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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.
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
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.
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 ]
In human anatomy, the radial (RCL) and ulnar (UCL) collateral ligaments of the metacarpophalangeal joints (MCP) of the hand are the primary stabilisers of the MCP joints. [1] 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.
Joints are formed wherever two or more of these bones meet. Each of the fingers has three joints: metacarpophalangeal joint (MCP) – the joint at the base of the finger; proximal interphalangeal joint (PIP) – the joint in the middle of the finger; distal interphalangeal joint (DIP) – the joint closest to the fingertip.
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In contrast to the volar plates of the MCP joints of the fingers, the volar plate of the thumb MCP joint is a thick structure firmly attached to the base of the proximal phalanx. It forms the bottom of a two-sided box, the sides of which are made up of the collateral ligaments .
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