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From proximal to distal:
Carpals:
8 small bones that are in two rows
Make up the base of the palm
Metacarpals:
5 long bones (one for each finger)
Make up the distal part of the palm
Phalanges
Each finger 3 phalanges (proximal, middle, and distal)
Thumb only has 2 (proximal and distal)
This picture includes the carpal bones labeled
This picture includes the main parts of the metacarpal bone (head, shaft, and base)
The neck (not labelled), which is just below the head, is the most commonly fractured part due to it being a thinner area
The 5th metacarpal is the most commonly fractured metacarpal, often due to punching forces
Different view of the carpal bones
Quiz Questions
1. What is the correct order of the bones in the hand from proximal to distal?
A. Phalanges, Metacarpals, Carpals
B. Carpals, Phalanges, Metacarpals
C. Carpals, Metacarpals, Phalanges
D. Metacarpals, Carpals, Phalanges
2. How many carpal bones are there?
A. 8
B. 6
C. 5
D. 10
3. How many phalanges does each finger have (except the thumb)?
A. 2
B. 3
C. 4
D. 5
4. How many phalanges does the thumb have?
A. 1
B. 2
C. 3
D. 4
5. Which metacarpal is most commonly fractured?
A. 1st (thumb)
B. 2nd
C. 4th
D. 5th (pinky)
6. Which part of the metacarpal is most commonly fractured?
A. Base
B. Shaft
C. Head
D. Neck
Quiz Answers
C
A
B
B
D
D
References
Images from: Atlas of Anatomy 4th Edition, Gilroy et al., 2020, Thieme Medical Publishers
Information based on lecture content from professor Dr. Earl Mayhew, DPT, BIO 634 - Human Anatomy course, University of Michigan-Flint, Fall 2022