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Wrist and hand. Rozkydal, Z. Nachtnebl L. Skeleton. Wrist. Anatomy. Anatomy. Anatomy. System of pulleys. Anatomy. Anatomy of extensor apparatus. Extensor apparatus. Lateral bands from z mm. lumbricales and mm. interossei. Inervation of the hand. Function of the hand.
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Wrist and hand Rozkydal, Z. Nachtnebl L.
Extensor apparatus Lateral bands from z mm. lumbricales and mm. interossei
Functionofthe hand • Hook • Grip • Fine movements - intrinsicmuscles-opositionofthethumb
Clinicalexamination • ROM • Functionofmuscles • Skin • Troficity • Examinationof C spine, shoulder, elbow • R.A., systemicdisorders
Test for flexors M. flexor dig. superfic. M. flexor dig. prof.
Length of collateral ligaments of MP, PIP, DIP joints
Congenital disorders aplasia radii congenita aplasia ulnae congenita Madelung deformity
Madelung deformity - Short distal radius, volar bending - Bajonet position of the hand subluxation of carpal bones Therapy- shortening of ulna, corrective OT of radius
Types - adaktylia - oligodaktylia … brachydaktylia … polydaktylia … syndaktylia … clinodaktylia … camptodaktylia … flectioncontracture of 5. finger Congenitaldisorders
Conservative treatment Plaster of Paris 8-12 weeks
X-ray Pseudoarthrosisofscaphoid bone
Perilunatedislocation Fixation
Scapholunate dissotiation - Terry Thomas sign
Colles´ fracture Frykman classification
Smith fracture Barton fracture