Carpals and tarsals
The carpus (wrist) and tarsus (ankle) of land vertebrates primitively had three rows of carpal or tarsal bones. Often some of these have become lost or fused in evolution.
- Three proximals. In the hand humans have all three. In the foot the middle proximal appears in 5-15% of people as an os trigonum and can be involved in foot pain.[1]
- Centrale or os centrale, on the medial side. In humans and our closest relatives the African apes (chimpanzees and gorillas) it fuses to the scaphoid where it forms the articulation with the trapezoid bone; occasionally it stays separate. In Man's foot it is the navicular. Some early land vertebrates had more than one (up to three) os centrale per hand or foot (plural "(ossa) centralia").
- Distals, one per finger / toe at the base of each metacarpal or metatarsal. In mammals the 4th and 5th fuse. In the horse the 1st is lost.
Figure to the right shows locations of rare accessory bones of the foot (presence variable from person to person): 1=Os cuneometatarsal I plantare, 2=os uncinatum, 3=os sesamoideum tibialis posterior, 4=os sesamoideum peroneum, 5=os cuboideum secundarium, 6=os trochleare calcanei, 7=os in sinus tarsi, 8=os sustentaculum tali, 9=os talocalcaneale posterius, 10=os aponeurosis plantaris, 11=os subcalcaneum, 12=os sesamoideum tibialis anterior, 13=os cuneometatarsal I tibiale, 14=os intermetatarsal I, 15=os cuneometatarsal II dorsale, 16=os paracuneiforme, 17=os cuneonaviculare, 18=os intercuneiforme, 19=os intermetatarsal IV, 20=/os talonaviculare, 21=os vesalianum pedis, 22=os tibiale externum, 23=os talotibiale dorsale, 24=os supratalare, 25=os calcaneus secundarius, 26=os subtibiale, 27=os subfibulare, 28=os retinaculi, 29=os calcaneus accessorius, 30=os trigonum, 31=os supracalcaneum, 32=os tendinis calcanei.
