Left hand anterior view (palmar view). Hamate bone shown in red.
The left hamate bone
Articulates with five bones: |
the lunate proximally
the fourth and fifth metacarpals distally
the triangular medially
the capitate laterally
The hamate bone (//) or unciform bone (from Latin uncus, "hook") is a bone in the human wrist readily distinguishable by its wedge shape and a hook-like process ("hamulus") projecting from its palmar surface.
The hamate is an irregularly shaped carpal bone found within the hand. The hamate is found within the distal row of carpal bones, and abuts the metacarpals of the little finger and ring finger.:708–709
The hamate bone has six surfaces:
- The superior, the apex of the wedge, is narrow, convex, smooth, and articulates with the lunate.
- The inferior articulates with the fourth and fifth metacarpal bones, by concave facets which are separated by a ridge.
- The dorsal is triangular and rough for ligamentous attachment.
- The palmar presents, at its lower and ulnar side, a curved, hook-like process, the hamulus, directed forward and laterally.
- The medial articulates with the triangular bone by an oblong facet, cut obliquely from above, downward and medialward.
- The lateral articulates with the capitate by its upper and posterior part, the remaining portion being rough, for the attachment of ligaments.
The hook of hamate (Latin: hamulus) is found at the proximal, ulnar side of the hamate bone. The hook is a curved, hook-like process that projects 1–2 cm distally and radially.
The hook forms the ulnar border of the carpal tunnel, and the radial border for Guyon's canal. Numerous ligaments attach to it, including ligaments from the pisiform, the transverse carpal ligament, and the tendon of Flexor carpi ulnaris.
The bone is also found in many other mammals, and is homologous with the "fourth distal carpal" of reptiles and amphibians.
The carpal bones function as a unit to provide a bony superstructure for the hand.:708
The hamate bone is the bone most commonly fractured when a golfer hits the ground hard with a golf club on the downswing. The fracture is usually a hairline fracture, commonly missed on normal X-rays. Symptoms are pain aggravated by gripping, tenderness over the hamate and symptoms of irritation of the ulnar nerve. This is characterized by numbness and weakness of the pinkie finger with partial involvement of the ring finger as well, the "ulnar 1½ fingers".
It is also a common injury in baseball players. Several professional baseball players have had the bone removed during the course of their careers. This condition has been called "Wilson's Wrist".
The calcification of the unciform bone is seen on X-rays during puberty and is sometimes used in orthodontics to determine if an adolescent patient is suitable for orthognathic intervention (i.e. before or at their growth spurt).
The etymology derives from the Latin hamatus "hooked," from hamus which means "hook".
- Position of hamate bone (shown in red). Left hand. Animation.
- Hamate bone of the left hand. The hook-like process is called hamulus.
- Hamate bone.
- Right hand anterior view (palmar view). Thumb on top.
- Right hand posterior view (dorsal view). Thumb on bottom.
- Bones of the left hand. Palmar surface. Hamate shown in yellow.
- Bones of the left hand. Dorsal surface. Hamate shown in yellow.
- Transverse section across the wrist and digits. Hamate shown in yellow.
- Cross section of wrist (thumb on left). Hamate shown in red.
- Right wrist joint. Deep dissection. Anterior (palmar) view.
|Wikimedia Commons has media related to Hamate bone.|
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