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Articulations of the carpus

These articulations may be subdivided into three sets:

1. The articulation of the first row of carpal bones
2. The articulation of the second row of carpal bones
3. The articulation of the two rows with each other

1. ARTICULATION OF THE FIRST Row OF CARPAL BONES.

These are arthrodial joints. The articular surfaces are covered with cartilage, and connected together by the following ligaments.
- Two Dorsal;
- Two Palmar;
- Two Interosseous.

The Dorsal Ligaments, two in number, are placed transversely behind the bones of the first row; they connect the scaphoid and semilunar, and the semilunar mid cuneiform.

The Palmar Ligaments, also two in number, connect the scaphoid and semi- lunar, and the semilunar and cuneiform bones; they are less strong than the dorsal, and placed very deep under the anterior ligament of the wrist.

The Interosseous Ligaments (fig. 119) are two narrow bundles of dense fibrous tissue, connecting the semilunar bone, on one side with the scaphoid, on the other with the cuneiform bone. They close the upper part of the interspaces between the scaphoid, semilunar, and cuneiform bones, their upper surfaces being smooth, and lined by the synovial membrane of the wrist-joint.

The articulation of the pisiform with the cuneiform is provided with a separate synovial membrane, protected by a thin capsular ligament. There are also two strong fibrous fasciculi, which connect this bone to the unciform, and base of the fifth metacarpal bone.

2. ARTICULATION OF THE SECOND Row OF CARPAL BONES.

These are also arthrodial joints, the articular surfaces being covered with cartilage, and connected by the following ligaments.
- Three Dorsal;
- Three Palmar;
- Two Interosseous.

The three Dorsal Ligaments extend transversely from one bone to another on the dorsal surface, connecting the trapezium with the trapezoid, the trapezoid with the os magnum, and the os magnum with the unciform.

The three Palmar Ligaments have a similar arrangement on the palmar surface.

The two Interosseous Ligaments, much thicker than those of the first row, are placed one on each side of the os magnum, connecting it with the trapezoid externally, and the unciform internally. The former is less distinct than the latter.

3. ARTICULATION OF THE Two Rows OF CARPAL BONES WITH EACH OTHER.

The articulation between the two rows of the carpus consists of an enarthrodial joint in the middle, formed by the reception of the os magnum into a cavity formed by the scaphoid and semilunar bones, and of an arthrodial joint on each side, the outer one formed by the articulation of the scaphoid with the trapezium and trapezoid, the internal one by the articulation of the cuneiform and unciform. The articular surfaces are covered by a thin layer of cartilage, and connected by the following ligaments.
- Anterior or Palmar;
- Posterior or Dorsal;
- External Lateral;
- Internal Lateral;
- Synovial Membranes.

The Anterior or Palmar Ligaments consist of short fibres, which pass obliquely between the bones of the first and second row on the palmar surface.

The Posterior or Dorsal Ligaments have a similar arrangement on the dorsal surface of the carpus.

The Lateral Ligaments are very short; they are placed, one on the radial, the other on the ulnar side of the carpus; the former, the stronger and more distinct, connecting the scaphoid and trapezium bones, the latter the cuneiform and unciform: they are continuous with the lateral ligaments of the wrist-joint.

There are two Synovial Membranes found in the articulation of the carpal bones with each other. The first of these, the more extensive, lines the under surface of the scaphoid, semilunar, and cuneiform bones, sending upwards two prolongations between their contiguous surfaces; it is then reflected over the bones of the second row, and sends down three prolongations between them, which line their contiguous surfaces, and invest the carpal extremities of the four outer metacarpal bones. The second is the synovial membrane between the pisiform and cuneiform bones.

Actions. The partial movement which takes place between the bones of each row is very inconsiderable; the movement between the two rows is more marked, but limited chiefly to flexion and extension.


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