Hand Five metacarpal bones form the skeleton of the palm of the hand (Exhibit 11).

Proximally they articulate with the distal row of carpal bones. Distally each metacarpal enlarges to form a prominent head for articulation with a proximal phalanx of a finger. Fourteen phalanges form the finger bones, three for each finger and two for the thumb. Anatomy of the Knee The knee is the site of junction between the thigh (femur) and the calf (tibia and fibula). The patella is situated at the front of the knee at the anteroinferior aspect of the femur (Exhibit 1-2). This is a somewhat flattened triangular bone which lies embedded in the tendon of the quadriceps femoris muscle and is the largest sesamoid bone of the body.