Metacarpal bones | |
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Details | |
Origins | Carpal bones of wrist |
Insertions | Proximal phalanges |
Articulations | Carpometacarpal, intermetacarpal, metacarpophalangeal |
Identifiers | |
Latin | os metacarpale pl. ossa metacarpalia |
MeSH | D050279 |
TA98 | A02.4.09.001 |
TA2 | 1264 |
FMA | 9612 |
Anatomical terms of bone |
In human anatomy, the metacarpal bones or metacarpus, also known as the "palm bones", are the appendicular bones that form the intermediate part of the hand between the phalanges (fingers) and the carpal bones (wrist bones), which articulate with the forearm. The metacarpal bones are homologous to the metatarsal bones in the foot.
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. [1]
Each metacarpal bone consists of a body or shaft, and two extremities; the head at the distal or digital end (near the fingers), and the base at the proximal or carpal end (close to the wrist).
The body (shaft) is prismoid in form, and curved, so as to be convex in the longitudinal direction behind, concave in front. It presents three surfaces: medial, lateral, and dorsal.
The base (basis) or carpal extremity is of a cuboidal form, and broader behind than in front. It articulates with the carpal bones and with the adjoining metacarpal bones while its dorsal and volar surfaces are rough, for the attachment of ligaments. [2]
The head (caput) or digital extremity presents an oblong surface markedly convex from before backward, less so transversely, and flattened from side to side; it articulates with the proximal phalanx. It is broader, and extends farther upward, on the volar than on the dorsal aspect, and is longer in the antero-posterior than in the transverse diameter. On either side of the head is a tubercle for the attachment of the collateral ligament of the metacarpophalangeal joint.
The dorsal surface, broad and flat, supports the tendons of the extensor muscles.
The volar surface is grooved in the middle line for the passage of the flexor tendons, and marked on either side by an articular eminence continuous with the terminal articular surface. [2]
The neck, or subcapital segment, is the transition zone between the body and the head.
Besides the metacarpophalangeal joints, the metacarpal bones articulate by carpometacarpal joints as follows:
Extensor Carpi Radialis Longus/Brevis : Both insert on the base of metacarpal II; Assist with wrist extension and radial flexion of the wrist
Extensor Carpi Ulnaris : Inserts on the base of metacarpal V; Extends and fixes wrist when digits are being flexed; assists with ulnar flexion of wrist
Abductor Pollicis Longus : Inserts on the trapezium and base of metacarpal I; Abducts thumb in frontal plane; extends thumb at carpometacarpal joint
Opponens Pollicis : Inserts on metacarpal I; flexes metacarpal I to oppose the thumb to the fingertips
Opponens digiti minimi : Inserts on the medial surface of metacarpal V; Flexes metacarpal V at carpometacarpal joint when little finger is moved into opposition with tip of thumb; deepens palm of hand. [3]
The fourth and fifth metacarpal bones are commonly "blunted" or shortened, in pseudohypoparathyroidism and pseudopseudohypoparathyroidism.
A blunted fourth metacarpal, with normal fifth metacarpal, can signify Turner syndrome.
Blunted metacarpals (particularly the fourth metacarpal) are a symptom of nevoid basal-cell carcinoma syndrome.
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4] Several types of treatment exist ranging from non-operative techniques, with or without immobilization, to operative techniques using closed or open reduction and internal fixation (ORIF). Generally, most fractures showing little or no displacement can be treated successfully without surgery. [5] Intraarticular fracture-dislocations of the metacarpal head or base may require surgical fixation, as fragment displacement affecting the joint surface is rarely tolerated well. [5]
In four-legged animals, the metacarpals form part of the forefeet, and are frequently reduced in number, appropriate to the number of toes. In digitigrade and unguligrade animals, the metacarpals are greatly extended and strengthened, forming an additional segment to the limb, a feature that typically enhances the animal's speed. In both birds and bats, the metacarpals form part of the wing.
The Greek physician Galen used to refer to the metacarpus as μετακάρπιον. [6] [7] The Latin form metacarpium [6] [8] [9] [10] more truly resembles [6] its Ancient Greek predecessor μετακάρπιον than metacarpus. [11] [12] Meta– is Greek for beyond and carpal from Ancient Greek καρπός (karpós, “wrist”). In anatomic Latin, adjectives like metacarpius, [13] metacarpicus, [14] metacarpiaeus, [15] metacarpeus, [16] metacarpianus [17] and metacarpalis [12] can be found. The form metacarpius is more true [9] [13] to the later Greek form μετακάρπιος. [13] Metacarpalis, as in ossa metacarpalia in the current official Latin nomenclature, Terminologia Anatomica [12] is a compound consisting of Latin and Greek parts. [14] The usage of such hybrids in anatomic Latin is disapproved by some. [9] [14]
The carpal bones are the eight small bones that make up the wrist (carpus) that connects the hand to the forearm. The terms "carpus" and "carpal" are derived from the Latin carpus and the Greek καρπός (karpós), meaning "wrist". In human anatomy, the main role of the carpal bones is to articulate with the radial and ulnar heads to form a highly mobile condyloid joint, to provide attachments for thenar and hypothenar muscles, and to form part of the rigid carpal tunnel which allows the median nerve and tendons of the anterior forearm muscles to be transmitted to the hand and fingers.
The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position, the thumb is the outermost digit. The Medical Latin English noun for thumb is pollex, and the corresponding adjective for thumb is pollical.
In human anatomy, the wrist is variously defined as (1) the carpus or carpal bones, the complex of eight bones forming the proximal skeletal segment of the hand; (2) the wrist joint or radiocarpal joint, the joint between the radius and the carpus and; (3) the anatomical region surrounding the carpus including the distal parts of the bones of the forearm and the proximal parts of the metacarpus or five metacarpal bones and the series of joints between these bones, thus referred to as wrist joints. This region also includes the carpal tunnel, the anatomical snuff box, bracelet lines, the flexor retinaculum, and the extensor retinaculum.
The anatomical snuff box or snuffbox or foveola radialis is a triangular deepening on the radial, dorsal aspect of the hand—at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originates from the use of this surface for placing and then sniffing powdered tobacco, or "snuff." It is sometimes referred to by its French name tabatière.
The trapezoid 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.
The trapezium bone is a carpal bone in the hand. It forms the radial border of the carpal tunnel.
The scaphoid bone is one of the carpal bones of the wrist. It is situated between the hand and forearm on the thumb side of the wrist. It forms the radial border of the carpal tunnel. The scaphoid bone is the largest bone of the proximal row of wrist bones, its long axis being from above downward, lateralward, and forward. It is approximately the size and shape of a medium cashew nut.
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 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. The bone is also found in many other mammals, and is homologous with the "third distal carpal" of reptiles and amphibians.
The hamate bone, or unciform bone, 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.
The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the shoulder, arm, elbow, forearm, wrist and hand, and is primarily used for climbing, lifting and manipulating objects. In anatomy, just as arm refers to the upper arm, leg refers to the lower leg.
In human anatomy, the extensor pollicis longus muscle (EPL) is a skeletal muscle located dorsally on the forearm. It is much larger than the extensor pollicis brevis, the origin of which it partly covers and acts to stretch the thumb together with this muscle.
The flexor pollicis brevis is a muscle in the hand that flexes the thumb. It is one of three thenar muscles. It has both a superficial part and a deep part.
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 first metacarpal bone or the metacarpal bone of the thumb is the first bone proximal to the thumb. It is connected to the trapezium of the carpus at the first carpometacarpal joint and to the proximal thumb phalanx at the first metacarpophalangeal joint.
The intercarpal joints can be subdivided into three sets of joints : Those of the proximal row of carpal bones, those of the distal row of carpal bones, and those of the two rows with each other.
The midcarpal joint is formed by the scaphoid, lunate, and triquetral bones in the proximal row, and the trapezium, trapezoid, capitate, and hamate bones in the distal row. The distal pole of the scaphoid articulates with two trapezial bones as a gliding type of joint. The proximal end of the scaphoid combines with the lunate and triquetrum to form a deep concavity that articulates with the convexity of the combined capitate and hamate in a form of diarthrodial, almost condyloid joint.
The palmar carpometacarpal ligaments 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.
A hand is a prehensile, multi-fingered appendage located at the end of the forearm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs. A few other vertebrates such as the koala are often described as having "hands" instead of paws on their front limbs. The raccoon is usually described as having "hands" though opposable thumbs are lacking.
The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).
The muscles of the thumb are nine skeletal muscles located in the hand and forearm. The muscles allow for flexion, extension, adduction, abduction and opposition of the thumb. The muscles acting on the thumb can be divided into two groups: The extrinsic hand muscles, with their muscle bellies located in the forearm, and the intrinsic hand muscles, with their muscles bellies located in the hand proper.
This article incorporates text in the public domain from page 227 of the 20th edition of Gray's Anatomy (1918)