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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).
intra articular comminuted fracture of base of first metacarpal: axial load along the metacarpal causing splitting of the proximal articular surface: Rolando's fracture at Wheeless' Textbook of Orthopaedics online Runner's fracture: Running: stress fracture of distal fibula 3–8 cm above the lateral malleolus: repeated axial stress on fibula
The third metacarpal bone (metacarpal bone of the middle finger) is a little smaller than the second.. The dorsal aspect of its base presents on its radial side a pyramidal eminence, the styloid process, which extends upward behind the capitate; immediately distal to this is a rough surface for the attachment of the extensor carpi radialis brevis muscle.
The capitate is the largest carpal bone found within the hand. [2] 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 lunate and scaphoid proximally.
Primitively, each of the distal bones appears to have articulated with a single metacarpal. However, the vast majority of later vertebrates , including modern amphibians , have undergone varying degrees of loss and fusion of these primitive bones, resulting in a smaller number of carpals.
Other names: Metacarpal neck fracture of the little finger, scrapper's fracture, [1] bar room fracture, street fighter's fracture [1] Boxer's fracture of the 5th metacarpal head from punching a wall: Specialty: Emergency medicine, orthopedics: Symptoms: Pain, depressed knuckle [2] Causes: Hitting an object with a closed fist [3] Diagnostic method
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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] Being condyloid, they allow the movements of flexion , extension , abduction , adduction and circumduction (see anatomical terms of motion ) at the joint.