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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.
A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx. Each extends obliquely in a palmar direction from its proximal attachment to its distal attachment. [2]
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 and the carpal bones (wrist bones), which articulate with the forearm. The metacarpal bones are homologous to the metatarsal bones in the foot.
The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. [1] These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the proximal phalanges. [1]
Joints of the hand, X-ray. The bones in each carpal row interlock with each other and each row can therefore be considered a single joint. In the proximal row a limited degree of mobility is possible, but the bones of the distal row are connected to each other and to the metacarpal bones by strong ligaments that make this row and the metacarpus a functional entity.
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 first metacarpal bone is short and thick with a shaft thicker and broader than those of the other metacarpal bones. Its narrow shaft connects its widened base and rounded head; the former consisting of a thick cortical bone surrounding the open medullary canal; the latter two consisting of cancellous bone surrounded by a thin cortical shell.
The posterior carpometacarpal ligament consists of a series of bands on the posterior surface of the carpometacarpal joints. They connect the carpal bones to the bases of the second to fifth metacarpals. The second metacarpal bone is connected to the trapezium, trapezoid, and capitate. The third metacarpal is connected to the capitate.