Carpometacarpal joint

Carpometacarpal joint

Infobox Anatomy
Name = Carpometacarpal joint
Latin = articulationes carpometacarpeæ
GraySubject = 88
GrayPage = 330

Caption = Ligaments of wrist. Posterior view.

Caption2 =
Width = 300
System =
MeshName =
MeshNumber =
The carpometacarpal joint is a joint in the wrist that articulates the carpal bones and the metacarpals.

Carpometacarpal Articulation of the Thumb

This is a joint of reciprocal reception between the first metacarpal and the trapezium; it enjoys great freedom of movement on account of the configuration of its articular surfaces, which are saddle-shaped.

The joint is surrounded by a capsule, which is thick but loose, and passes from the circumference of the base of the metacarpal bone to the rough edge bounding the articular surface of the greater trapezium; it is thickest laterally and dorsally, and is lined by synovial membrane.


In this articulation the movements permitted are flexion and extension in the plane of the palm of the hand, abduction and adduction in a plane at right angles to the palm, circumduction, and opposition.

It is by the movement of opposition that the tip of the thumb is brought into contact with the volar surfaces of the slightly flexed fingers.

This movement is effected through the medium of a small sloping facet on the anterior lip of the saddle-shaped articular surface of the greater multangular.

The flexor muscles pull the corresponding part of the articular surface of the metacarpal bone on to this facet, and the movement of opposition is then carried out by the adductors.

Flexion of this joint is produced by the flexor pollicis longus and brevis, assisted by the opponens pollicis and the adductor pollicis.

Extension is effected mainly by the abductor pollicis longus, assisted by the Extensores pollicis longus and brevis.

Adduction is carried out by the Adductor; abduction mainly by the abductor pollicis longus and brevis, assisted by the extensors.

Articulations of the Other Four Metacarpal Bones with the Carpus

The joints between the carpus and the second, third, fourth, and fifth metacarpal bones are arthrodial.

The bones are united by dorsal, volar, and interosseous ligaments.

Dorsal ligaments

:"See dorsal carpometacarpal ligaments"

Volar ligaments

:"See palmar carpometacarpal ligaments"

The Interosseous Ligaments

The interosseous ligaments consist of short, thick fibers, and are limited to one part of the carpometacarpal articulation; they connect the contiguous inferior angles of the capitate and hamate with the adjacent surfaces of the third and fourth metacarpal bones.

ynovial Membrane

The synovial membrane is a continuation of that of the intercarpal joints. Occasionally, the joint between the hamate and the fourth and fifth metacarpal bones has a separate synovial membrane.

The synovial membranes of the wrist and carpus are thus seen to be five in number.
* The first passes from the lower end of the ulnar to the ulnar notch of the radius, and lines the upper surface of the articular disk.
* The second passes from the articular disk and the lower end of the radius above, to the bones of the first row below.
* The third, the most extensive, passes between the contiguous margins of the two rows of carpal bones, and sometimes, in the event of one of the interosseous ligaments being absent, between the bones of the second row to the carpal extremities of the second, third, fourth, and fifth metacarpal bones.
* The fourth extends from the margin of the greater multangular to the metacarpal bone of the thumb.
* The fifth runs between the adjacent margins of the triangular and pisiform bones.

Occasionally the fourth and fifth carpometacarpal joints have a separate synovial membrane.


The movements permitted in the carpometacarpal articulations of the fingers are limited to slight gliding of the articular surfaces upon each other, the extent of which varies in the different joints.

The metacarpal bone of the little finger is most movable, then that of the ring finger; the metacarpal bones of the index and middle fingers are almost immovable.

ee also

*Carpometacarpal bossing

External links

* - carpometacarpal joint
* - carpometacarpal ligaments

Wikimedia Foundation. 2010.

Игры ⚽ Поможем сделать НИР

Look at other dictionaries:

  • carpometacarpal joint of thumb — articulatio carpometacarpalis pollicis …   Medical dictionary

  • Carpometacarpal bossing — Visible growth caused by carpometacarpal bossing. Carpal boss VR 3D Reconstruction …   Wikipedia

  • carpometacarpal — Relating to both carpus and metacarpus. * * * car·po·meta·car·pal kär pō met ə .kär pəl adj relating to, situated between, or joining a carpus and metacarpus <a carpometacarpal joint> <a carpometacarpal ligament> * * *… …   Medical dictionary

  • joint — /joynt/, n. 1. the place at which two things, or separate parts of one thing, are joined or united, either rigidly or in such a way as to permit motion; juncture. 2. a connection between pieces of wood, metal, or the like, often reinforced with… …   Universalium

  • first carpometacarpal joint — articulatio carpometacarpalis pollicis …   Medical dictionary

  • Joint — A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint. Joints are grouped according… …   Medical dictionary

  • Joint — For other uses, see Joint (disambiguation). Typical Joint A joint is the location at which two or more bones make contact.[1] They are constructed to allow movement and provide mechanical support, and are classified structurally and functionally …   Wikipedia

  • saddle joint — n a joint (as the carpometacarpal joint of the thumb) with saddle shaped articular surfaces that are convex in one direction and concave in another and that permit movements in all directions except axial rotation * * * a form of diarthrosis… …   Medical dictionary

  • Saddle joint — Infobox Anatomy Name = PAGENAME Latin = articulatio sellaris GraySubject = 70 GrayPage = 286 Caption = 1: Ball and socket joint; 2: Condyloid joint (Ellipsoid); 3: Saddle joint; 4 Hinge joint; 5: Pivot joint; Caption2 = Ligaments of wrist.… …   Wikipedia

  • saddle joint — a form of diarthrosis (freely movable joint) in which the articulating surfaces of the bones are reciprocally saddle shaped. It occurs at the carpometacarpal joint of the thumb …   The new mediacal dictionary

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”