Metacarpal Bones

  • VIDEO
  • CONTENT
  • QUIZ
  • MATERIALS
  • Quick Facts
  • Key Features
  • Ossification
  • Variations
  • Surface Anatomy
  • Clinical Correlates

Quick Facts

  • Location: Hand
  • Bone Type: Long bones
  • Key Features: Head, body, base; medial and lateral surfaces; proximal and distal articular facets
  • Articulation: Proximal phalanges, carpal bones (trapezium, trapezoid, capitate), adjacent metacarpals
  • Arterial Supply: Palmar metacarpal arteries

Key Features & Anatomical Relations

  • General Description: The five metacarpal bones are classified as long bones, each with distinct characteristics.
  • Physical Characteristics:
    • Parts: Head, body, and base
    • Surfaces: Medial and lateral
    • Landmarks: Proximal, distal, and specific carpal bone articular facets
  • Location & Articulation:
    • Proximal to: Proximal phalanges
    • Distal to: Specific carpal bones (trapezium, trapezoid, capitate)
    • Medial/Lateral to: Adjacent metacarpal bones
    • Articulation: Metacarpophalangeal joints, carpometacarpal joints, intermetacarpal joints

Ossification

  • Ossification Centers: Body (in utero, around the ninth week) and head (within the second to third years)
  • Fusion: Occurs between the fifteenth to nineteenth years

Variations

  • Pseudoepiphysis: Present at the proximal end in some individuals, fusing earlier than the epiphysis of the head

Surface Anatomy

  • Palpation Points:
    • Head: Palpable at the knuckles, especially during flexion of metacarpophalangeal joints
    • Body and Base: Along the dorsal aspect of the hand

Clinical Correlates

  • Fractures: Common in the base or body of metacarpal bones
  • Specific Conditions:
    • Boxer’s Fracture: Affecting primarily the fourth and fifth metacarpals
    • Mauclaire’s Disease: Osteonecrosis of the metacarpal heads

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