Module 23: The Appendicular Skeleton

Lesson 2: Bones of the Upper Limb

Xương Chi Trên

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Mỗi bài học (lesson) bao gồm 4 phần chính: Thuật ngữ, Luyện Đọc, Luyện Nghe, và Bàn Luận.
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Dưới đây là danh sách những thuật ngữ Y khoa của module The Appendicular Skeleton.
Khái quát được số lượng thuật ngữ sẽ xuất hiện trong bài đọc và nghe sẽ giúp bạn thoải mái tiêu thụ nội dung hơn. Sau khi hoàn thành nội dung đọc và nghe, bạn hãy quay lại đây và luyện tập (practice) để quen dần các thuật ngữ này. Đừng ép bản thân phải nhớ các thuật ngữ này vội vì bạn sẽ gặp và ôn lại danh sách này trong những bài học (lesson) khác của cùng một module.

Medical Terminology: The Appendicular Skeleton

acetabulum
large, cup-shaped cavity located on the lateral side of the hip bone; formed by the junction of the ilium, pubis, and ischium portions of the hip bone
acromial end of the clavicle
lateral end of the clavicle that articulates with the acromion of the scapula
acromial process
acromion of the scapula
acromioclavicular joint
articulation between the acromion of the scapula and the acromial end of the clavicle
acromion
flattened bony process that extends laterally from the scapular spine to form the bony tip of the shoulder
adductor tubercle
small, bony bump located on the superior aspect of the medial epicondyle of the femur
anatomical neck
line on the humerus located around the outside margin of the humeral head
ankle joint
joint that separates the leg and foot portions of the lower limb; formed by the articulations between the talus bone of the foot inferiorly, and the distal end of the tibia, medial malleolus of the tibia, and lateral malleolus of the fibula superiorly
anterior border of the tibia
narrow, anterior margin of the tibia that extends inferiorly from the tibial tuberosity
anterior inferior iliac spine
small, bony projection located on the anterior margin of the ilium, below the anterior superior iliac spine
anterior sacroiliac ligament
strong ligament between the sacrum and the ilium portions of the hip bone that supports the anterior side of the sacroiliac joint
anterior superior iliac spine
rounded, anterior end of the iliac crest
apical ectodermal ridge
enlarged ridge of ectoderm at the distal end of a limb bud that stimulates growth and elongation of the limb
arcuate line of the ilium
smooth ridge located at the inferior margin of the iliac fossa; forms the lateral portion of the pelvic brim
arm
region of the upper limb located between the shoulder and elbow joints; contains the humerus bone
auricular surface of the ilium
roughened area located on the posterior, medial side of the ilium of the hip bone; articulates with the auricular surface of the sacrum to form the sacroiliac joint
base of the metatarsal bone
expanded, proximal end of each metatarsal bone
bicipital groove
intertubercular groove; narrow groove located between the greater and lesser tubercles of the humerus
calcaneus
heel bone; posterior, inferior tarsal bone that forms the heel of the foot
capitate
from the lateral side, the third of the four distal carpal bones; articulates with the scaphoid and lunate proximally, the trapezoid laterally, the hamate medially, and primarily with the third metacarpal distally
capitulum
knob-like bony structure located anteriorly on the lateral, distal end of the humerus
carpal bone
one of the eight small bones that form the wrist and base of the hand; these are grouped as a proximal row consisting of (from lateral to medial) the scaphoid, lunate, triquetrum, and pisiform bones, and a distal row containing (from lateral to medial) the trapezium, trapezoid, capitate, and hamate bones
carpal tunnel
passageway between the anterior forearm and hand formed by the carpal bones and flexor retinaculum
carpometacarpal joint
articulation between one of the carpal bones in the distal row and a metacarpal bone of the hand
clavicle
collarbone; elongated bone that articulates with the manubrium of the sternum medially and the acromion of the scapula laterally
coracoclavicular ligament
strong band of connective tissue that anchors the coracoid process of the scapula to the lateral clavicle; provides important indirect support for the acromioclavicular joint
coracoid process
short, hook-like process that projects anteriorly and laterally from the superior margin of the scapula
coronoid fossa
depression on the anterior surface of the humerus above the trochlea; this space receives the coronoid process of the ulna when the elbow is maximally flexed
coronoid process of the ulna
projecting bony lip located on the anterior, proximal ulna; forms the inferior margin of the trochlear notch
costoclavicular ligament
band of connective tissue that unites the medial clavicle with the first rib
coxal bone
hip bone
cuboid
tarsal bone that articulates posteriorly with the calcaneus bone, medially with the lateral cuneiform bone, and anteriorly with the fourth and fifth metatarsal bones
deltoid tuberosity
roughened, V-shaped region located laterally on the mid-shaft of the humerus
distal radioulnar joint
articulation between the head of the ulna and the ulnar notch of the radius
distal tibiofibular joint
articulation between the distal fibula and the fibular notch of the tibia
elbow joint
joint located between the upper arm and forearm regions of the upper limb; formed by the articulations between the trochlea of the humerus and the trochlear notch of the ulna, and the capitulum of the humerus and the head of the radius
femur
thigh bone; the single bone of the thigh
fibula
thin, non-weight-bearing bone found on the lateral side of the leg
fibular notch
wide groove on the lateral side of the distal tibia for articulation with the fibula at the distal tibiofibular joint
flexor retinaculum
strong band of connective tissue at the anterior wrist that spans the top of the U-shaped grouping of the carpal bones to form the roof of the carpal tunnel
foot
portion of the lower limb located distal to the ankle joint
forearm
region of the upper limb located between the elbow and wrist joints; contains the radius and ulna bones
fossa
(plural = fossae) shallow depression on the surface of a bone
fovea capitis
minor indentation on the head of the femur that serves as the site of attachment for the ligament to the head of the femur
glenohumeral joint
shoulder joint; formed by the articulation between the glenoid cavity of the scapula and the head of the humerus
glenoid cavity
(also, glenoid fossa) shallow depression located on the lateral scapula, between the superior and lateral borders
gluteal tuberosity
roughened area on the posterior side of the proximal femur, extending inferiorly from the base of the greater trochanter
greater pelvis
(also, greater pelvic cavity or false pelvis) broad space above the pelvic brim defined laterally by the fan-like portion of the upper ilium
greater sciatic foramen
pelvic opening formed by the greater sciatic notch of the hip bone, the sacrum, and the sacrospinous ligament
greater sciatic notch
large, U-shaped indentation located on the posterior margin of the ilium, superior to the ischial spine
greater trochanter
large, bony expansion of the femur that projects superiorly from the base of the femoral neck
greater tubercle
enlarged prominence located on the lateral side of the proximal humerus
hallux
big toe; digit 1 of the foot
hamate
from the lateral side, the fourth of the four distal carpal bones; articulates with the lunate and triquetrum proximally, the fourth and fifth metacarpals distally, and the capitate laterally
hand
region of the upper limb distal to the wrist joint
head of the femur
rounded, proximal end of the femur that articulates with the acetabulum of the hip bone to form the hip joint
head of the fibula
small, knob-like, proximal end of the fibula; articulates with the inferior aspect of the lateral condyle of the tibia
head of the humerus
smooth, rounded region on the medial side of the proximal humerus; articulates with the glenoid fossa of the scapula to form the glenohumeral (shoulder) joint
head of the metatarsal bone
expanded, distal end of each metatarsal bone
head of the radius
disc-shaped structure that forms the proximal end of the radius; articulates with the capitulum of the humerus as part of the elbow joint, and with the radial notch of the ulna as part of the proximal radioulnar joint
head of the ulna
small, rounded distal end of the ulna; articulates with the ulnar notch of the distal radius, forming the distal radioulnar joint
hip bone
coxal bone; single bone that forms the pelvic girdle; consists of three areas, the ilium, ischium, and pubis
hip joint
joint located at the proximal end of the lower limb; formed by the articulation between the acetabulum of the hip bone and the head of the femur
hook of the hamate bone
bony extension located on the anterior side of the hamate carpal bone
humerus
single bone of the upper arm
iliac crest
curved, superior margin of the ilium
iliac fossa
shallow depression found on the anterior and medial surfaces of the upper ilium
ilium
superior portion of the hip bone
inferior angle of the scapula
inferior corner of the scapula located where the medial and lateral borders meet
inferior pubic ramus
narrow segment of bone that passes inferiorly and laterally from the pubic body; joins with the ischial ramus to form the ischiopubic ramus
infraglenoid tubercle
small bump or roughened area located on the lateral border of the scapula, near the inferior margin of the glenoid cavity
infraspinous fossa
broad depression located on the posterior scapula, inferior to the spine
intercondylar eminence
irregular elevation on the superior end of the tibia, between the articulating surfaces of the medial and lateral condyles
intercondylar fossa
deep depression on the posterior side of the distal femur that separates the medial and lateral condyles
intermediate cuneiform
middle of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, medially with the medial cuneiform bone, laterally with the lateral cuneiform bone, and anteriorly with the second metatarsal bone
interosseous border of the fibula
small ridge running down the medial side of the fibular shaft; for attachment of the interosseous membrane between the fibula and tibia
interosseous border of the radius
narrow ridge located on the medial side of the radial shaft; for attachment of the interosseous membrane between the ulna and radius bones
interosseous border of the tibia
small ridge running down the lateral side of the tibial shaft; for attachment of the interosseous membrane between the tibia and fibula
interosseous border of the ulna
narrow ridge located on the lateral side of the ulnar shaft; for attachment of the interosseous membrane between the ulna and radius
interosseous membrane of the forearm
sheet of dense connective tissue that unites the radius and ulna bones
interosseous membrane of the leg
sheet of dense connective tissue that unites the shafts of the tibia and fibula bones
interphalangeal joint
articulation between adjacent phalanx bones of the hand or foot digits
intertrochanteric crest
short, prominent ridge running between the greater and lesser trochanters on the posterior side of the proximal femur
intertrochanteric line
small ridge running between the greater and lesser trochanters on the anterior side of the proximal femur
intertubercular groove (sulcus)
bicipital groove; narrow groove located between the greater and lesser tubercles of the humerus
ischial ramus
bony extension projecting anteriorly and superiorly from the ischial tuberosity; joins with the inferior pubic ramus to form the ischiopubic ramus
ischial spine
pointed, bony projection from the posterior margin of the ischium that separates the greater sciatic notch and lesser sciatic notch
ischial tuberosity
large, roughened protuberance that forms the posteroinferior portion of the hip bone; weight-bearing region of the pelvis when sitting
ischiopubic ramus
narrow extension of bone that connects the ischial tuberosity to the pubic body; formed by the junction of the ischial ramus and inferior pubic ramus
ischium
posteroinferior portion of the hip bone
knee joint
joint that separates the thigh and leg portions of the lower limb; formed by the articulations between the medial and lateral condyles of the femur, and the medial and lateral condyles of the tibia
lateral border of the scapula
diagonally oriented lateral margin of the scapula
lateral condyle of the femur
smooth, articulating surface that forms the distal and posterior sides of the lateral expansion of the distal femur
lateral condyle of the tibia
lateral, expanded region of the proximal tibia that includes the smooth surface that articulates with the lateral condyle of the femur as part of the knee joint
lateral cuneiform
most lateral of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, medially with the intermediate cuneiform bone, laterally with the cuboid bone, and anteriorly with the third metatarsal bone
lateral epicondyle of the femur
roughened area of the femur located on the lateral side of the lateral condyle
lateral epicondyle of the humerus
small projection located on the lateral side of the distal humerus
lateral malleolus
expanded distal end of the fibula
lateral supracondylar ridge
narrow, bony ridge located along the lateral side of the distal humerus, superior to the lateral epicondyle
leg
portion of the lower limb located between the knee and ankle joints
lesser pelvis
(also, lesser pelvic cavity or true pelvis) narrow space located within the pelvis, defined superiorly by the pelvic brim (pelvic inlet) and inferiorly by the pelvic outlet
lesser sciatic foramen
pelvic opening formed by the lesser sciatic notch of the hip bone, the sacrospinous ligament, and the sacrotuberous ligament
lesser sciatic notch
shallow indentation along the posterior margin of the ischium, inferior to the ischial spine
lesser trochanter
small, bony projection on the medial side of the proximal femur, at the base of the femoral neck
lesser tubercle
small, bony prominence located on anterior side of the proximal humerus
ligament of the head of the femur
ligament that spans the acetabulum of the hip bone and the fovea capitis of the femoral head
limb bud
small elevation that appears on the lateral side of the embryo during the fourth or fifth week of development, which gives rise to an upper or lower limb
linea aspera
longitudinally running bony ridge located in the middle third of the posterior femur
lunate
from the lateral side, the second of the four proximal carpal bones; articulates with the radius proximally, the capitate and hamate distally, the scaphoid laterally, and the triquetrum medially
medial border of the scapula
elongated, medial margin of the scapula
medial condyle of the femur
smooth, articulating surface that forms the distal and posterior sides of the medial expansion of the distal femur
medial condyle of the tibia
medial, expanded region of the proximal tibia that includes the smooth surface that articulates with the medial condyle of the femur as part of the knee joint
medial cuneiform
most medial of the three cuneiform tarsal bones; articulates posteriorly with the navicular bone, laterally with the intermediate cuneiform bone, and anteriorly with the first and second metatarsal bones
medial epicondyle of the femur
roughened area of the distal femur located on the medial side of the medial condyle
medial epicondyle of the humerus
enlarged projection located on the medial side of the distal humerus
medial malleolus
bony expansion located on the medial side of the distal tibia
metacarpal bone
one of the five long bones that form the palm of the hand; numbered 1–5, starting on the lateral (thumb) side of the hand
metacarpophalangeal joint
articulation between the distal end of a metacarpal bone of the hand and a proximal phalanx bone of the thumb or a finger
metatarsal bone
one of the five elongated bones that forms the anterior half of the foot; numbered 1–5, starting on the medial side of the foot
metatarsophalangeal joint
articulation between a metatarsal bone of the foot and the proximal phalanx bone of a toe
midcarpal joint
articulation between the proximal and distal rows of the carpal bones; contributes to movements of the hand at the wrist
navicular
tarsal bone that articulates posteriorly with the talus bone, laterally with the cuboid bone, and anteriorly with the medial, intermediate, and lateral cuneiform bones
neck of the femur
narrowed region located inferior to the head of the femur
neck of the radius
narrowed region immediately distal to the head of the radius
obturator foramen
large opening located in the anterior hip bone, between the pubis and ischium regions
olecranon fossa
large depression located on the posterior side of the distal humerus; this space receives the olecranon process of the ulna when the elbow is fully extended
olecranon process
expanded posterior and superior portions of the proximal ulna; forms the bony tip of the elbow
patella
kneecap; the largest sesamoid bone of the body; articulates with the distal femur
patellar surface
smooth groove located on the anterior side of the distal femur, between the medial and lateral condyles; site of articulation for the patella
pectineal line
narrow ridge located on the superior surface of the superior pubic ramus
pectoral girdle
shoulder girdle; the set of bones, consisting of the scapula and clavicle, which attaches each upper limb to the axial skeleton
pelvic brim
pelvic inlet; the dividing line between the greater and lesser pelvic regions; formed by the superior margin of the pubic symphysis, the pectineal lines of each pubis, the arcuate lines of each ilium, and the sacral promontory
pelvic girdle
hip girdle; consists of a single hip bone, which attaches a lower limb to the sacrum of the axial skeleton
pelvic inlet
pelvic brim
pelvic outlet
inferior opening of the lesser pelvis; formed by the inferior margin of the pubic symphysis, right and left ischiopubic rami and sacrotuberous ligaments, and the tip of the coccyx
pelvis
ring of bone consisting of the right and left hip bones, the sacrum, and the coccyx
phalanx bone of the foot
(plural = phalanges) one of the 14 bones that form the toes; these include the proximal and distal phalanges of the big toe, and the proximal, middle, and distal phalanx bones of toes two through five
phalanx bone of the hand
(plural = phalanges) one of the 14 bones that form the thumb and fingers; these include the proximal and distal phalanges of the thumb, and the proximal, middle, and distal phalanx bones of the fingers two through five
pisiform
from the lateral side, the fourth of the four proximal carpal bones; articulates with the anterior surface of the triquetrum
pollex
(also, thumb) digit 1 of the hand
posterior inferior iliac spine
small, bony projection located at the inferior margin of the auricular surface on the posterior ilium
posterior sacroiliac ligament
strong ligament spanning the sacrum and ilium of the hip bone that supports the posterior side of the sacroiliac joint
posterior superior iliac spine
rounded, posterior end of the iliac crest
proximal radioulnar joint
articulation formed by the radial notch of the ulna and the head of the radius
proximal tibiofibular joint
articulation between the head of the fibula and the inferior aspect of the lateral condyle of the tibia
pubic arch
bony structure formed by the pubic symphysis, and the bodies and inferior pubic rami of the right and left pubic bones
pubic body
enlarged, medial portion of the pubis region of the hip bone
pubic symphysis
joint formed by the articulation between the pubic bodies of the right and left hip bones
pubic tubercle
small bump located on the superior aspect of the pubic body
pubis
anterior portion of the hip bone
radial fossa
small depression located on the anterior humerus above the capitulum; this space receives the head of the radius when the elbow is maximally flexed
radial notch of the ulna
small, smooth area on the lateral side of the proximal ulna; articulates with the head of the radius as part of the proximal radioulnar joint
radial tuberosity
oval-shaped, roughened protuberance located on the medial side of the proximal radius
radiocarpal joint
wrist joint, located between the forearm and hand regions of the upper limb; articulation formed proximally by the distal end of the radius and the fibrocartilaginous pad that unites the distal radius and ulna bone, and distally by the scaphoid, lunate, and triquetrum carpal bones
radius
bone located on the lateral side of the forearm
sacroiliac joint
joint formed by the articulation between the auricular surfaces of the sacrum and ilium
sacrospinous ligament
ligament that spans the sacrum to the ischial spine of the hip bone
sacrotuberous ligament
ligament that spans the sacrum to the ischial tuberosity of the hip bone
scaphoid
from the lateral side, the first of the four proximal carpal bones; articulates with the radius proximally, the trapezoid, trapezium, and capitate distally, and the lunate medially
scapula
shoulder blade bone located on the posterior side of the shoulder
shaft of the femur
cylindrically shaped region that forms the central portion of the femur
shaft of the fibula
elongated, slender portion located between the expanded ends of the fibula
shaft of the humerus
narrow, elongated, central region of the humerus
shaft of the radius
narrow, elongated, central region of the radius
shaft of the tibia
triangular-shaped, central portion of the tibia
shaft of the ulna
narrow, elongated, central region of the ulna
soleal line
small, diagonally running ridge located on the posterior side of the proximal tibia
spine of the scapula
prominent ridge passing mediolaterally across the upper portion of the posterior scapular surface
sternal end of the clavicle
medial end of the clavicle that articulates with the manubrium of the sternum
sternoclavicular joint
articulation between the manubrium of the sternum and the sternal end of the clavicle; forms the only bony attachment between the pectoral girdle of the upper limb and the axial skeleton
styloid process of the radius
pointed projection located on the lateral end of the distal radius
styloid process of the ulna
short, bony projection located on the medial end of the distal ulna
subpubic angle
inverted V-shape formed by the convergence of the right and left ischiopubic rami; this angle is greater than 80 degrees in females and less than 70 degrees in males
subscapular fossa
broad depression located on the anterior (deep) surface of the scapula
superior angle of the scapula
corner of the scapula between the superior and medial borders of the scapula
superior border of the scapula
superior margin of the scapula
superior pubic ramus
narrow segment of bone that passes laterally from the pubic body to join the ilium
supraglenoid tubercle
small bump located at the superior margin of the glenoid cavity
suprascapular notch
small notch located along the superior border of the scapula, medial to the coracoid process
supraspinous fossa
narrow depression located on the posterior scapula, superior to the spine
surgical neck
region of the humerus where the expanded, proximal end joins with the narrower shaft
sustentaculum tali
bony ledge extending from the medial side of the calcaneus bone
talus
tarsal bone that articulates superiorly with the tibia and fibula at the ankle joint; also articulates inferiorly with the calcaneus bone and anteriorly with the navicular bone
tarsal bone
one of the seven bones that make up the posterior foot; includes the calcaneus, talus, navicular, cuboid, medial cuneiform, intermediate cuneiform, and lateral cuneiform bones
thigh
portion of the lower limb located between the hip and knee joints
tibia
shin bone; the large, weight-bearing bone located on the medial side of the leg
tibial tuberosity
elevated area on the anterior surface of the proximal tibia
trapezium
from the lateral side, the first of the four distal carpal bones; articulates with the scaphoid proximally, the first and second metacarpals distally, and the trapezoid medially
trapezoid
from the lateral side, the second of the four distal carpal bones; articulates with the scaphoid proximally, the second metacarpal distally, the trapezium laterally, and the capitate medially
triquetrum
from the lateral side, the third of the four proximal carpal bones; articulates with the lunate laterally, the hamate distally, and has a facet for the pisiform
trochlea
pulley-shaped region located medially at the distal end of the humerus; articulates at the elbow with the trochlear notch of the ulna
trochlear notch
large, C-shaped depression located on the anterior side of the proximal ulna; articulates at the elbow with the trochlea of the humerus
ulna
bone located on the medial side of the forearm
ulnar notch of the radius
shallow, smooth area located on the medial side of the distal radius; articulates with the head of the ulna at the distal radioulnar joint
ulnar tuberosity
roughened area located on the anterior, proximal ulna inferior to the coronoid process
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Dưới đây là các bài văn nằm ở bên trái. Ở bên phải là các bài luyện tập (practice) để đánh giá khả năng đọc hiểu của bạn. Sẽ khó khăn trong thời gian đầu nếu vốn từ vựng của bạn còn hạn chế, đặc biệt là từ vựng Y khoa. Hãy kiên nhẫn và đọc nhiều nhất có kể, lượng kiến thức tích tụ dần sẽ giúp bạn đọc thoải mái hơn.
The upper limb is divided into three regions. These consist of the arm, located between the shoulder and elbow joints; the forearm, which is between the elbow and wrist joints; and the hand, which is located distal to the wrist. There are 30 bones in each upper limb (see Figure 1). The humerus is the single bone of the upper arm, and the ulna (medially) and the radius (laterally) are the paired bones of the forearm. The base of the hand contains eight bones, each called a carpal bone, and the palm of the hand is formed by five bones, each called a metacarpal bone. The fingers and thumb contain a total of 14 bones, each of which is a phalanx bone of the hand.
The humerus is the single bone of the upper arm region (Figure 2). At its proximal end is the head of the humerus. This is the large, round, smooth region that faces medially. The head articulates with the glenoid cavity of the scapula to form the glenohumeral (shoulder) joint. The margin of the smooth area of the head is the anatomical neck of the humerus. Located on the lateral side of the proximal humerus is an expanded bony area called the greater tubercle. The smaller lesser tubercle of the humerus is found on the anterior aspect of the humerus. Both the greater and lesser tubercles serve as attachment sites for muscles that act across the shoulder joint. Passing between the greater and lesser tubercles is the narrow intertubercular groove (sulcus), which is also known as the bicipital groove because it provides passage for a tendon of the biceps brachii muscle. The surgical neck is located at the base of the expanded, proximal end of the humerus, where it joins the narrow shaft of the humerus. The surgical neck is a common site of arm fractures. The deltoid tuberosity is a roughened, V-shaped region located on the lateral side in the middle of the humerus shaft. As its name indicates, it is the site of attachment for the deltoid muscle.

Distally, the humerus becomes flattened. The prominent bony projection on the medial side is the medial epicondyle of the humerus. The much smaller lateral epicondyle of the humerus is found on the lateral side of the distal humerus. The roughened ridge of bone above the lateral epicondyle is the lateral supracondylar ridge. All of these areas are attachment points for muscles that act on the forearm, wrist, and hand. The powerful grasping muscles of the anterior forearm arise from the medial epicondyle, which is thus larger and more robust than the lateral epicondyle that gives rise to the weaker posterior forearm muscles.

The distal end of the humerus has two articulation areas, which join the ulna and radius bones of the forearm to form the elbow joint. The more medial of these areas is the trochlea, a spindle- or pulley-shaped region (trochlea = “pulley”), which articulates with the ulna bone. Immediately lateral to the trochlea is the capitulum (“small head”), a knob-like structure located on the anterior surface of the distal humerus. The capitulum articulates with the radius bone of the forearm. Just above these bony areas are two small depressions. These spaces accommodate the forearm bones when the elbow is fully bent (flexed). Superior to the trochlea is the coronoid fossa, which receives the coronoid process of the ulna, and above the capitulum is the radial fossa, which receives the head of the radius when the elbow is flexed. Similarly, the posterior humerus has the olecranon fossa, a larger depression that receives the olecranon process of the ulna when the forearm is fully extended.
The ulna is the medial bone of the forearm. It runs parallel to the radius, which is the lateral bone of the forearm (Figure 3). The proximal end of the ulna resembles a crescent wrench with its large, C-shaped trochlear notch. This region articulates with the trochlea of the humerus as part of the elbow joint. The inferior margin of the trochlear notch is formed by a prominent lip of bone called the coronoid process of the ulna. Just below this on the anterior ulna is a roughened area called the ulnar tuberosity. To the lateral side and slightly inferior to the trochlear notch is a small, smooth area called the radial notch of the ulna. This area is the site of articulation between the proximal radius and the ulna, forming the proximal radioulnar joint. The posterior and superior portions of the proximal ulna make up the olecranon process, which forms the bony tip of the elbow.

More distal is the shaft of the ulna. The lateral side of the shaft forms a ridge called the interosseous border of the ulna. This is the line of attachment for the interosseous membrane of the forearm, a sheet of dense connective tissue that unites the ulna and radius bones. The small, rounded area that forms the distal end is the head of the ulna. Projecting from the posterior side of the ulnar head is the styloid process of the ulna, a short bony projection. This serves as an attachment point for a connective tissue structure that unites the distal ends of the ulna and radius.

In the anatomical position, with the elbow fully extended and the palms facing forward, the arm and forearm do not form a straight line. Instead, the forearm deviates laterally by 5–15 degrees from the line of the arm. This deviation is called the carrying angle. It allows the forearm and hand to swing freely or to carry an object without hitting the hip. The carrying angle is larger in females to accommodate their wider pelvis.
The radius runs parallel to the ulna, on the lateral (thumb) side of the forearm (see Figure 3). The head of the radius is a disc-shaped structure that forms the proximal end. The small depression on the surface of the head articulates with the capitulum of the humerus as part of the elbow joint, whereas the smooth, outer margin of the head articulates with the radial notch of the ulna at the proximal radioulnar joint. The neck of the radius is the narrowed region immediately below the expanded head. Inferior to this point on the medial side is the radial tuberosity, an oval-shaped, bony protuberance that serves as a muscle attachment point. The shaft of the radius is slightly curved and has a small ridge along its medial side. This ridge forms the interosseous border of the radius, which, like the similar border of the ulna, is the line of attachment for the interosseous membrane that unites the two forearm bones. The distal end of the radius has a smooth surface for articulation with two carpal bones to form the radiocarpal joint or wrist joint (Figure 4 and Figure 5). On the medial side of the distal radius is the ulnar notch of the radius. This shallow depression articulates with the head of the ulna, which together form the distal radioulnar joint. The lateral end of the radius has a pointed projection called the styloid process of the radius. This provides attachment for ligaments that support the lateral side of the wrist joint. Compared to the styloid process of the ulna, the styloid process of the radius projects more distally, thereby limiting the range of movement for lateral deviations of the hand at the wrist joint.
The wrist and base of the hand are formed by a series of eight small carpal bones (see Figure 4). The carpal bones are arranged in two rows, forming a proximal row of four carpal bones and a distal row of four carpal bones. The bones in the proximal row, running from the lateral (thumb) side to the medial side, are the scaphoid (“boat-shaped”), lunate (“moon-shaped”), triquetrum (“three-cornered”), and pisiform (“pea-shaped”) bones. The small, rounded pisiform bone articulates with the anterior surface of the triquetrum bone. The pisiform thus projects anteriorly, where it forms the bony bump that can be felt at the medial base of your hand. The distal bones (lateral to medial) are the trapezium (“table”), trapezoid (“resembles a table”), capitate (“head-shaped”), and hamate (“hooked bone”) bones. The hamate bone is characterized by a prominent bony extension on its anterior side called the hook of the hamate bone.

A helpful mnemonic for remembering the arrangement of the carpal bones is “So Long To Pinky, Here Comes The Thumb.” This mnemonic starts on the lateral side and names the proximal bones from lateral to medial (scaphoid, lunate, triquetrum, pisiform), then makes a U-turn to name the distal bones from medial to lateral (hamate, capitate, trapezoid, trapezium). Thus, it starts and finishes on the lateral side.

The carpal bones form the base of the hand. This can be seen in the radiograph (X-ray image) of the hand that shows the relationships of the hand bones to the skin creases of the hand (see Figure 5). Within the carpal bones, the four proximal bones are united to each other by ligaments to form a unit. Only three of these bones, the scaphoid, lunate, and triquetrum, contribute to the radiocarpal joint. The scaphoid and lunate bones articulate directly with the distal end of the radius, whereas the triquetrum bone articulates with a fibrocartilaginous pad that spans the radius and styloid process of the ulna. The distal end of the ulna thus does not directly articulate with any of the carpal bones.

The four distal carpal bones are also held together as a group by ligaments. The proximal and distal rows of carpal bones articulate with each other to form the midcarpal joint (see Figure 5). Together, the radiocarpal and midcarpal joints are responsible for all movements of the hand at the wrist. The distal carpal bones also articulate with the metacarpal bones of the hand.

In the articulated hand, the carpal bones form a U-shaped grouping. A strong ligament called the flexor retinaculum spans the top of this U-shaped area to maintain this grouping of the carpal bones. The flexor retinaculum is attached laterally to the trapezium and scaphoid bones, and medially to the hamate and pisiform bones. Together, the carpal bones and the flexor retinaculum form a passageway called the carpal tunnel, with the carpal bones forming the walls and floor, and the flexor retinaculum forming the roof of this space (Figure 6). The tendons of nine muscles of the anterior forearm and an important nerve pass through this narrow tunnel to enter the hand. Overuse of the muscle tendons or wrist injury can produce inflammation and swelling within this space. This produces compression of the nerve, resulting in carpal tunnel syndrome, which is characterized by pain or numbness, and muscle weakness in those areas of the hand supplied by this nerve.
The palm of the hand contains five elongated metacarpal bones. These bones lie between the carpal bones of the wrist and the bones of the fingers and thumb (see Figure 4). The proximal end of each metacarpal bone articulates with one of the distal carpal bones. Each of these articulations is a carpometacarpal joint (see Figure 5). The expanded distal end of each metacarpal bone articulates at the metacarpophalangeal joint with the proximal phalanx bone of the thumb or one of the fingers. The distal end also forms the knuckles of the hand, at the base of the fingers. The metacarpal bones are numbered 1–5, beginning at the thumb.

The first metacarpal bone, at the base of the thumb, is separated from the other metacarpal bones. This allows it a freedom of motion that is independent of the other metacarpal bones, which is very important for thumb mobility. The remaining metacarpal bones are united together to form the palm of the hand. The second and third metacarpal bones are firmly anchored in place and are immobile. However, the fourth and fifth metacarpal bones have limited anterior-posterior mobility, a motion that is greater for the fifth bone. This mobility is important during power gripping with the hand (Figure 7). The anterior movement of these bones, particularly the fifth metacarpal bone, increases the strength of contact for the medial hand during gripping actions.
The fingers and thumb contain 14 bones, each of which is called a phalanx bone (plural = phalanges), named after the ancient Greek phalanx (a rectangular block of soldiers). The thumb (pollex) is digit number 1 and has two phalanges, a proximal phalanx, and a distal phalanx bone (see Figure 4). Digits 2 (index finger) through 5 (little finger) have three phalanges each, called the proximal, middle, and distal phalanx bones. An interphalangeal joint is one of the articulations between adjacent phalanges of the digits (see Figure 5).

OpenStax. (2022). Anatomy and Physiology 2e. Rice University. Retrieved June 15, 2023. ISBN-13: 978-1-711494-06-7 (Hardcover) ISBN-13: 978-1-711494-05-0 (Paperback) ISBN-13: 978-1-951693-42-8 (Digital). License: Attribution 4.0 International (CC BY 4.0). Access for free at openstax.org.

The axial skeleton forms the central axis of the body and consists of the skull, vertebral column, and thoracic cage. The appendicular skeleton consists of the pectoral and pelvic girdles, the limb bones, and the bones of the hands and feet.

The humerus is the single bone of the upper arm region. It articulates with the radius and ulna bones of the forearm to form the elbow joint.

The ulna is located on the medial side of the forearm, and the radius is on the lateral side. These bones are attached to each other by an interosseous membrane.

The eight carpal bones form the base of the hand. These are arranged into proximal and distal rows of four bones each. The metacarpal bones form the palm of the hand. The thumb and fingers consist of the phalanx bones.

This radiograph shows the position of the bones within the hand. Note the carpal bones that form the base of the hand. (credit: modification of work by Trace Meek)

The carpal tunnel is the passageway by which nine muscle tendons and a major nerve enter the hand from the anterior forearm. The walls and floor of the carpal tunnel are formed by the U-shaped grouping of the carpal bones, and the roof is formed by the flexor retinaculum, a strong ligament that anteriorly unites the bones.

During tight gripping—compare (b) to (a)—the fourth and, particularly, the fifth metatarsal bones are pulled anteriorly. This increases the contact between the object and the medial side of the hand, thus improving the firmness of the grip.

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Script:
  1. Each upper limb is divided into three regions and contains a total of 30 bones.
  2. The upper arm is the region located between the shoulder and elbow joints.
  3. This area contains the humerus.
  4. The proximal humerus consists of the head, which articulates with the scapula at the glenohumeral joint, the greater and lesser tubercles separated by the intertubercular (or bicipital) groove, and the anatomical and surgical necks.
  5. The humeral shaft has the roughened area of the deltoid tuberosity on its lateral side.
  6. The distal humerus is flattened, forming a lateral supracondylar ridge that terminates at the small lateral epicondyle.
  7. The medial side of the distal humerus has the large, medial epicondyle.
  8. The articulating surfaces of the distal humerus consist of the trochlea medially and the capitulum laterally.
  9. Depressions on the humerus that accommodate the forearm bones during bending (or flexing) and straightening (or extending) of the elbow include the coronoid fossa, the radial fossa, and the olecranon fossa.
  10. The forearm is the region of the upper limb located between the elbow and wrist joints.
  11. This region contains two bones, the ulna medially and the radius on the lateral (or thumb) side.
  12. The elbow joint is formed by the articulation between the trochlea of the humerus and the trochlear notch of the ulna, plus the articulation between the capitulum of the humerus and the head of the radius.
  13. The proximal radioulnar joint is the articulation between the head of the radius and the radial notch of the ulna.
  14. The proximal ulna also has the olecranon process, forming an expanded posterior region, and the coronoid process and ulnar tuberosity on its anterior aspect.
  15. On the proximal radius, the narrowed region below the head is the neck; distal to this is the radial tuberosity.
  16. The shaft portions of both the ulna and radius have an interosseous border, whereas the distal ends of each bone have a pointed styloid process.
  17. The distal radioulnar joint is found between the head of the ulna and the ulnar notch of the radius.
  18. The distal end of the radius articulates with the proximal carpal bones, but the ulna does not.
  19. The base of the hand is formed by eight carpal bones.
  20. The carpal bones are united into two rows of bones.
  21. The proximal row contains (from lateral to medial) the scaphoid, lunate, triquetrum, and pisiform bones.
  22. The scaphoid, lunate, and triquetrum bones contribute to the formation of the radiocarpal joint.
  23. From medial to lateral, the distal row of carpal bones contains the hamate, capitate, trapezoid, and trapezium bones.
  24. The anterior hamate has a prominent bony hook.
  25. The proximal and distal carpal rows articulate with each other at the midcarpal joint.
  26. The carpal bones, together with the flexor retinaculum, also form the carpal tunnel of the wrist.
  27. The five metacarpal bones form the palm of the hand.
  28. The metacarpal bones are numbered from 1 to 5, starting with the thumb side.
  29. The first metacarpal bone is freely mobile, but the other bones are united as a group.
  30. The digits are also numbered from 1 to 5, with the thumb being number 1.
  31. The fingers and thumb contain a total of 14 phalanges (or phalanx bones).
  32. The thumb contains a proximal and a distal phalanx, whereas the remaining digits each contain proximal, middle, and distal phalanges.
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