
Is metacarpal hand or finger?
Metacarpals. These are the five bones located in the palm of the hand. The metacarpals connect the fingers to the hand and wrist.
Does a broken metacarpal hurt?
When you've fractured a metacarpal bone, you will probably have pain when you try to form a fist, and you may also find that your fingers are stiff. Other symptoms that can suggest that you've suffered a metacarpal fracture include: Immediate pain in the hand.
What is the metacarpal?
Definition of metacarpal (Entry 2 of 2) : a bone of the part of the hand or forefoot between the carpus and the phalanges that typically contains five more or less elongated bones when all the digits are present.
How do you fix a broken metacarpal?
Treatment. Treatment of a metacarpal fracture can usually be accomplished with the use of a cast. A cast is usually worn for three to six weeks, followed by gentle motion exercises. 2 Occasionally, if stiffness becomes a problem after cast treatment, a hand therapist will be recommended to work with you.
How long do metacarpals take to heal?
Most of the healing happens between three to six weeks but can take several months for your full symptoms to settle completely. In addition, once the fracture has healed you may have a permanent 'bump' where the bone was fractured.
Can a broken metacarpal heal without surgery?
In addition, if the metacarpal bones that line up with the ring and small fingers are the ones that are slightly deformed, you may not need surgery. These fingers have a greater range of motion and can more easily compensate for the injury.
Where is metacarpal located?
metacarpal, any of several tubular bones between the wrist (carpal) bones and each of the forelimb digits in land vertebrates, corresponding to the metatarsal bones of the foot.
Where are metatarsals located?
footThe metatarsal bones are the bones of the forefoot that connect the distal aspects of the cuneiform (medial, intermediate and lateral) bones and cuboid bone to the base of the five phalanges of the foot. There are five metatarsal bones, numbered one to five from the hallux (great toe) to the small toe.
How do you know if you broke your metacarpal?
Fractured hand symptoms involving the metacarpals include pain, swelling, general tenderness along the site of the injury, and bruising. These metacarpal fractures symptoms may be more pronounced as the patient makes a fist or even loosely grips items.
Is it easy to break a metacarpal?
It takes a considerable amount of force, but when the metacarpal bones are put under more stress than what they can withstand—such as during a punch or a direct impact to the hand—a break in one or more of them can be the result.
Does a metacarpal fracture need a cast?
Metacarpal fracture - undisplaced Your fracture can be treated with splinting, taping or casting (or a combination of all three of these). Generally a cast is only used for treating metacarpal fractures for children or individuals who will not be able to keep their fingers safely immobilised with a splint.
How common are metacarpal fractures?
The incidence of metacarpal neck fractures presenting for hospital care in the United States is 13.6 per 100,000 person-years. [1] Metacarpal fractures account for 40% of all hand fractures, [[1] while fractures of the fifth metacarpal neck account for 10% of all hand fractures.
What is the first metacarpal?
The first metacarpal features a saddle-shaped articular surface on its base, via which it articulates with the trapezium. The first metacarpal provides the attaching points to the several hand muscles; The opponens pollicis muscle attaches to the radial border and the adjacent part of the shaft.
What are the shafts of the metacarpal bones?
The shafts of the metacarpal bones are elongated and each features a flat triangular area on the distal part of its dorsal surface, just proximal to the knuckles. The palmar surfaces show the longitudinal concavities intended for accommodating the muscles of the palm, such as the dorsal and palmar interossei.
What direction do metacarpal bones articulate?
They are labeled with numbers 1-5 going in the radio-ulnar direction. This article will discuss the anatomy and function of the metacarpal bones. Key facts about the metacarpal bones.
Which muscle attaches to the radial border and the adjacent part of the shaft?
The opponens pollicis muscle attaches to the radial border and the adjacent part of the shaft. The radial head of the first dorsal interosseous muscle attaches to the ulnar border and the adjacent part of the shaft. The abductor pollicis longus inserts to the palmar surface of the shaft.
Which metacarpal bone is the shortest?
The metacarpal bone 1 is the most lateral, thickest and shortest metacarpal bone. It is directed laterally, with its long axis being medially rotated for the 90° in comparison to the other metacarpals. Due to this axial rotation, the sides of the bone are rotated so that its anterior surface faces medially towards the palm, the ulnar border faces posteriorly, while the radial faces anteriorly.
Which bone articulates with the hamate bone?
The lateral side of the base , however, articulates with the hamate bone. The proximal part of the lateral surface of the shaft articulates with the fourth metacarpal, while the medial surface serves to attach the opponens digiti minimi muscle.
What is the metacarpi?
Metacarpal bones (Ossa metacarpi) The metacarpus is a group of five bones of the hand between the phalanges and the carpus. Even though the metacarpal bones are small, they are classified as long bones since they have structural characteristics of long bones; each metacarpal bone consists of a shaft, distal head and a wide proximal base.
What is the function of metacarpals?
The basic function of the metacarpals is to act as the bridge between the wrist and fingers, forming the framework of the hand. Together as the carpus, it is the vital part of the skeleton that holds together the small and large bones in the human hand, stabilizing its dorsal and palmar sides [6]. As a result, they play a crucial role in ...
What are the metacarpals of the hand?
There are five metacarpals in each hand, with each bone being associated with a specific finger [1]: 1 First Metacarpal – for the thumb 2 Second Metacarpal – for the index finger 3 Third Metacarpal – for the middle finger 4 Fourth Metacarpal – for the ring finger 5 Fifth Metacarpal – for the little finger
What is the name of the joint between the metacarpal and carpal bones?
Carpometacarpal Joints (Carpal-Metacarpal Joints) The joints between the metacarpal and carpal bones, these are all plane synovial joints, except the thumb as it is a saddle joint (another form of synovial joint) [8]. The five metacarpals form prominent articulations on their base or proximal end, with one or more of the four distal carpal bones ...
How many metacarpals are there in the palm of the hand?
How Many Metacarpal Bones are there in the Palm of Hand. There are five metacarpals in each hand, with each bone being associated with a specific finger [1]: First Metacarpal – for the thumb. Second Metacarpal – for the index finger. Third Metacarpal – for the middle finger. Fourth Metacarpal – for the ring finger.
Which metacarpal joint is most common?
Carpal Metacarpal Arthritis (First Carpometacarpal Joint Arthritis): Arthritis may affect any of the five carpometacarpal joints, but is more common in the thumb joint between the first metacarpal and trapezium bones.
When do metacarpals ossify?
The ossification centers of the second and third metacarpals are the first to appear, around the 8th-9th week of fetal development, while the first or thumb metacarpal is the last to ossify. The ossification of all the metacarpals completes around the 20th year of life [16]. Metacarpal Bones X-Ray Image.
Which finger has metacarpals?
The five metacarpals form prominent articulations on their base or proximal end, with one or more of the four distal carpal bones [4]: Metacarpal of the index finger: With both the trapezoid and the trapezium. Metacarpal of the ring finger: With the hamate, as well as the capitate.
What joint does the metacarpal articulate with?
On its head, it articulates with the proximal phalanx of the thumb [1] to form the first metacarpophalangeal joint, while the base of the first metacarpal articulates with the carpal bone trapezium to form the carpometacarpal joint of the thumb or the trapeziometacarpal joint (TMJ) [2]. Carpometacarpal Joint (CMC Joint) of the Thumb.
Which metacarpal is the shortest?
The first metacarpal (1st Metacarpal) is the metacarpal or palm bone associated with the thumb and is the shortest, and most mobile of all the five metacarpal bones [1].
What is the CMC joint?
Carpometacarpal Joint (CMC Joint) of the Thumb. The CMC joint of the thumb is of fundamental importance in structuring the hand in humans and other primates, allowing the use of the thumb to hold objects [3]. The articulation between the first metacarpal and trapezium forms a saddle joint [2].
What muscles attach to the first metacarpal?
There are three muscles attaching to the first metacarpal, namely, the abductor pollicis longus, opponens pollicis, and the first dorsal interosseous. Additionally, it is also partially the spot of origin for the flexor pollicis brevis, which primarily originates from the trapezium [6].
What is the articulation between the first metacarpal and trapezium?
The articulation between the first metacarpal and trapezium forms a saddle joint [2]. It is a type of synovial joint where the trapezium forms a concave or saddle-shaped articular facet for the base of the first metacarpal so the latter can sit into the space like a rider on horseback [4].
What is the treatment for a metacarpal fracture?
Treatment may include exercise, anti-inflammatory medication, and surgery [3]. Fracture of the First Metacarpal: A fracture in this area can occur as a result of an accident or some sports injury, with the most serious type of fractures involving the carpometacarpal, and metacarpophalangeal joints of the thumb.
Can a CMC joint cause arthritis?
As a result, it is the most common CMC joint, as well as thumb joint, to get arthritis [7]. Characteristic symptoms include pain and swelling around the base of the thumb, gradually radiating to the wrist, causing difficulty in any twisting movement like rotating a doorknob.
How do you know if you have a metacarpal fracture?
Typical symptoms of a metacarpal fracture include pain and swelling of the hand. While bruising may not be seen immediately, there is usually bruising that develops within a few days of the injury. 1
How long does it take for a metacarpal fracture to heal?
Symptoms will gradually improve as healing takes place. Most metacarpal fractures fully heal in about 10 weeks, therefore it's normal to have some stiffness and swelling for that length of time.
What does it feel like to have a bump on your hand?
People who have non-surgical treatment of a metacarpal fracture may notice a bump on the back of their hand, even if the fracture is lined up perfectly. As the bone heals, excess bone often forms at the location of the fracture, therefore feeling that extra bone is common.
What bones support the hand?
The metacarpal bones support the hand, and the end of the metacarpal bone forms the knuckle on the back of your hand. Other bones in the area include the phalanges (the fingers) and the carpal bones (the wrist). Some people may refer to a hand fracture as an injury to one of these other bones, but they may also be called finger or wrist fractures.
What is a fracture in the center of the finger called?
Fractures in the center of the bone are called metacarpal shaft fractures. Fractures by the base of the finger at the knuckle are called metacarpal head fractures.
How long should you wear a cast for metacarpal fracture?
Treatment of a metacarpal fracture can usually be accomplished with the use of a cast. A cast is usually worn for three to six weeks, followed by gentle motion exercises. 2 Occasionally, if stiffness becomes a problem after cast treatment, a hand therapist will be recommended to work with you.
What happens if you break your hand?
If you have a broken hand, you likely have sustained a metacarpal fracture—an injury to the bone at the level of the palm of your hand. 1 You have five metacarpal bones, one for each of your fingers. The metacarpal bones support the hand, and the end of the metacarpal bone forms the knuckle on the back of your hand.
What are the bones of the metacarpals?
The metacarpal bones articulate proximally with the carpals, and distally with the proximal phalanges. They are numbered, and each associated with a digit: 1 Metacarpal I – Thumb. 2 Metacarpal II – Index finger. 3 Metacarpal III – Middle finger. 4 Metacarpal IV – Ring finger. 5 Metacarpal V – Little finger.
How many metacarpals are there?
Metacarpals - There are five metacarpals, each one related to a digit. Phalanges (Distal) - The bones of the fingers. Each finger has three phalanges, except for the thumb, which has two. In this article, we shall look at the anatomical features of the bones of the hand.
What is the most common fractured carpal bone?
The scaphoid bone of the hand is the most commonly fractured carpal bone – typically by falling on an outstretched hand (FOOSH). In a fracture of the scaphoid, the characteristic clinical feature is pain and tenderness in the anatomical snuffbox.
What are the bones of the hand?
Bones of the Hand: Carpals, Metacarpals and Phalanges. The bones of the hand provide support and flexibility to the soft tissues. They can be divided into three categories: Carpal bones (Proximal) – A set of eight irregularly shaped bones. These are located in the wrist area.
Where are the carpal bones located?
Carpal bones (Proximal) – A set of eight irregularly shaped bones. These are located in the wrist area. Metacarpals – There are five metacarpals, each one related to a digit. Phalanges (Distal) – The bones of the fingers.
What are the bones of the fingers called?
The phalanges are the bones of the fingers. The thumb has a proximal and distal phalanx, while the rest of the digits have proximal, middle and distal phalanges. print Print this Article. star_border Rate this Article.
Why does my metacarpophalangeal joint hurt?
The metacarpophalangeal joint pain is a common occurrence, due to the fact that the respective joints are used quite a lot and, thus, present a higher risk for the common wear and tear. The aging process, as well as a number of medical conditions can favor the appearance of MCP joint pain.
What happens if cartilage is not properly protected?
If the cartilage is no longer intact, the joint is not properly protected and lubricated. As the bones will grind on one another, pain and inflammation will appear as common symptoms. Once again, depending on the severity of the condition, the patient might be prevented from fully functioning.
Why does my MCP joint hurt?
Another common cause of MCP joint pain is osteoarthritis, which is an inflammatory condition as well. This is often favored by the repetitive usage of the MCP joints, with the breakdown of cartilage being a common occurrence. If the cartilage is no longer intact, the joint is not properly protected and lubricated.
What causes MCP pain?
Physical Injuries. Physical injuries, especially fractures, can cause MCP joint pain, requiring immediate intervention. Depending on the severity of the fracture, one might require casting or surgical correction. Open fractures are even more severe, presenting a high risk of infection.
What is the purpose of a MCP?
The main purpose is to diagnose the underlying condition and recommend a course of treatment that will solve the MCP joint pain.
Is metacarpophalangeal joint pain the same as gout?
The condition is similar to gout, with the inflammation and pain being caused by the excess accumulation of crystal deposits. The risk of metacarpophalangeal joint pain caused by pseudogout is considerably higher in older people.
Can MCP joints be dislocated?
The MCP joint can become dislocated in accidents involving the hands, requiring casting and/or surgical intervention. Immobilization of the said joint should not be prolonged; otherwise, the functionality of the hand will be affected. Splints can also be used, as they will maintain the joint in a correct position.

Variations
Location
- Being the metacarpal of the thumb, it is located distally on the radial side of the human palm, between the distal carpal row, and the first proximal phalanx [12].
Morphology
- The first metacarpal starts to ossify from two centers, the first for the body or shaft, and another for its base [11]. This shows that this metacarpal ossifies in a similar manner as a phalanx. This observation led some anatomists to suggest that the thumb actually has three phalanges instead of two phalanges and a metacarpal [10]. The ossification centers for the shafts for all metacarp…
Function
- On its head, it articulates with the proximal phalanx of the thumb [1] to form the first metacarpophalangeal joint, while the base of the first metacarpal articulates with the carpal bone trapezium to form the carpometacarpal joint of the thumb or the trapeziometacarpal joint (TMJ) [2]. The CMC joint of the thumb is of fundamental importance in structuring the hand in humans …
Symptoms
- Thumb Carpometacarpal Arthritis: Since over half of all functions of the hand involve the thumb, the first CMC joint is subjected to a lot of stress and pressure every day. As a result, it is the most common CMC joint, as well as thumb joint, to get arthritis [7]. Characteristic symptoms include pain and swelling around the base of the thumb, gradually radiating to the wrist, causing difficult…
Clinical significance
- Fracture of the First Metacarpal: A fracture in this area can occur as a result of an accident or some sports injury, with the most serious type of fractures involving the carpometacarpal, and metacarpophalangeal joints of the thumb. The fractures may have specific names depending on their nature and location (e.g. the Bennett fracture at the base of the first metacarpal), with the tr…