The metacarpophalangeal joints (MCP) are the joints in the knuckles of the hands that are situated between the metacarpal (palm) bones and the proximal phalanges (first bone of each finger). These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends (nearest the palm) of the proximal phalanges. Because they are condyloid, they allow joint movements of flexion (hand closing), extension (hand opening), abduction (spreading the fingers), adduction (squeezing together of the fingers) and circumduction (see anatomical terms of motion) at the joint.

Structure Ligaments

Each joint has: palmar ligaments of metacarpophalangeal articulations collateral ligaments of metacarpophalangeal articulations

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.

Function 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 while the fingers form a fist.Gray's Anatomy (1918), see infobox

The muscles of flexion and extension are as follows:

Location Flexion Extension fingers Flexor digitorum superficialis and profundus, lumbricals, 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 flexor pollicis longus and brevis extensor pollicis longus and brevis

Clinical significance Arthritis of the MCP is a distinguishing feature of rheumatoid arthritis, as opposed to the distal interphalangeal joint in osteoarthritis.

Other animals In many quadrupeds, particularly horses and other larger animals, the metacarpophalangeal joint is referred to as the "fetlock". This term is translated literally as "foot-lock". In fact, although the term fetlock does not specifically apply to other species' metacarpophalangeal joints (for instance, humans), the "second" or "mid-finger" knuckle of the human hand does anatomically correspond to the fetlock on larger quadrupeds. For lack of a better term, the shortened name may seem more practical.

See also Knuckle

References

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