手的解剖课件

ClinicalAnatomyofHandMaxSong（宋本才）E-Mail:max-sbTel:DepartmentofAnatomy,TongjiMedicalCollegeofHuazhongUniversityofScienceandTechnology手的解剖-1.BonesofHand2.JointsofHand3.Wrist4.PalmofHand5.MusclesofHand6.Fingers7.BloodVesselsandNervesofHand

Contents手的解剖-1.BonesofHand手的解剖-AnteriorviewPosteriorview手的解剖-手的解剖-2.JointsofHand

A.WristjointB.IntercarpaljointsC.carpometacarpaljointsD.IntermetacarpaljointE.Interphalongealjoints手的解剖-A.WristJointalsocalledtheradiocarpaljoint,becausetheulnaisseparatedfromthecarpalbonesbyadiscoffibrocartilageandtheulnaisactuallynotbonyelementofthisjoint.手的解剖-手的解剖-Ligamentsreinforcingthewristjoint手的解剖-Itisellipsoidaltypeofsynovialjoint.Themovementsofthewristjointareflexion,extension,abduction,adduction,andcircumduction.Thereisnorotationatthewristjoint.手的解剖-B.IntercarpalJointsFormedbyarticulationbetweentwocarpalbones.Theirarticularcavitiescommunicatewithoneanother.Theyareplanejoints.Theymovealittle.手的解剖-Formedbyarticulationbetweendistal4carpalbonesand5metacarpalbones.Flexionandextensionareallowedbythesejoints.C.CarpometacarpalJoints手的解剖-D.CarpometacarpalJointsofThumb

Itisformedbythetrapeziumandbaseof1stmetacarpalbone.Itissaddletypeofsynovialjoint,andexistsonlyinprimateorganism.Sincetrapeziumrotatedmediallyalmost90degree,flexionandextensionallowedbythisjointoccuronsaggitalplane,adductionandabductiononfrontalplane.手的解剖-ExistsonlyinprimateOrganism.手的解剖-E.IntermetacarpalJointsTheyexistbetweenthebaseseof2ndandfifthmetacarpalbones,andareplanetypeofsynovialjoint.Thecarpometacarpalandintermetacarpaljointsallowthethumb,indexfingerandringfinger,littlefingermovetoward(adduction)andawayfrom(abduction)themiddlefinger.手的解剖-Ligamentsreinforcingtheintercarpal,intercarpometacarpal,intermetacarpalandjointsPalmarcarpometacarpalligaments手的解剖-F.Inter-phalangealJointsFormedbyphalanges.Hingejoints.Flexionandextensiononly.手的解剖-ExtensionFlexion手的解剖-3.Wrist手的解剖-PalmofWrist手的解剖-腕管手的解剖-手的解剖-手的解剖-手的解剖-DorsumofWristandDorsumofhand手的解剖-“鼻烟壶”手的解剖-“鼻烟壶”手的解剖-手的解剖-手的解剖-4.PalmandHand手的解剖-SkinSuperificialfasciaDeepfasciaPalmarisbrevisSuperficialtransversemetacarpalligament手的解剖-手的解剖-手的解剖-MidpalmarspaceandthenarspacePalmaranddorsalinterosseousmuscles手的解剖-手的解剖-手的解剖-5.MusclesofHand手的解剖-手的解剖-Lumbricalmuscles手的解剖-Lumbricalmuscles手的解剖-止于2、4、5指的近节指骨底和指背腱膜，内收2、4、5指并屈掌指关节和伸指间关节。止于2、3、4指的近节指骨底和指背腱膜，外展2、5指并屈掌指关节和伸指间关节。手的解剖-6.Fingers手的解剖-PalmofFinger手的