Anatomical snuff box

st
and 1 CMC joint
- Dr. Mrunal
 1 st carpometacarpal joint

• Bones forming the joint

• Type of joint
• Ligaments
• Movements and muscles producing them
• Blood supply
• Nerve supply
• Applied Anatomy
Bones forming the joint
Type of 1 st cmc joint
Ligaments of 1st CMC joint
Movements and muscles producing
them
Competency achievement: The student should be
able to: AN 12.6 Describe and demonstrate
movements of thumb and muscles involved.

https://youtu.be/wyuf4xvfGj8
Movements at 1st CMC joint
Movements at 1st CMC joint
Movements at 1st CMC joint
Movements and muscles producing
them

https://youtu.be/wyuf4xvfGj8
 Flexion (Flexor pollicis longus and flexor pollicis brevis)

 Extension (Extensor pollicis longus and extensor pollicis

brevis)

 Adduction (Adductor pollicis)

 Abduction Abductor pollicis brevis

 Circumduction

 Opposition
 Applied anatomy
• The 1st carpometacarpal joint can undergo
degenerative changes with age which is a
painful condition of the base of the thumb.
 Applied anatomy
• The synovial lining of the
tendons of extensor
pollicis brevis and
abductor pollicis longus
can get inflamed due to
repetitive strain and can
lead to a painful condition
called De Quervain’s
tenosynovitis. Movement
of the thumb can
aggravate pain in this
condition.
 Anatomical snuff box
• The anatomical
snuffbox is a triangular
depression on the
posterolateral side of
the wrist.

• It is seen best when

the thumb is extended.
 Anatomical snuff box
• Boundaries
Anatomical snuff box
(Boundaries)
Anatomical snuff box
(Boundaries)
 Applied Anatomy
Scaphiod #
 Applied Anatomy
Scaphiod #
immobilization
Thank you