Trapezium

Dr Jeremy Jones et al.

The trapezium (greater multangular) is one of the eight carpal bones of the hand. It is the most lateral (radial) bone of the distal row, located between the scaphoid and the first metacarpal bone . It articulates with the scaphoid proximally, the trapezoid medially, and the thumb and index metacarpals distally.

Osteology

The trapezium has a number of surfaces (6 in total):

  1. rough palmar surface which contains a medial groove and prominent tubercle
  2. elongated rough dorsal surface
  3. large lateral surface
  4. concave medial surface
  5. large dorso-lateral sellar surface which projects distally between the thumb and index metacarpals, and also has a small disto-medial facet articulating with the index metacarpal base.
  6. small concave proximal surface
Articulations
  • articulates with the scaphoid at the midcarpal joint
  • articulates with the trapezoid at its intercarpal joint
  • articulates with the thumb metacarpal at the carpometacarpal joint of the thumb
Attachments
Musculotendinous
Ligamentous
  • two layers of the flexor retinaculum attach either side of the groove of the trapezium
  • radial collateral ligament attaches to the lateral surface
  • capsule of the carpometacarpal joint of the thumb attaches to the lateral surface
Relations

The tendon of flexor carpi radialis runs through the groove and the radial artery is directly related to the dorsal surface.

Supplied by distal branches of the radial artery, primarily via the dorsal surface 2.

Plain film

content pending

Cross-section

content pending

Ossification

The trapezium begins to ossify in the fourth to fifth year.

Females have a significantly smaller sellar surface, with a fundamentally different shape of that surface 1.

Greek: originally 'small table', later a four-sided figure with no parallel sides.


Upper limb anatomy
Share Article

Article Information

rID: 8871
Section: Anatomy
Tags: refs, craig
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.