Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=The Hand.=--The hand contains nineteen bones, five _metacarpal bones_,
one for each finger and the thumb, whose bases articulate with the
lower row of wrist bones, and fourteen _phalanges_, three for each
finger and two for the thumb, of which the first row articulate with
the metacarpal bones. They are all long bones and are slightly concave
anteriorly. When the hand is flexed it is the heads of the metacarpal
bones, not the bases of the phalanges, that are so prominent, the head
of the third metacarpal being most prominent.
The metacarpals are seldom _fractured_, though bad fractures
occasionally occur. In comminuted fracture nothing can be done but
remove the bone. If the periosteum is left the bone will grow again.
Two diseases sometimes affect the metacarpals and the phalanges,
_tuberculosis_ and _syphilis_. Both cause swelling of the bones.
=Muscles of the Forearm.=--The chief groups of muscles on the forearm
are the _flexors_ and _pronators_ on the anterior surface and the
_extensors_ and _supinators_ on the posterior surface. In general the
flexors and pronators take their origin from on or around the internal
condyle, while the extensors and supinators arise on or around the
external condyle. Where not otherwise stated it will be understood that
such is their origin. In a general way they may by grouped as follows:
ANTERIOR SURFACE.
{ flexor carpi radialis
Flexors of wrist { flexor carpi ulnaris
{ palmaris longus
Flexors of fingers { flexor sublimis digitorum
{ flexor profundus digitorum
Flexor of thumb flexor longus pollicis
Pronators of hand { pronator radii teres
{ pronator quadratus
POSTERIOR SURFACE.
Extensor of forearm anconeus
{ extensor carpi radialis longior
Extensors of wrist { extensor carpi radialis brevior
{ extensor carpi ulnaris
{ extensor ossis metacarpi pollicis
Extensors of thumb { extensor primi internodii pollicis
{ extensor secundi internodii pollicis
Extensor of fingers extensor communis digitorum
Extensor of index finger extensor indicis
Extensor of little finger extensor minimi digiti
Supinators of hand { supinator longus
{ supinator brevis
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