Lunate bone

Lunate bone
Left hand anterior view (palmar view). Lunate bone shown in red.
The left lunate bone
Details
Articulations	radius proximally capitate and hamate distally scaphoid laterally triangular medially
Identifiers
Latin	os lunatum
MeSH	A02.835.232.087.144.663
TA	A02.4.08.005
FMA	23712
Anatomical terms of bone [edit on Wikidata]

The lunate bone (semilunar bone) is a carpal bone in the human hand. It is distinguished by its deep concavity and crescentic outline. It is situated in the center of the proximal row carpal bones, which lie between the ulna and radius and the hand. The lunate carpal bone is situated between the lateral scaphoid bone and medial triquetral bone.

Structure

The lunate is a crescent-shaped carpal bone found within the hand. The lunate is found within the proximal row of carpal bones. Proximally, it abuts the radius. Laterally, it articulates with the scaphoid, medially with the triquetral, and distally with the capitate. The lunate also articulates on its distal and medial surface with the hamate bone.^[1]:708[2]

The lunate is stabilised by a medial ligament to the scaphoid and a lateral ligament to the triquetrum. Ligaments between the radius and carpal bone also stabilise the position of the lunate, as does its position in the lunate fossa of the radius.^[2]

Bone

The proximal surface of the lunate bone is smooth and convex, articulating with the radius. The lateral surface is flat and narrow, with a crescentic facet for articulation with the scaphoid. The medial surface possesses a smooth and quadrilateral facet for articulation with the triquetral. The palmar surface is rough, as is the dorsal surface. The dorsal surface is broad and rounded. The distal surface of the bone is deep and concave.^[3]

Blood supply

The lunate receives its blood supply from dorsal and palmar branches.^[2]

Variation

The lunate has a variable shape. About one-third of lunate bones do not possess a medial facet, meaning they do not articulate with the hamate bone. Additionally, in about 20% of people, blood supply may arise from palmar vessels alone.^[2]

Ossification

The ossification of Lunate bone commences between 18 months and 4 years and 3 months.^[4]

Function

The carpal bones function as a unit to provide a bony superstructure for the hand.^[1]:708 As a proximal carpal bone, the lunate is also involved in movement of the wrist.^[2]

Clinical relevance

Perilunar dislocation as seen on x-ray.

The lunate bone is the most frequently dislocated carpal bone.

• Kienbock's disease
• Teisen classification

Etymology

The name of the lunate bone derives from the "crescent-shaped" (Latin: lunatus),^[5] from Latin luna ("moon"), from the bone's resemblance to a crescent moon. In amphibians and reptiles, the bone is instead referred to as the intermedium, because of its position between the other two proximal carpals.

Additional images

• 
  Lunate bone of the left hand (shown in red). Animation.
• 
  Lunate bone of the left hand. Close up. Animation.
• 
  Lunate bone.
• 
  Bones of the left hand. Volar surface.
• 
  Bones of the left hand. Dorsal surface.
• 
  Cross section of wrist (thumb on left). Lunate shown in red.
• 
  Dislocated lunate
• 
  Dislocated lunate
• 
  Wrist joint. Deep dissection. Posterior view.
• 
  Wrist joint. Deep dissection. Posterior view.

See also

• Carpal bone

References

This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

1. Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. ISBN 978-0-8089-2306-0.
2. Eathorne, SW (Mar 2005). "The wrist: clinical anatomy and physical examination--an update.". Primary care. 32 (1): 17–33. doi:10.1016/j.pop.2004.11.009. PMID 15831311.
3. Gray, Henry (1918). Anatomy of the Human Body. p. 6b. The Hand. 1. The Carpus. Retrieved 5 January 2014.
4. Balachandran, Ajay; Kartha, Moumitha; Krishna, Anooj; Thomas, Jerry; K, Prathilash; TN, Prem; GK, Libu; B, Krishnan; John, Liza (2014). "A Study of Ossification of Capitate, Hamate, Triquetral & Lunate in Forensic Age Estimation". Indian Journal of Forensic Medicine & Toxicology. 8 (2): 218–224. doi:10.5958/0973-9130.2014.00720.8. ISSN 0973-9130. Retrieved 18 August 2014.
5. Harper, Douglas. "Lunate". Online Etymology Dictionary. Retrieved 5 January 2014.