Structure and form

The capitate is the largest carpal bone.

It has roughened nonarticular palmar and dorsal surfaces and articular surfaces elsewhere.

Articular morphology
It possesses a concavoconvex distal facet for the third metacarpal base and a lateral concave strip for its
contact with the second metacarpal. The convex surface of the head articulates with the lunate while its
medial and distolateral surfaces articulate with the hamate and trapezoid/scaphoid respectively.

The carpus
The carpus is composed of a proximal row and distal row of bones which are secured together by a
complex interlinking system of ligaments which allow limited movement between the bones of the
proximal row, but hold the distal row of bones securely together. It is the tension of these ligaments which
is most vital in giving the carpus stability and allowing the whole structure to move as an integrated unit.

The midcarpal joint

The midcarpal joint, between the proximal and distal carpal rows, with an axis of movement through the
capitate, contributes to the range of motion during flexion and extension of the wrist by moving in concert
with the radiocarpal joint. The movements of radial and ulnar deviation occur principally at the radiocarpal
joint and during these movements the carpus moves as an integrated unit.