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Carpometacarpal Joint
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; it is up to twenty times more common among elderly women than in the 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 sha ...
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Joint
A joint or articulation (or articular surface) is the connection made between bones, ossicles, or other hard structures in the body which link an animal's skeletal system into a functional whole.Saladin, Ken. Anatomy & Physiology. 7th ed. McGraw-Hill Connect. Webp.274/ref> They are constructed to allow for different degrees and types of movement. Some joints, such as the knee, elbow, and shoulder, are self-lubricating, almost frictionless, and are able to withstand compression and maintain heavy loads while still executing smooth and precise movements. Other joints such as suture (joint), sutures between the bones of the skull permit very little movement (only during birth) in order to protect the brain and the sense organs. The connection between a tooth and the jawbone is also called a joint, and is described as a fibrous joint known as a gomphosis. Joints are classified both structurally and functionally. Joints play a vital role in the human body, contributing to movement, sta ...
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Abductor Pollicis Brevis Muscle
The abductor pollicis brevis is a muscle in the hand that functions as an abductor of the thumb. Structure The abductor pollicis brevis is a flat, thin muscle located just under the skin. It is a thenar muscle, and therefore contributes to the bulk of the palm's thenar eminence. It originates from the flexor retinaculum of the hand, the tubercle of the scaphoid bone, and additionally sometimes from the tubercle of the trapezium. Running lateralward and downward, it is inserted by a thin, flat tendon into the lateral side of the base of the first phalanx of the thumb, and the capsule of the metacarpophalangeal joint. Nerve supply The abductor pollicis brevis is supplied by the recurrent branch of the median nerve (Roots C8-T1). Function Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint ...
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Condyloid Joint
A condyloid joint (also called condylar, ellipsoidal, or bicondylar) is an ovoid articular surface, or condyle that is received into an elliptical cavity. This permits movement in two planes, allowing flexion, extension, adduction, abduction, and circumduction. Examples Examples include: * the wrist-joint * metacarpophalangeal joints * metatarsophalangeal joints * atlanto-occipital joints These are also called ellipsoid joints. The oval-shaped condyle of one bone fits into the elliptical cavity of the other bone. These joints allow biaxial movements — i.e., forward and backward, or from side to side, but not rotation. Radiocarpal joint and metacarpophalangeal joint are examples of condyloid joints. An example of an Ellipsoid joint is the wrist; it functions similarly to the ball and socket joint The ball-and-socket joint (or spheroid joint) is a type of synovial joint in which the ball-shaped surface of one rounded bone fits into the cup-like depression of anoth ...
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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. As with most other joints, synovial joints achieve movement at the point of contact of the articulating bones. They originated 400 million years ago in the first jawed vertebrates. Structure Synovial joints contain the following structures: * Synovial cavity: all diarthroses have the characteristic space between the bones that is f ...
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Plane Joint
A plane joint (arthrodial joint, gliding joint, plane articulation) is a 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' articulati ... 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. Based only on their shape, plane joints can allow multiple movements, including rotation. Thus plane joints can be functionally classified as multiaxial joints. 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 j ...
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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 language, Latin wiktionary:hamatus, hamatus, "hooked"), or unciform bone (from Latin language, Latin ''wikt:uncus, uncus'', "hook"), Latin os hamatum and occ ...
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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 language, Latin wiktionary:hamatus, hamatus, "hooked"), or unciform bone (from Latin language, Latin ''wikt:uncus, uncus'', "hook"), Latin os hamatum and occasionally abbreviated as just hamatum, is a bone in the huma .... * 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 Joints
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 (also known in many ...
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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 proximal and ulnar to 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 triangul ...
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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 t ...
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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- ...
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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 ...
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