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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.
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 CMC joint of the thumb allows a wide range of motion while maintaining stability for grasp and pinch. [citation needed] With this in mind, failure to properly recognize and treat the Bennett fracture will not only result in an unstable, painful, arthritic CMC joint with diminished range of motion: it will also result in a hand with greatly ...
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 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 .
Besides the metacarpophalangeal joints, the metacarpal bones articulate by carpometacarpal joints as follows: the first with the trapezium; the second with the trapezium, trapezoid, capitate and third metacarpal; the third with the capitate and second and fourth metacarpals; the fourth with the capitate, hamate, and third and fifth metacarpals;
Feb. 29—Nine doctors at the New England Heart and Vascular Institute at Catholic Medical Center in Manchester are branching out on their own but will remain credentialed to work at the hospital.
Both involve a less developed first metacarpal and a nearly absent thenar musculature. [2] Type III-A has a fairly stable carpometacarpal joint and type III-B does not. [1] [2] [3] The function of the thumb is poor. [2] Children with type III are the most difficult patients to treat because there is not one specific treatment for the ...