Fourth metacarpal bone
Fourth metacarpal bone | |
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Fourth metacarpal of the left hand (shown in red). Palmar view. | |
The fourth metacarpal. (Left.) | |
Details | |
Identifiers | |
Latin | os metacarpale IV |
FMA | 23902 |
Anatomical terms of bone [edit on Wikidata] |
The fourth metacarpal bone (metacarpal bone of the ring finger) is shorter and smaller than the third.
The base is small and quadrilateral; its superior surface presents two facets, a large one medially for articulation with the hamate, and a small one laterally for the capitate.
On the radial side are two oval facets, for articulation with the third metacarpal; and on the ulnar side a single concave facet, for the fifth metacarpal.
Clinical relevance
A shortened fourth metacarpal bone can be a symptom of Kallmann syndrome, a genetic condition which results in the failure to commence or the non-completion of puberty. A short fourth metacarpal bone can also be found in Turner syndrome, a disorder involving sex chromosomes.
A fracture of the fourth and/or fifth metacarpal bones transverse neck secondary due to axial loading is known as a boxer's fracture.[1]
Ossification
The ossification process begins in the shaft during prenatal life, and in the head between 11th and 37th months.[2]
Additional images
- Fourth metacarpal bone of the left hand (shown in red). Animation.
- Fourth metacarpal bone of the left hand. Close up.
- Palmar view of the left hand (fourth metacarpal shown in yellow).
- Dorsal view of the left hand (fourth metacarpal shown in yellow).
- A fractured right hand fourth metacarpal (boxer's fracture).
See also
- Metacarpus
- First metacarpal bone
- Second metacarpal bone
- Third metacarpal bone
- Fifth metacarpal bone
References
This article incorporates text in the public domain from page 228 of the 20th edition of Gray's Anatomy (1918)
- ^ Shultz, S. J., Houglum, P. A., Perrin, D. H. (2010). Examination of Musculoskeletal Injuries. Chicago: Human Kinetics
- ^ Balachandran, Ajay; Anooj Krishna; Moumitha Kartha; Libu G. K.; Liza John; Krishnan B (30 December 2013). "A Study of Ossification of heads of 2nd to 5th Metacarpals in Forensic Age Estimation in the Kerala Population" (PDF). Journal of Evolution of Medical and Dental Sciences. 2 (52): 10165–10171. doi:10.14260/jemds/1751. Retrieved 26 December 2013.
- v
- t
- e
- fossae (subscapular, supraspinatous, infraspinatous)
- notches (suprascapular, great scapular)
- glenoid fossa
- tubercles (infraglenoid, supraglenoid)
- spine of scapula
- acromion
- coracoid process
- angles (superior, inferior, lateral)
- upper extremity: necks (anatomical, surgical)
- tubercles (greater, lesser)
- bicipital groove
- body: radial sulcus
- deltoid tuberosity
- lower extremity: capitulum
- trochlea
- epicondyles (lateral, medial)
- supracondylar ridges (lateral, medial)
- fossae (radial, coronoid, olecranon)
Radius |
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Ulna |
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Carpal bones | |
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Metacarpal bones | |
Phalanges |