Safekipedia
Bones of the handCarpal bonesShort bonesWrist

Carpal bones

Adapted from Wikipedia · Adventurer experience

A 3D medical illustration showing the bones of the human wrist, helpful for learning about anatomy.

The carpal bones are the eight small bones that make up the wrist (carpus) that connects the hand to the forearm. They help us move our wrists in many directions.

The terms "carpus" and "carpal" come from old languages—Latin and Greek—and they mean "wrist."

In all four-legged animals, including humans, the carpus is the only group of bones in the wrist. These bones sit between the two bones of the lower arm, the radius and ulna, and the bones of the hand, called the metacarpus. The carpal bones help the wrist bend and turn, making our hands very useful for different tasks.

Structure

The eight carpal bones in your wrist can be thought of as two rows or three columns.

When you look at them as two rows, each row forms an arch. The top row includes the scaphoid, lunate, triquetral, and pisiform bones. These bones move a lot and help your wrist stay stable. The bottom row is stiffer and moves with the bones of your hand.

Location of the accessory ossicles of the carpals

Scientists often think of these bones as three columns: the radial column (scaphoid, trapezium, and trapezoid), the lunate column (lunate and capitate), and the ulnar column (triquetrum and hamate). The pisiform bone is special because it sits inside a tendon.

The wrist is stronger when you bend it forward than when you bend it backward, thanks to its ligaments and the way the bones fit together. Most carpal bones have six sides, with some sides rough for ligaments and others smooth for moving against each other. Inside, they are made of a spongy tissue wrapped in a tough outer layer.

Sometimes extra small bones can be found in the wrist, but only a few are well-known.

What each carpal bone joints to
NameProximal/radial
articulations
Lateral/medial
articulations
Distal/metacarpal
articulations
Proximal row
Scaphoidradiuscapitate, lunatetrapezium, trapezoid
Lunateradius, articular diskscaphoid, triquetralcapitate, hamate (sometimes)
Triquetrumarticular disklunate, pisiformhamate
Pisiform triquetral 
Distal row
Trapeziumscaphoidtrapezoidfirst and second metacarpal
Trapezoidscaphoidtrapezium, capitatesecond metacarpal
Capitatescaphoid, lunatetrapezoid, hamatethird, partly second
and fourth metacarpal
Hamatetriquetral, lunatecapitatefourth and fifth

Development

The carpal bones grow from inside the soft tissue after a baby is born. Tiny spots of bone start to show up in a certain order. The capitate and hamate bones are the first to appear, usually in the first year of life. After that, other wrist bones, like the ulnar and radial bones, begin to form too. This growth pattern helps scientists guess a person's age.

Appearance of ossification centers of carpal bones
BoneAverageVariationVariation
Capitate2.5 months1–6 months1–5 months
Hamate4–5.5 months1–7 months1–12 months
Triquetrum2 years5 months to 3 years9 months to 4 years and 2 months
Lunate5 years2–5.5 years18 months to 4 years and 3 months
Trapezium6 years4–8 years
Trapezoid6 years4–8 years
Scaphoid6 years4–7 years
Pisiform12 years8–12 years

Function

Four groups of ligaments in the region of the wrist (shown in four different colors.)

The carpal bones in our wrists help us move our hands in many ways. They connect to the arm bones, called the ulna and radius. Special bands of tissue called ligaments hold these bones in place. They help our wrists move smoothly.

Our hands can move in several directions. We can move our hands towards our body or away from our body. We can also move our hands to the side towards the thumb or towards the little finger. These movements help us do everyday tasks like writing, playing, and grabbing objects.

Other animals

The wrist, or carpus, looks different in various animals. In early amphibians, like Eryops, the wrist had three rows of bones. Over time, most animals, including modern amphibians, mammals, and reptiles, have lost or fused some of these bones, so they have fewer wrist bones.

Birds have just two wrist bones in their wings. In some animals like macropods, certain wrist bones fuse together. In crustaceans, the term "carpus" refers to parts of their claws or pincers.

See also: Carpus and tarsus of land vertebrates

Etymology

The word "carpus" comes from Latin. It is based on the Greek word καρπὁς, which means "wrist". The root "carp-" means "pluck", something our wrists help us do.

Images

An old illustration showing the bones in the human wrist, from a 1921 anatomy book.
Anatomical drawing showing the bones of the human wrist, from a 1921 medical textbook.
A colorful diagram showing the bones in the human hand, including the wrist bones labeled for learning anatomy.

This article is a child-friendly adaptation of the Wikipedia article on Carpal bones, available under CC BY-SA 4.0.

Images from Wikimedia Commons. Tap any image to view credits and license.

Carpal bones — Safekipedia Adventurer