Metacarpophalangeal joint
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| Metacarpophalangeal joint | |
|---|---|
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| Metacarpophalangeal articulation and articulations of digit. Volar aspect. | |
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| Metacarpophalangeal articulation and articulations of digit. Ulnar aspect. | |
| Latin | articulationes metacarpophalangeae |
| Gray's | subject #90 332 |
| MeSH | Metacarpophalangeal+Joint |
| Dorlands/Elsevier | a_64/12161410 |
The metacarpophalangeal joints (MCP) are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the first phalanges, with the exception of that of the thumb, which presents more of the characters of a ginglymoid joint.
Ligaments
Each joint has a volar and two collateral ligaments.
Volar ligaments
The volar ligaments (glenoid ligaments of Cruveilhier; palmar or vaginal ligaments) are thick, dense, fibrocartilaginous structures, placed upon the volar surfaces of the joints in the intervals between the collateral ligaments, to which they are connected; they are loosely united to the metacarpal bones, but are very firmly attached to the bases of the first phalanges.
Their volar surfaces are intimately blended with the transverse metacarpal ligament, and present grooves for the passage of the Flexor tendons, the sheaths surrounding which are connected to the sides of the grooves.
Their deep surfaces form parts of the articular facets for the heads of the metacarpal bones, and are lined by synovial membranes.
Collateral Ligaments
The collateral ligaments (ligamenta collateralia; lateral ligaments) are strong, rounded cords, placed on the sides of the joints (Radial Collateral Ligament (RCL), Ulnar Collateral Ligament (UCL)); each is attached by one extremity to the posterior tubercle and adjacent depression on the side of the head of the metacarpal bone, and by the other to the contiguous extremity of the phalanx.
Dorsal surfaces
The dorsal surfaces of these joints are covered by the expansions of the Extensor tendons, together with some loose areolar tissue which connects the deep surfaces of the tendons to the bones.
Movements
The movements which occur in these joints are flexion, extension, adduction, abduction, and circumduction; the movements of abduction and adduction are very limited, and cannot be performed when the fingers are flexed.
The muscles of flexion and extension are as follows:
| Location | Flexion | Extension |
| fingers | Flexor digitorum superficialis and profundus, lumbricales, and interossei, assisted in the case of the little finger by the flexor digiti minimi brevis | extensor digitorum communis, extensor indicis proprius, and extensor digiti minimi muscle |
| thumb | flexores pollicis longus and brevis | extensores pollicis longus and brevis |
Additional images
 Human hand bones |
External links
- Hand kinesiology at UK bone/mpartic.html
- EatonHand joi-047
- Metacarpophalangeal+joint at eMedicine Dictionary
- Diagram in context
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
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Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
