At what points in the range do each of the following joint motions begin and end as the wrist moves from flexion to extension: (a) radiocarpal motion, (b) midcarpal motion, or (c) distal carpal row/scaphoid on lunate/triquetrum

What will be an ideal response?


ANS:
(a) Pure radiocarpal motion occurs after the carpals all become close-packed and move as a single unit on the radius and disc. This occurs at 45 ° of hyperextension and continues until full extension is achieved (at which point the carpals and distal radius and disc all become close-packed). (b) Pure midcarpal motion occurs during the first phase of wrist extension from full flexionâ€"that is, from full flexion to neutral position of the wrist. (c) At neutral position, the scaphoid locks on to the distal carpal row and moves with the distal carpal row on the relatively immobile lunate and triquetrum. This motion proceeds until 45 ° of hyperextension.

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