Carpometacarpal
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Carpometacarpal
The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones. The CMC joint of the thumb or the first CMC joint, also known as the trapeziometacarpal (TMC) joint, differs significantly from the other four CMC joints and is therefore described separately. Thumb The carpometacarpal joint of the thumb (''pollex''), also known as the first carpometacarpal joint, or the trapeziometacarpal joint (TMC) because it connects the trapezium to the first metacarpal bone, plays an irreplaceable role in the normal functioning of the thumb. The most important joint connecting the wrist to the metacarpus, osteoarthritis of the TMC is a severely disabling condition; up to twenty times more common among elderly women than in average. Pronation-supination of the first metacarpal is especially important for the action of opposition. The movements of the first CMC are limited by the shape of the j ...
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Metacarpal Bones
In human anatomy, the metacarpal bones or metacarpus form the intermediate part of the skeletal hand located between the phalanges of the fingers and the carpal bones of the wrist, which forms the connection to the forearm. The metacarpal bones are analogous to the metatarsal bones in the foot. Structure The metacarpals form a transverse arch to which the rigid row of distal carpal bones are fixed. The peripheral metacarpals (those of the thumb and little finger) form the sides of the cup of the palmar gutter and as they are brought together they deepen this concavity. The index metacarpal is the most firmly fixed, while the thumb metacarpal articulates with the trapezium and acts independently from the others. The middle metacarpals are tightly united to the carpus by intrinsic interlocking bone elements at their bases. The ring metacarpal is somewhat more mobile while the fifth metacarpal is semi-independent.Tubiana ''et al'' 1998, p 11 Each metacarpal bone consists of a bod ...
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Synovial Joint
A synovial joint, also known as diarthrosis, joins bones or cartilage with a fibrous joint capsule that is continuous with the periosteum of the joined bones, constitutes the outer boundary of a synovial cavity, and surrounds the bones' articulating surfaces. This joint unites long bones and permits free bone movement and greater mobility. The synovial cavity/joint is filled with synovial fluid. The joint capsule is made up of an outer layer of fibrous membrane, which keeps the bones together structurally, and an inner layer, the synovial membrane, which seals in the synovial fluid. They are the most common and most movable type of joint in the body of a mammal. As with most other joints, synovial joints achieve movement at the point of contact of the articulating bones. Structure Synovial joints contain the following structures: * Synovial cavity: all diarthroses have the characteristic space between the bones that is filled with synovial fluid * Joint capsule: the fibrous ...
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Trapezium (bone)
The trapezium bone (greater multangular bone) is a carpal bone in the hand. It forms the radial border of the carpal tunnel. Structure The trapezium is distinguished by a deep groove on its anterior surface. It is situated at the radial side of the carpus, between the scaphoid and the first metacarpal bone (the metacarpal bone of the thumb). It is homologous with the first distal carpal of reptiles and amphibians. Surfaces The trapezium is an irregular-shaped carpal bone found within the hand. The trapezium is found within the distal row of carpal bones, and is directly adjacent to the metacarpal bone of the thumb. On its ulnar surface are found the trapezoid and scaphoid bones. The '' superior surface'' is directed upward and medialward; medially it is smooth, and articulates with the scaphoid; laterally it is rough and continuous with the lateral surface. The '' inferior surface'' is oval, concave from side to side, convex from before backward, so as to form a saddle-shaped ...
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Trapezium Bone
The trapezium bone (greater multangular bone) is a carpal bone in the hand. It forms the radial border of the carpal tunnel. Structure The trapezium is distinguished by a deep groove on its anterior surface. It is situated at the radial side of the carpus, between the scaphoid and the first metacarpal bone (the metacarpal bone of the thumb). It is homologous with the first distal carpal of reptiles and amphibians. Surfaces The trapezium is an irregular-shaped carpal bone found within the hand. The trapezium is found within the distal row of carpal bones, and is directly adjacent to the metacarpal bone of the thumb. On its ulnar surface are found the trapezoid and scaphoid bones. The '' superior surface'' is directed upward and medialward; medially it is smooth, and articulates with the scaphoid; laterally it is rough and continuous with the lateral surface. The '' inferior surface'' is oval, concave from side to side, convex from before backward, so as to form a saddle-shaped ...
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Extensor Pollicis Brevis Muscle
In human anatomy, the extensor pollicis brevis is a skeletal muscle on the dorsal side of the forearm. It lies on the medial side of, and is closely connected with, the abductor pollicis longus. The extensor pollicis brevis (EPB) belongs to the deep group of the posterior fascial compartment of the forearm. It is a part of the lateral border of the anatomical snuffbox. Structure The extensor pollicis brevis arises from the ulna distal to the abductor pollicis longus, from the interosseous membrane, and from the dorsal surface of the radius. Its direction is similar to that of the abductor pollicis longus, its tendon passing the same groove on the lateral side of the lower end of the radius, to be inserted into the base of the first phalanx of the thumb. Variation Absence; fusion of tendon with that of the extensor pollicis longus or abductor pollicis longus muscle. Function In a close relationship to the abductor pollicis longus, the extensor pollicis brevis both exten ...
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Plane Joint
A plane joint (arthrodial joint, gliding joint, plane articulation) is a synovial joint which, under physiological conditions, allows only gliding movement. Plane joints permit sliding movements in the plane of articular surfaces. The opposed surfaces of the bones are flat or almost flat, with movement limited by their tight joint capsules. Plane joints are numerous and are nearly always small, such as the acromioclavicular joint between the acromion of the scapula and the clavicle. Typically, they are found in the wrists, ankles, the 2nd through 7th sternocostal joints, vertebral transverse and spinous process The spinal column, a defining synapomorphy shared by nearly all vertebrates, Hagfish are believed to have secondarily lost their spinal column is a moderately flexible series of vertebrae (singular vertebra), each constituting a characteristic ...es.Moore, et al. ''Introduction to Clinically Oriented Anatomy''. Baltimore: Lippincott Williams & Wilkins, 2006. Refere ...
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Palmar Carpometacarpal Ligaments
The Palmar carpometacarpal ligaments (or volar) are a series of bands on the palmar surface of the carpometacarpal joints that connect the carpal bones to the second through fifth metacarpal bones. The second metacarpal is connected to the trapezium. The third metacarpal is connected to the trapezium, to the capitate, and to the hamate. The fourth and fifth metacarpals are connected to the hamate. The palmar carpometacarpal ligaments have a somewhat similar arrangement to the dorsal carpometacarpal ligaments, with the exception of those of the third metacarpal, which are three in number: * a lateral one from the greater multangular, situated superficial to the sheath of the tendon of the Flexor carpi radialis; * and intermediate one from the capitate; * and a medial one from the hamate The hamate bone (from Latin hamatus, "hooked"), or unciform bone (from Latin ''uncus'', "hook"), Latin os hamatum and occasionally abbreviated as just hamatum, is a bone in the human wrist ...
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Dorsal Carpometacarpal Ligaments
The dorsal carpometacarpal ligaments, the strongest and most distinct carpometacarpal ligaments, connect the carpal and metacarpal bones on their dorsal surfaces. * The second metacarpal bone receives two fasciculi, one from the greater, the other from the lesser multangular. * The third metacarpal receives two, one each from the lesser multangular and capitate. * The fourth two, one each from the capitate and hamate The hamate bone (from Latin hamatus, "hooked"), or unciform bone (from Latin ''uncus'', "hook"), Latin os hamatum and occasionally abbreviated as just hamatum, is a bone in the human wrist readily distinguishable by its wedge shape and a hook-l .... * The fifth receives a single fasciculus from the hamate, and this is continuous with a similar ligament on the volar surface, forming an incomplete capsule. References External links * Ligaments of the upper limb {{ligament-stub ...
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Intermetacarpal Articulations
The intermetacarpal joints are in the hand formed between the metacarpal bones. The bases of the second, third, fourth and fifth metacarpal bones articulate with one another by small surfaces covered with cartilage. The metacarpal bones are connected together by dorsal, palmar, and interosseous ligaments. * The dorsal metacarpal ligaments (''ligamenta metacarpalia dorsalia'') and palmar metacarpal ligaments (''ligamenta metacarpalia palmaria'') pass transversely from one bone to another on the dorsal and palmar surfaces. * The interosseous metacarpal ligaments (''ligamenta metacarpalia interossea'') connect their contiguous surfaces, just distal to their collateral articular facets. The synovial membrane for these joints is continuous with that of the carpometacarpal joints. Additional images File:Scheme_human_hand_bones-en.svg, The bones in the hand File:Carpus.jpg, The carpal and metacarpal bones in the hand File:Handskelett.png, X-ray An X-ray, or, much less commonl ...
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Hamate Bone
The hamate bone (from Latin hamatus, "hooked"), or unciform bone (from Latin ''uncus'', "hook"), Latin os hamatum and occasionally abbreviated as just hamatum, is a bone in the human wrist readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its palmar surface. Structure The hamate is an irregularly shaped carpal bone found within the hand. The hamate is found within the distal row of carpal bones, and abuts the metacarpals of the little finger and ring finger. Adjacent to the hamate on the ulnar side, and slightly above it, is the pisiform bone. Adjacent on the radial side is the capitate, and proximal is the lunate bone. Surfaces The hamate bone has six surfaces: * The ''superior'', the apex of the wedge, is narrow, convex, smooth, and articulates with the lunate. * The ''inferior'' articulates with the fourth and fifth metacarpal bones, by concave facets which are separated by a ridge. * The ''dorsal'' is triangular and rough for l ...
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Capitate Bone
The capitate bone is a bone in the human wrist found in the center of the carpal bone region, located at the distal end of the radius and ulna bones. It articulates with the third metacarpal bone (the middle finger) and forms the third carpometacarpal joint. The capitate bone is the largest of the carpal bones in the human hand. It presents, above, a rounded portion or head, which is received into the concavity formed by the scaphoid and lunate bones; a constricted portion or neck; and below this, the body.''Gray's Anatomy'' (1918). See infobox. The bone is also found in many other mammals, and is homologous with the "third distal carpal" of reptiles and amphibians. Structure The capitate is the largest carpal bone found within the hand. The capitate is found within the distal row of carpal bones. The capitate lies directly adjacent to the metacarpal of the ring finger on its distal surface, has the hamate on its ulnar surface and trapezoid on its radial surface, and abuts the ...
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Trapezoid Bone
The trapezoid bone (lesser multangular bone) is a carpal bone in tetrapods, including humans. It is the smallest bone in the distal row of carpal bones that give structure to the palm of the hand. It may be known by its wedge-shaped form, the broad end of the wedge constituting the dorsal, the narrow end the palmar surface; and by its having four articular facets touching each other, and separated by sharp edges. It is homologous with the "second distal carpal" of reptiles and amphibians. Structure The trapezoid is a four-sided carpal bone found within the hand. The trapezoid is found within the distal row of carpal bones. Surfaces The '' superior surface'', quadrilateral, smooth, and slightly concave, articulates with the scaphoid. The '' inferior surface'' articulates with the proximal end of the second metacarpal bone; it is convex from side to side, concave from before backward and subdivided by an elevated ridge into two unequal facets. The ''dorsal'' and '' palmar surfa ...
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