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Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
The index metacarpal is the most firmly fixed, while the thumb metacarpal articulates with the trapezium and acts independently from the others. The middle metacarpals are tightly united to the carpus by intrinsic interlocking bone elements at their bases. The ring metacarpal is somewhat more mobile while the fifth metacarpal is semi ...
The collateral ligaments originate on depressions on each side of the metacarpal heads dorsal to axis of rotation. From there, they extend obliquely and distally to their insertions onto tubercles at the base of the proximal phalanx. The accessory collateral ligaments originate volar to the collateral ligaments and are inserted on the palmar ...
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.
The EDM has a similar role for the little finger. The ECU inserts at the base of the 5th metacarpal to extend and adduct the wrist. The APL inserts into the radial side of the base of the first metacarpal bone to abduct the thumb at the carpometacarpal joint and may continue to abduct the wrist.
Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand , called the carpometacarpal joints , where a small immovable protuberance [ 1 ] occurs when this joint becomes swollen or bossed.
The hamate bone (from Latin hamatus, "hooked"), or unciform bone (from Latin uncus, "hook"), Latin os hamatum and occasionally abbreviated as just hamatum, [1] [2] [3] is a bone in the human wrist readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its palmar surface.
The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal. This type of compression along the metacarpal bone is often sustained when a person punches a hard object, such as the skull or tibia of an opponent, or a wall. It can also occur as a ...
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