Thumb

Pollex

  • Latin synonym: Digitus primus manus; Digitus I manus
  • Synonym: First digit of hand; Digit 1 of hand
  • Related terms: Thumb [I]

Definition

The thumb is the first digit of the hand.

The skeleton of the thumb consists of the first metacarpal bone which articulates proximally with the carpus at the carpometacarpal joint and distally with the proximal phalanx at the metacarpophalangeal joint. This latter bone articulates with the distal phalanx at the interphalangeal joint. Additionally, there are two sesamoid bones at the metacarpophalangeal joint.

The muscles of the thumb can be compared to guy-wires supporting a flagpole; tension from these muscular guy-wires must be provided in all directions to maintain stability in the articulated column formed by the bones of the thumb. Because this stability is actively maintained by muscles rather than by articular constraints, most muscles attached to the thumb tend to be active during most thumb motions.

The muscles acting on the thumb can be divided into two groups: The extrinsic hand muscles, with their muscle bellies located in the forearm, and the intrinsic hand muscles, with their muscles bellies located in the hand proper.

For details refer to the description of digits of hand.

Text reviewed by Muhammad A. Javaid, MD, PhD © 2023 IMAIOS.

  • Drake, R.L., Vogl, A.W. and Mitchell, A.W.M. (2009). ‘Chapter 7: Upper Limb’ in Gray’s anatomy for Students. (2nd ed.) Philadelphia PA 19103-2899: Elsevier, pp. 751-774.

  • Dawson-Amoah, K. and Varacallo, M. Anatomy, Shoulder and Upper Limb, Hand Intrinsic Muscles. [Updated 2022 Jul 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539810/


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