Trapezium (bone)

Source: Wikipedia, the free encyclopedia.
Trapezium
2nd metacarpal medially
Identifiers
Latinos trapezium, os multangulum majus
MeSHD051222
TA98A02.4.08.008
TA21255
FMA23721
Anatomical terms of bone]

The trapezium bone (greater multangular bone) is a carpal bone in the hand. It forms the radial border of the carpal tunnel.

Structure

The trapezium is distinguished by a deep groove on its anterior surface. It is situated at the radial side of the

metacarpal bone (the metacarpal bone of the thumb). It is homologous
with the first distal carpal of reptiles and amphibians.

Surfaces

The trapezium is an irregular-shaped

: 708 

The

scaphoid
; laterally it is rough and continuous with the lateral surface.

The inferior surface is oval, concave from side to side, convex from before backward, so as to form a saddle-shaped surface for articulation with the base of the first metacarpal bone. This saddle-shaped articulation is partially responsible for the thumb's opposable motion.

The dorsal surface is smooth.

The palmar surface is narrow and rough. At its upper part is a deep groove, running from above obliquely downward and medialward; it transmits the tendon of the

transverse carpal ligament
.

The lateral surface is broad and rough, for the attachment of ligaments.

The medial surface presents two facets; the upper, large and concave, articulates with the

second metacarpal
.

Tubercle of trapezium

The tubercle of trapezium is a tubercle found on the anterior surface of the bone.[1]: 708  It is where sometimes abductor pollicis brevis muscle attaches.

Function

The carpal bones function as a unit to provide a bony superstructure for the hand. The trapezium is the most radial of the bones surrounding the carpal tunnel.[1]: 708  It is important in thumb movement.[2]

Clinical relevance

The trapezium is susceptible to arthritis at the joint with the

metacarpal bone of the thumb, due to overuse.[2]

History

The etymology derives from the Greek trapezion which means "a little table", from trapeza meaning "table", itself from (te)tra- "four" and pod- "foot". The name was first documented in 1840.[3]

Additional images

  • Position of trapezium (shown in red). Left hand. Animation.
    Position of trapezium (shown in red). Left hand. Animation.
  • Trapezium of the left hand.
    Trapezium of the left hand.
  • Trapezium bone.
    Trapezium bone.
  • Right hand posterior view (dorsal view). Thumb on bottom.
    Right hand posterior view (dorsal view). Thumb on bottom.
  • Right hand anterior view (palmar view). Thumb on top.
    Right hand anterior view (palmar view). Thumb on top.
  • Bones of the left hand. Palmar surface. Trapezium shown in yellow.
    Bones of the left hand. Palmar surface. Trapezium shown in yellow.
  • Bones of the left hand. Dorsal surface. Trapezium shown in yellow.
    Bones of the left hand. Dorsal surface. Trapezium shown in yellow.
  • Cross section of wrist (thumb on left). Trapezium shown in red (labelled as "Greater Multang").
    Cross section of wrist (thumb on left). Trapezium shown in red (labelled as "Greater Multang").
  • Transverse section across the wrist and digits. Trapezium is shown in yellow (labelled as "Greater Multang").
    Transverse section across the wrist and digits. Trapezium is shown in yellow (labelled as "Greater Multang").
  • Ligaments of wrist. Anterior view
    Ligaments of wrist. Anterior view
  • Tendons of forefinger and vincula tendina.
    Tendons of forefinger and vincula tendina.

See also

References

  1. ^ .
  2. ^ .
  3. ^ Harper, Douglas. "Trapezium". Online Etymology Dictionary. Retrieved 5 January 2014.