Trapezoid bone

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Trapezoid bone
Trapezoid bone (left hand) 01 palmar view.png
Left hand anterior view (palmar view). Trapezoid bone shown in red.
Gray226.png
The left trapezoid bone.
Details
Articulationsarticulates with four bones:
scaphoid proximally
second metacarpal distally
trapezium bone laterally
capitate medially
Identifiers
Latin os trapezoideum, os multangulum minus
MeSH D051223
TA98 A02.4.08.010
TA2 1257
FMA 23724
Anatomical terms of 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.

Contents

Structure

The trapezoid is a four-sided carpal bone found within the hand. The trapezoid is found within the distal row of carpal bones. [1] :708

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 surfaces are rough for the attachment of ligaments, the former being the larger of the two.

The lateral surface , convex and smooth, articulates with the trapezium.

The medial surface is concave and smooth in front, for articulation with the capitate; rough behind, for the attachment of an interosseous ligament.

Function

The carpal bones function as a unit to provide a bony superstructure for the hand. [1] :708

Clinical Significance

Isolated fractures of the trapezoid are rare, representing 0.4% of the total, thus being the least common of all carpal fractures. This is due to the bone being in a fairly protected position. Distally, it forms a stable, relatively immobile joint with the second metacarpal, radially and proximally it forms strong ligaments with the trapezium and the capitate ulnarly, scaphoid respectively.

However, injury can occur through axial force applied to the second metacarpal base. Subluxations, such as ones caused by delivering a blow, are not uncommon. Direct trauma to the bone can also cause fracture.

Due to its rarity, standard treatment has not been established. A wide range of treatments are possible, including rest, surgery and casting. [2]

History

The etymology derives from the Greek trapezion which means "irregular quadrilateral," from tra- "four" and peza "foot" or "edge." Literally, "a little table" from trapeza meaning "table" and -oeides "shaped."

Additional images

See also

Related Research Articles

Carpal bones Eight small bones that make up the wrist (or carpus) that connects the hand to the forearm

The carpal bones are the eight small bones that make up the wrist that connects the hand to the forearm. The term "carpus" is derived from the Latin carpus and the Greek καρπός (karpós), meaning "wrist". In human anatomy, the main role of the wrist is to facilitate effective positioning of the hand and powerful use of the extensors and flexors of the forearm, and the mobility of individual carpal bones increase the freedom of movements at the wrist.

Wrist Part of the arm between the lower arm and the hand

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.

Anatomical snuffbox

The anatomical snuff box or snuffbox 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.

Trapezium (bone) Bone of the wrist

The trapezium bone is a carpal bone in the hand. It forms the radial border of the carpal tunnel.

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.

Scaphoid bone

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.

Capitate bone

The capitate bone is found in the center of the carpal bone region, colloquially known as the wrist, which is 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.

Hamate bone

The hamate bone or unciform bone is a bone in the human wrist readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its palmar surface.

Lunate bone

The lunate bone is a carpal bone in the human hand. It is distinguished by its deep concavity and crescentic outline. It is situated in the center of the proximal row carpal bones, which lie between the ulna and radius and the hand. The lunate carpal bone is situated between the lateral scaphoid bone and medial triquetral bone.

Radius (bone) One of the two long bones of the forearm

The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is usually slightly longer than the radius, but the radius is thicker. Therefore the radius is considered to be the larger of the two. It is a long bone, prism-shaped and slightly curved longitudinally.

Triquetral bone

The triquetral bone is located in the wrist on the medial side of the proximal row of the carpus between the lunate and pisiform bones. It is on the ulnar side of the hand, but does not articulate with the ulna. It connects with the pisiform, hamate, and lunate bones. It is the 3rd most commonly fractured carpal bone.

Flexor pollicis brevis 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.

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.

Second metacarpal bone

The second metacarpal bone is the longest, and its base the largest, of all the metacarpal bones.

First metacarpal bone

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.

Intercarpal joints

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.

Midcarpal joint

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.

Palmar carpometacarpal ligaments

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.

Hand Extremity at the end of an arm or forelimb

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.

Muscles of the thumb

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.

References

This article incorporates text in the public domain from page 225 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. ISBN   978-0-8089-2306-0.
  2. Sadowski, RM; Montilla, RD (2008). "Rare isolated trapezoid fracture: a case report". Hand (N Y). 3 (4): 372–4. doi:10.1007/s11552-008-9100-8. PMC   2584218 . PMID   18780025.