THE HAND

This presentation describes anatomy of the hand

Transcript

1. Palm of the Hand
2. Skin of the Hand
4. Skeleton of The Hand
5. Trapezium Trapezoid Capitate Hamate Scaphoid Lunate Triquetral Pisiform
6. Tubercle of scaphoid Crest of trapezium Hook of Hamate Pisiform
7. Palmaris brevis (Page 113)
8. Palmaris Brevis Palmaris brevis Palmar aponeurosis
9. Deep Fascia of Palm 1- Flexor retinaculum. 2- Palmar aponeurosis.
10. Flexor Retinaculum (Page 98)
12. Crest of trapezium Tubercle of scaphoid Pisiform bone Hook of hamate Medial lip of trapezium
13. Lat. Med. Hook of hamate Pisiform bone Crest of trapezium Tubercle of scaphoid Attachments
14. Trapezium Flexor retinaculum Special compartment for tendon of flexor carpi radialis Med. Lat.
15. 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
16. 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
17. Carpal Tunnel (Page 97)
18. Boundaries of carpal tunnle Carpal bones Flexor retinaculum Carpal tunnle
19. Contents of carpal tunnle Tendons of flexor digitorum superficialis Tendons of flexor digitorum profundus Tendon of flexor pollicis longus Median n.
20. Common synovial sheath (ulnar bursa) Synovial sheath around flexor pollicis longus tendon (radial bursa)
21. 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
22. Palmar Aponeurosis (page 113)
23. Palmar aponeurosis
24. Tendon of palmaris longus Palmar aponeurosis Thenar muscles Hypothenar muscles Fibrous flexor sheaths 4 slips
25. Extensions of Palmar Aponeurosis
26. Lat. Med. Palmar aponeurosis Medial intermuscular septum Lateral intermuscular septum Intermediate intermuscular septum
27. Palmar Spaces & Contents
28. Palmar Spaces (page 119) 1- lateral compartment (Thenar). 2- Medial compartment (Hypothenar). 3- Intermediate compartment: A- Superficial mid-palmar space. B- Deep mid-palmar space. C- Thenar space. D- Adductor space.
29. Lateral compartment Medial Compartment Adductor pollicis m. A line that divides middle compartment into mid-palmar (Medial) & thenar and adductor (Lateral)
30. Palmar (Hand) Spaces & their Contents (Page 115)
31. Lat. Med. Palmar aponeurosis Medial intermuscular septum Lateral intermuscular septum Intermediate intermuscular septum Adductor space containing adductor pollicis muscle Thenar space Mid-palmar space
32. Contents of Palmar Spaces
33. 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
34. Muscles of The Hand (page 121)
35. Lateral Muscles of Palm (Page 117) 1- Thenar eminence muscles. a- Abductor pollicis brevis. b- Flexor pollicis brevis. c- Opponens pollicis. 2- Adductor Pollicis muscle.
36. Abductor pollicis brevis Flexor pollicis brevis Adductor pollicis m.
37. Abductor pollicis longus (cut) Adductor pollicis Opponens pollicis Flexor pollicis brevis (cut) Abductor digiti minimi Flexor digiti minimi Opponens digiti minimi
38. Adductor pollicis m.
39. Medial Muscles of the Palm (Hypothenar Muscles) 1- Abductor digiti minimi. 2- Flexor digiti minimi. 3- Opponens digiti minimi.
40. Abductor digiti minimi m. Flexor digiti minimi m. Flexor retinaculum
41. Abductor digiti minimi Opponens digiti mini
42. Intermediate Muscles Of the Palm 1- Lumbricals. 2- Palmar interossii. 3- Dorsal interossii.
43. Lumbricals Tendons of flexor digitorum profundus
44. Palmar interossei ms
45. Dorsal interossei ms
46. Fibrous Flexor Sheaths (page 127)
47. Fibrous flexor sheathes
48. Distal Pulp Space (page 127)
50. Bulb space
51. Synovial Sheaths (page 129)
57. Vincula
60. Arteries of The Hand
61. 1- Ulnar Artery (page 122 – 128)
63. 2- Radial Artery (page 118 -122)
70. Nerves of the Hand (Page 135)
71. 1- Median Nerve (Page 135)
73. 2- Ulnar Nerve (page 135)
74. Abductor pollicis brevis Flexor pollicis brevis Adductor pollicis m.
75. Ulnar nerve Superficial branch Deep branch
76. 3- Superficial Radial Nerve (page 149)
77. Deep relations of ulnar artery Brachialis m. Flexor digitorum profundus m. Tendons of flexor digitorum profundus m. Flexor retinaculum
78. Terminal digital branches of superficial radial nerve.