The Hand

This presentation describes the anatomy of the Hand

Transcript

1. Skeleton of The Hand
2. Trapezium Trapezoid Capitate Hamate Scaphoid Lunate Triquetral Pisiform
3. Tubercle of scaphoid Crest of trapezium Hook of Hamate Pisiform
4. Palmaris brevis
5. Palmaris Brevis Palmaris brevis Palmar aponeurosis
6. Deep Fascia of Palm 1- Flexor retinaculum. 2- Palmar aponeurosis.
7. Flexor Retinaculum (Page 98)
9. Crest of trapezium Tubercle of scaphoid Pisiform bone Hook of hamate Medial lip of trapezium Dr. Sherif Fahmy
10. Lat. Med. Hook of hamate Pisiform bone Crest of trapezium Tubercle of scaphoid Attachments
11. Trapezium Flexor retinaculum Special compartment for tendon of flexor carpi radialis Med. Lat.
12. Structures passing superficial to flexor retinaculum Lat. Med. Palmar cutaneous branch of median n. Tendon of palmaris longus Palmar cutaneous branch of ulnar nerve Ulnar artery Ulnar nerve
13. tendons of flexor digitorum muscles with synovial sheath (ulnar bursa) Structures passing deep Tendon of flexor pollicis longus with its synovial sheath (radial bursa) Median nerve
14. Carpal Tunnel (Page 97)
15. Boundaries of carpal tunnle Carpal bones Flexor retinaculum Carpal tunnle
16. Contents of carpal tunnle Tendons of flexor digitorum superficialis Tendons of flexor digitorum profundus Tendon of flexor pollicis longus Median n. Dr. Sherif Fahmy
17. Common synovial sheath (ulnar bursa) Synovial sheath around flexor pollicis longus tendon (radial bursa)
18. Common synovial sheath around tendons of flexor digitorum muscles Contents of carpal tunnle Tendon of flexor pollicis longus with its synovial sheath (radial bursa) Median nerve
19. Palmar Aponeurosis
20. Palmar aponeurosis
21. Tendon of palmaris longus Palmar aponeurosis Thenar muscles Hypothenar muscles Fibrous flexor sheaths 4 slips
22. Extensions of Palmar Aponeurosis
23. Lat. Med. Palmar aponeurosis Fascia covering hypothenar muscles Deep fascia covering thenar muscles
24. Lat. Med. Palmar aponeurosis Medial palmar septum Lateral palmar septum Intermediate palmar septum 1st metacarpal bone 3rd metacarpal bone 5th metacarpal bone
25. Palmar Spaces (Boundaries & Contents)
26. Palmar Compartments 1- lateral compartment (Thenar). 2- Medial compartment (Hypothenar). 3- Intermediate compartment: A- Mid-palmar space. B- Thenar space.
27. Lateral compartment Medial Compartment Adductor pollicis m. A line that divides middle compartment into mid-palmar (Medial) & thenar and adductor (Lateral)
28. Palmar (Hand) Spaces & their Contents
29. Lat. Med. Palmar aponeurosis Medial intermuscular septum Lateral intermuscular septum Intermediate intermuscular septum Adductor space containing adductor pollicis muscle Thenar space Mid-palmar space
30. Contents of Palmar Spaces
31. Lat. Med. Superficial palmar arch & Branches of median and ulnar nerves Flexor digitorum tendons to medial 3 fingers & synovial sheath Adductor pollicis muscle Flexor digit tendons to index with blood & nerve supply to thumb and lateral side of index Deep palmar arch
32. Muscles of The Hand
33. Lateral Muscles of Palm 1- Thenar eminence muscles. a- Abductor pollicis brevis. b- Flexor pollicis brevis. c- Opponens pollicis. 2- Adductor Pollicis muscle.
34. Abductor pollicis brevis Flexor pollicis brevis Adductor pollicis m.
35. Abductor pollicis longus (cut) Adductor pollicis Opponens pollicis Flexor pollicis brevis (cut) Abductor digiti minimi Flexor digiti minimi Opponens digiti minimi
36. Adductor pollicis m.
37. Medial Muscles of the Palm (Hypothenar Muscles) 1- Abductor digiti minimi. 2- Flexor digiti minimi. 3- Opponens digiti minimi.
38. Abductor digiti minimi m. Flexor digiti minimi m. Flexor retinaculum
39. Abductor digiti minimi Opponens digiti mini
40. Intermediate Muscles Of the Palm 1- Lumbricals. 2- Palmar interossii. 3- Dorsal interossii.
41. Lumbricals Tendons of flexor digitorum profundus
42. Palmar interossei ms
43. Dorsal interossei ms
44. Fibrous Flexor Sheaths (page 127)
45. Fibrous flexor sheathes
46. Distal Pulp Space
48. Bulb space
49. Synovial Sheaths (page 129)
51. Dr. Sherif Fahmy
55. Vincula
57. Dr. Sherif Fahmy