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In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers. Four or five such annular pulleys, together with three cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons ...
The carpometacarpal joint connects the carpal bones to the metacarpus or metacarpal bones which are joined at the intermetacarpal articulations. In the fingers, finally, are the metacarpophalangeal joints (including the knuckles) between the metacarpal bones and the phalanges or finger bones which are interconnected by the interphalangeal joints
Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
Anatomically, it is said that the knuckles consist of the metacarpophalangeal [1] (MCP) and interphalangeal (IP) joints of the finger. The knuckles at the base of the fingers may be referred to as the 1st [1] or major knuckles while the knuckles at the midfinger are known as the 2nd [2] and 3rd, or minor, knuckles.
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 ...
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]
Location Flexion Extension fingers: Flexor digitorum superficialis and profundus, lumbricals, and interossei, assisted in the case of the little finger by the flexor digiti minimi brevis: extensor digitorum communis, extensor indicis proprius, and extensor digiti minimi muscle: thumb: flexor pollicis longus and brevis: extensor pollicis longus ...
The palmar plate moves in three phases during joint flexion. First, it slides back toward the hand. Next, it is lifted away from the proximal phalanx by the A3 pulley. Last, a lip on the middle phalanx rolls into a recess on the plate. If the A3 pulley is not intact, the normal three phases of motion do not occur and instead the plate crumples. [7]