Upper limb
Articular cartilage of metacarpals and phalanges of hand (MCP, PIP, DIP)
Cartilagines articulares metacarpalium et phalangium manus
- Origin
- Hyaline cartilage on metacarpal heads, trochlear surfaces of proximal, middle, and distal phalanges
- Insertion
- Opposing articular surfaces of MCP, PIP, and DIP/IP digital joints
- Function
- Enables frictionless flexion and precise dexterity during power grip and fine pinch activities
- Innervation
- Avascular and aneural
- Movement & chain
- Gliding-rolling kinematics during digital flexion and extension
- Palpation
- Not palpated directly
- Clinical
- Heberden's nodes (DIP osteoarthritis) and Bouchard's nodes (PIP osteoarthritis); rheumatoid arthritis with ulnar drift.
- Segmental innervation
- C7–T1
- In clinical practice
- Hand therapy, paraffin wax baths, active-assisted range of motion, and ring splinting
- Region in the model
- Upper limb