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Joints of the hand, X-ray. The bones in each carpal row interlock with each other and each row can therefore be considered a single joint. In the proximal row a limited degree of mobility is possible, but the bones of the distal row are connected to each other and to the metacarpal bones by strong ligaments that make this row and the metacarpus a functional entity.
In human anatomy, the main role of the carpal bones is to articulate with the radial and ulnar heads to form a highly mobile condyloid joint (i.e. wrist joint), [1] to provide attachments for thenar and hypothenar muscles, and to form part of the rigid carpal tunnel which allows the median nerve and tendons of the anterior forearm muscles to be ...
The pisiform bone is a small bone found in the proximal row of the wrist . It is situated where the ulna joins the wrist, within the tendon of the flexor carpi ulnaris muscle. [1]: 199, 205 It only has one side that acts as a joint, articulating with the triquetral bone. It is on a plane anterior to the other carpal bones and is spheroidal in form.
The radial collateral ligament (external lateral ligament, radial carpal collateral ligament) extends from the tip of the styloid process of the radius and attaches to the radial side of the scaphoid (formerly navicular bone of the hand), immediately adjacent to its proximal articular surface and some fibres extend to the lateral side of the trapezium (greater multangular bone).
On the radial side of the retinaculum is the tendon of the flexor carpi radialis, which lies in the groove on the greater multangular between the attachments of the ligament to the bone. The tendons of the palmaris longus and flexor carpi ulnaris are partly attached to the surface of the retinaculum; below, the short muscles of the thumb and ...
Vertical section through the articulations at the wrist, showing the synovial cavities. Shown is the right hand, palm down (left) and palm up (right). Proximal: A= Scaphoid , B= Lunate , C= Triquetral , D= Pisiform
As the tendons travel over the posterior (back) aspect of the wrist they are enclosed within synovial tendon sheaths. These sheaths reduce the friction to the extensor tendons as they traverse the compartments that are formed by the attachments of the extensor retinaculum to the distal (far end) of the radius and ulna .
The ulnar collateral ligament (internal lateral ligament, ulnar carpal collateral ligament or ulnar collateral ligament of the wrist joint) is a rounded cord, attached above to the end of the styloid process of the ulna, and dividing below into two fasciculi, one of which is attached to the medial side of the triquetral bone, the other to the pisiform and flexor retinaculum.