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Wrist and Hand Anatomy — Bones, Tendons, and Range of Motion

Wrist & Hand · The wrist and hand pack more small joints, tendons, and nerves into a small space than almost any other body region, enabling fine motor control at the cost of frequent overuse injury.

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Quick answers

What is carpal tunnel syndrome?

Carpal tunnel syndrome is compression of the median nerve as it passes through a narrow tunnel on the palm side of the wrist, producing numbness, tingling, and sometimes weakness in the thumb, index, and middle fingers.

What is De Quervain's tenosynovitis?

De Quervain's tenosynovitis is irritation of the tendons on the thumb side of the wrist, often associated with repetitive gripping or thumb use, and is a common cause of pain near the base of the thumb.

Does typing cause carpal tunnel syndrome?

Research on keyboard use as an isolated cause of carpal tunnel syndrome is mixed; wrist position, overall repetitive hand use, and individual anatomical factors are all thought to contribute.

Can wrist splints help with nerve compression?

Night-time wrist splinting in a neutral position is commonly recommended for mild to moderate carpal tunnel syndrome and is supported by several clinical guidelines as an early conservative measure.

What is trigger finger?

Trigger finger is a condition in which a finger tendon catches within its sheath, causing the finger to click, lock, or require extra effort to straighten after bending.

When does carpal tunnel syndrome need surgery?

Surgical release is typically considered when symptoms are severe, when there is measurable nerve damage on testing, or when conservative measures have not provided adequate relief.

Start with this section - Anatomy

The wrist is formed by eight small carpal bones arranged in two rows, connecting the forearm bones to the hand's metacarpals. This arrangement allows a wide range of wrist motion while transmitting forces generated by the powerful forearm muscles to the fingers.

Long tendons originating in the forearm cross the wrist through fibrous tunnels to reach the fingers, and several major nerves, including the median nerve, pass through similarly narrow spaces, which is why compression syndromes are common in this region.

Diagram of the carpal bones and structures of the wrist
https://www.scientificanimations.com · CC BY-SA 4.0 · Wikimedia Commons

Key structures

Wrist mobility and load transfer

Carpal bones

Eight small bones arranged in two rows form the wrist's core, allowing a combination of gliding and rotating movements between the forearm and hand.

Passage for the median nerve and flexor tendons

Carpal tunnel

This narrow tunnel on the palm side of the wrist, bounded by carpal bones and a tough ligament, is a common site of nerve compression when tissue swelling or thickening reduces the available space.

Finger bending

Flexor digitorum tendons

These long tendons run from the forearm through the wrist and palm to bend the fingers, and are commonly involved in overuse conditions such as trigger finger.

Finger and wrist straightening

Extensor tendons

Tendons running across the back of the wrist and hand straighten the fingers and wrist, and can become irritated with repetitive use, as seen in De Quervain's tenosynovitis at the thumb side.

Sensation and thumb muscle control

Median nerve

This nerve travels through the carpal tunnel to supply sensation to the thumb, index, and middle fingers and motor control to some thumb muscles, making it the nerve most often affected by wrist compression.

Sensation and hand muscle control

Ulnar nerve (wrist portion)

Passing through a separate tunnel at the wrist, the ulnar nerve supplies the ring and little fingers and many of the small muscles that control fine finger movements.

Planes & range

Flexion-extension~150° combined

Combined wrist flexion (about 80°) and extension (about 70°) allow the hand to be positioned across a wide range for gripping and fine motor tasks, complemented by radial and ulnar deviation of roughly 20–35°.

This dense packing of bone, tendon, and nerve in a small space explains why wrist and hand conditions often involve a specific tunnel or tendon compartment rather than the joint as a whole.

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