Middle Phalanxes

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

Quick Facts

  • Location: Hand
  • Bone Type: Long bones
  • Key Features: Head, body, base; proximal and distal articular facets
  • Articulation: Proximal and distal phalanges of fingers
  • Arterial Supply: Proper palmar digital arteries

Key Features & Anatomical Relations

  • General Description: The middle (intermediate) phalanges are found in each finger, except the thumb, totaling four in the hand.
  • Physical Characteristics:
    • Parts: Head, body, and base
    • Landmarks: Proximal and distal articular facets
  • Location & Articulation:
    • Proximal to: Distal phalanges
    • Distal to: Proximal phalanges
    • Articulation: Proximal interphalangeal joints (with proximal phalanges) and distal interphalangeal joints (with distal phalanges)

Ossification

  • Ossification Centers: Body (appears in utero during the third month) and base (appears during the second to fourth years)
  • Fusion: Typically completes between the fifteenth to eighteenth years

Surface Anatomy

  • Palpation Points: The head, body, and base of each middle phalanx can be palpated along the fingers.

Clinical Correlates

  • Common Conditions:
    • Fracture: Frequent in hand injuries
    • Brachymesophalangia: Shortening of the middle phalanges
    • Symphalangia: Fusion of the phalanges
    • Thiemann’s Disease: A rare condition affecting growth and development of phalanges

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