula 2 surfaces: Costal (Anterior), Posterior Posterior view: Costal (Anterior) view: Right Scapula Right Scapula Bone: Upper limb - 3 Scapula Glenoid cavity: Glenohumeral joint Lateral view: Infraglenoid tubercle Right Scapula Supraglenoid tubercle posterior anterior Bone: Upper limb - 4 Scapula Supraglenoid tubercle: long head of biceps Anterior view: brachii Right Scapula Bone: Upper limb - 5 Scapula Infraglenoid tubercle: long head of triceps brachii Anterior view: Right Scapula (with biceps brachii removed) Bone: Upper limb - 6 Posterior surface of Scapula, Right Acromion; Spine; Spinoglenoid notch Suprspinatous fossa, Infraspinatous fossa Bone: Upper limb - 7 Costal (Anterior) surface of Scapula, Right Subscapular fossa: Shallow concave surface for subscapularis Bone: Upper limb - 8 Superior border Coracoid process Suprascapular notch Suprascapular nerve Posterior view: Right Scapula Bone: Upper limb - 9 Acromial Clavicle end Sternal end S-shaped Acromial end: smaller, oval facet Sternal end: larger,quadrangular facet, with manubrium, 1st rib Conoid tubercle Trapezoid line Right Clavicle Bone: Upper limb - 10 Clavicle Conoid tubercle: inferior -
Four Unusual Cases of Congenital Forelimb Malformations in Dogs
animals Article Four Unusual Cases of Congenital Forelimb Malformations in Dogs Simona Di Pietro 1 , Giuseppe Santi Rapisarda 2, Luca Cicero 3,* , Vito Angileri 4, Simona Morabito 5, Giovanni Cassata 3 and Francesco Macrì 1 1 Department of Veterinary Sciences, University of Messina, Viale Palatucci, 98168 Messina, Italy; [email protected] (S.D.P.); [email protected] (F.M.) 2 Department of Veterinary Prevention, Provincial Health Authority of Catania, 95030 Gravina di Catania, Italy; [email protected] 3 Institute Zooprofilattico Sperimentale of Sicily, Via G. Marinuzzi, 3, 90129 Palermo, Italy; [email protected] 4 Veterinary Practitioner, 91025 Marsala, Italy; [email protected] 5 Ospedale Veterinario I Portoni Rossi, Via Roma, 57/a, 40069 Zola Predosa (BO), Italy; [email protected] * Correspondence: [email protected] Simple Summary: Congenital limb defects are sporadically encountered in dogs during normal clinical practice. Literature concerning their diagnosis and management in canine species is poor. Sometimes, the diagnosis and description of congenital limb abnormalities are complicated by the concurrent presence of different malformations in the same limb and the lack of widely accepted classification schemes. In order to improve the knowledge about congenital limb anomalies in dogs, this report describes the clinical and radiographic findings in four dogs affected by unusual congenital forelimb defects, underlying also the importance of reviewing current terminology. Citation: Di Pietro, S.; Rapisarda, G.S.; Cicero, L.; Angileri, V.; Morabito, Abstract: Four dogs were presented with thoracic limb deformity. After clinical and radiographic S.; Cassata, G.; Macrì, F. Four Unusual examinations, a diagnosis of congenital malformations was performed for each of them. -
The Ossification of the Metacarpal and Phalangeal Bones in Human Foetuses
Folia Morphol. Vol. 63, No. 3, pp. 329–332 Copyright © 2004 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl The ossification of the metacarpal and phalangeal bones in human foetuses Florian Czerwiński1, Ewa Tomasik1, Małgorzata Tomasik2, Aldona Mahaczek-Kordowska1 1Department of Anatomy, Pomeranian Academy of Medicine, Szczecin, Poland 2Department of General Dentistry, Pomeranian Academy of Medicine, Szczecin, Poland [Received 4 November 2002; Revised 17 February 2004; Accepted 17 February 2004] An evaluation was made of the ossification level of the metacarpal and pha- langeal bones in human foetuses of both sexes from the 4th to the 9th month of gestation. Our results indicate that ossification of phalangeal bones 1 to 5 al- ways started at the distal end of the phalanx and endochondral ossification prevailed in the proximal phalanx of the thumb. Key words: human foetus, metacarpal bones, phalangeal bones, ossification INTRODUCTION Most human skeletal bones are ossified on a car- tilaginous base [5, 14]. This is a complex process pro- gressing dynamically in time and ossification consti- tutes the final phase of this complex process [3]. Thorough observation of the ossification of the foe- tal skeleton is made possible by means of the radio- logical method and evaluation of histological speci- mens [9]. This study presents the ossification of the metacarpal and phalangeal bones in human foetus- es at different stages of gestation. MATERIAL AND METHOD Eighty-six hands were examined taken from hu- man foetuses of both sexes aged from 4 to 9 months of gestation. -
Hand Bone Age: a Digital Atlas of Skeletal Maturity
V. Gilsanz/O. Ratib · Hand Bone Age Vicente Gilsanz · Osman Ratib Hand Bone Age A Digital Atlas of Skeletal Maturity With 88 Figures Vicente Gilsanz, M.D., Ph.D. Department of Radiology Childrens Hospital Los Angeles 4650 Sunset Blvd., MS#81 Los Angeles, CA 90027 Osman Ratib, M.D., Ph.D. Department of Radiology David Geffen School of Medicine at UCLA 100 Medical Plaza Los Angeles, CA 90095 This eBook does not include ancillary media that was packaged with the printed version of the book. ISBN 3-540-20951-4 Springer-Verlag Berlin Heidelberg New York Library of Congress Control Number: 2004114078 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable to prosecution under the German Copyright Law. Springer-Verlag Berlin Heidelberg New York Springer is a part of Springer Science+Business Media http://www.springeronline.com A Springer-Verlag Berlin Heidelberg 2005 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. -
Metacarpal Fractures: Practical Methods for Measurement of Shortening, Angulation, and Malrotation
J Orthop Spine Trauma. 2020 March; 6(1): 9-13. DOI: http://dx.doi.org/10.18502/jost.v6i1.4535 Educational Corner Metacarpal Fractures: Practical Methods for Measurement of Shortening, Angulation, and Malrotation Rohollah Khajeh 1, Behzad Enayati1, Farzad Vosughi2, Seyed Mohammad Javad Mortazavi 3,* 1 Fellowship of Hand Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran 2 Resident, Department of Orthopedics, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran 3 Professor, Department of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran *Corresponding author: Seyed Mohammad Javad Mortazavi; Department of Orthopedic Surgery, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran. Tel: +98-2161192767, Email: [email protected] Received: 09 October 2019; Revised: 15 December 2019; Accepted: 17 January 2020 Keywords: Metacarpus; Fractures, Bone; Hand Deformities, Acquired Citation: Khajeh R, Enayati B, Vosughi F, Mortazavi SMJ. Metacarpal Fractures: Practical Methods for Measurement of Shortening, Angulation, and Malrotation. J Orthop Spine Trauma 2020; 6(1): 9-13. Background different metacarpal fractures. Articular fractures involving less than 20% of the joint Phalangeal, distal radius, and metacarpal fractures are surface and nondisplaced or minimally displaced shaft the most frequent upper limb fractures, respectively (1). fractures, without significant angulation, malrotation, or The incidence of metacarpal fractures in the United States shortening are treated with immobilization in the of America (USA) is 13.6 among every 100000 population intrinsic plus position (6). Bony apposition of at least 50% annually (2). Metacarpal fractures compose 30-40 percent and maximal bone shortening of 5 mm is acceptable. -
Bones of Upper Limb
BONES OF THE UPPER LIMB Dr. Jamila El-Medany OBJECTIVES At the end of the lecture, students should be able to: List the different bones of the UL. List the characteristic features of each bone. Differentiate between the bones of the right and left sides. List the articulations between the different bones. The Bones of UL are: Pectoral Girdle. Arm : Humerus. Forearm : Radius & Ulna. Wrist : Carpal bones Hand: Metacarpals & Phalanges Pectoral Girdle Formed of Two Bones: Clavicle (anteriorly) and Scapula (posteriorly). It is very light and allows the upper limb to have exceptionally free movement. Clavicle It is a doubly curved long bone lying horizontally across the root of the neck It is subcutaneous throughout its length. Functions: 1. It serves as a rigid support from which the scapula and free upper limb are suspended & keep them away from the trunk so that the arm has maximum freedom of movement. 2. Transmits forces from the upper limb to the axial skeleton. 3. Provides attachment for muscles. 4. It forms a boundary of the Cervicoaxillary canal for protection of the neurovascular bundle of the UL. Clavicle It is a long bone with no medullary cavity. It has the appearance of an elongated letter Capital (S) lying on one side. It has Two Ends: Medial (Sternal) : enlarged & triangular. Lateral (Acromial) : flattened. Body (shaft): Its medial 2/3 is convex forward. Its lateral 1/3 is concave forward. Surfaces: Superior : smooth as it lies just deep to the skin. Inferior : rough because strong ligaments bind it to the 1st rib. Articulations of Clavicle Medially with the manubrium at the Sternoclavicular joint . -
Macroanatomy of the Bones of Thoracic Limb of an Asian Elephant (Elephas Maximus)
Int. J. Morphol., 34(3):909-917, 2016. Macroanatomy of the Bones of Thoracic Limb of an Asian Elephant (Elephas maximus) Macroanatomía de los Huesos del Miembro Torácico de un Elefante Asiático (Elephas maximus) A. S. M. Lutful Ahasan*; Md. Abul Quasem*; Mohammad Lutfur Rahman*; Rubyath Binte Hasan*; A. S. M. Golam Kibria* & Subrata Kumar Shil* AHASAN, A. M. S. L.; QUASEM, M. A.; RAHMAN, M. L.; HASAN, R. B.; KIBRIA, A. S. M. G. & SHIL, S. K. Macroanatomy of the bones of thoracic limb of an Asian Elephant (Elephas maximus). Int. J. Morphol., 34(3):909-917, 2016. SUMMARY: Bones of forelimb were studied from a prepared skeleton of an adult female Asian elephant (Elephas maximus) in Anatomy Museum of Chittagong Veterinary and Animal Sciences University to understand the morphological form and structure of Asian elephant forelimb. The angle was approximately 123º between caudal border of scapula and caudal border of humerus. The scapula, humerus and bones of the antebrachium (particularly the ulna) were massive bones. The bones of manus were the short and relatively small. The dorsal border of scapula extended from the level of proximal extremity of first rib to the middle of the 6th rib. Ventral angle of scapula articulated with humerus by elongated shaped glenoid cavity (cavitas glenoidalis) of scapula and head of humerus (caput humeri). The major tubercle (tuberculum majus) of humerus was situated laterally to the head, which had smaller cranial part with large caudal part and extended cranially to the head. The crest of minor tubercle (tuberculum minus) was present as the rough line on the mediocaudal surface of humerus that ends in a slight depressed or elevated area, known as teres major tuberosity (tuberositas teres major). -
Upper Limb 3 the Wrist
Upper Limb 3 The Wrist Donald Sammut Hand Surgeon Kings Upper Limb Anatomy plus lecture notes • Unlike'many'other'joints,'the'wrist'surface'anatomy'gives'away'little'of' the'bony'structures'beneath'the'surface.' • Still'less'does'it'suggest'the'complex'ligament'structures' Carpus' Radius' Ulna' • The'wrist'is'surrounded'by'vital'structures,'tendons,'nerves,'arteries.'' • Pathology'in'these'structures'can'give'symptoms'mistaken'for'problems' with'the'wrist'joint' • 8'wrist'bones'form'the'carpus.' • Proximally'these'articulate'with'the'radius' • Distally'they'articulate'with'the'metacarpals.' • The'carpal'bones'articulate'with'each'other'in'a'particular'configuration'of' bony'shapes'and'ligaments'which'dictate'the'complex'function.' Trapezoid' Capitate' Trapezium' Hamate' Scaphoid' Pisiform' Lunate' Triquetral' • Proximally'the'carpus'articulates'with'the'distal'radius'and'with'the' triangular'fibrocartilage.' • The'TFC'separates'the'carpus'from'the'ulna' • The'distal'ulna'does'not'participate'in'the'articulation'with'the'carpus' • View'of'the'distal'radius.'Proximal'aspect'of'the'RadioKcarpal'joint' • Note'' 'the'Scaphoid'fossa' 'the'Lunate'fossa' 'the'triangular'fibrocartilage' PROXIMAL)ARTICULAR)SURFACE)OF)THE)WRIST:)RADIUS'AND'TRIANGULAR'CARTILAGE' ' THE'ULNA'IS'EXCLUDED.' • Distal'aspect'of'the'RadioKcarpal'joint' The'radius'and'triangular'fibrocartilage'articulate'with'the'scaphoid,'lunate' and'triquetral' DISTAL)ARTICULAR)SURFACE)OF)THE)WRIST:)SCAPHOID,'LUNATE','TRIQUETRAL' ' • The'bony'shapes'of'the'radiocarpal'joint'make'for'an'unstable'arrangement' -
5Th Metacarpal Fractures Information for Patients
[Type here] Virtual fracture clinic 5th Metacarpal Fractures Information for patients What is a 5th metacarpal fracture? Your hand is made up of five metacarpal bones that connect your fingers and thumb to your wrist. A 5th metacarpal fracture (also known as a boxer’s fracture) is a break in the bone that connects your little finger to your wrist. A break is the same as a fracture. What causes a 5th metacarpal fracture? 5th metacarpal fractures usually occur when there is impact between a hand that is closed in a fist with a firm object, such as the ground or a wall. 5th metacarpal fractures are the most commonly occurring fractures in the hand. What are the signs and symptoms of a 5th metacarpal fracture? If you have fractured your 5th metacarpal bone you may notice that the back of your hand and the little finger are swollen and it will be more difficult to see the knuckles. You may also have some bruising and find it difficult to open and close your fingers. An x-ray should be taken to check the position of the fracture. What are the treatments available for a 5th metacarpal fracture? Most 5th metacarpal fractures are successfully treated without surgery. Even in cases where the alignment of the bone fragments is disrupted, the bones usually heal without any serious long term consequences. The options for non-surgical management are usually to: 1. ‘Buddy strap’ the little finger to the ring finger for two to four weeks and move it as pain allows 2. -
Wing Injuries
Wing Injuries Kimberly A McMunn MS MPH DVM – Anatomy Review – Radiological Positioning – Patient Evaluation – Approaches to Fracture Management – Physical Therapy – Monitoring Healing – Complications – Treatments for Specific Injuries Anatomy of the Wing Proctor and Lynch 1993 Wing Musculature- Ventral Proctor and Lynch 1993 Wing Musculature- Dorsal Proctor and Lynch 1993 Wing Musculature- Flight Proctor and Lynch 1993 Flight bones Scott 2016 Wing Vasculature Proctor and Lynch 1993 Bird bones vs mammal bones – Bone cortices thin and brittle but very strong, with high calcium content – Any defect in wall greatly reduces their strength – Less holding power (compared to mammals) for fixation hardware – Limited soft tissue over many long bones, very thin skin, bone fragments exteriorize easily Bird bones vs mammal bones – Pneumatic bones- humerus, and ulna in some species (Pelicans and CA condors) – Majority of callus tissue in healing is derived from the periosteal surface, and blood supply to the periosteum from surrounding soft tissues is very important. The IM circulation appears to be of less significance in avian bone healing than in mammals Radiographic Positioning 2 Orthogonal Views!! Scott 2016 Evaluation of the Patient – Evaluate signalment, history, and physical and orthopedic exams – Hands-off observation for mentation, posture, respiration and general appearance – Consider anesthesia or sedation for exam – Consider co-morbidities, including eye, head or intracoelomic trauma in wild birds, or malnutrition and associated poor bone