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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.
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.
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 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 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 .
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 ...
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 synovial membrane for these joints is continuous with that of the carpometacarpal joints. Additional images. The bones in the hand.