If in anatomy of the foot the leading principle is connection of individual parts, strengthening of their ligaments, then in the hand each component tends to become free, each joint tries to get rid of its connections, and each link – to get an individual perfected form. The article offers a brief review of the basic mechanisms of development and formation of the hand bones. In the process of evolution of the three parts of the arm (shoulder, forearm and hand), its final (distal) part – the hand – is of a particular importance. It becomes not only the performer of the will, but also the creator, educator of the brain. The territory of the projection of the hand and especially the thumb in the anterior and posterior central convolutions of the cerebral cortex is almost as long as the rest of the body. The skeleton of the hand is formed by skeletal tissues, which include cartilage and bone tissue having the only source of development – the mesenchyme. The cartilaginous tissue develops from the mesenchyme. In the embryo in the period of 5-6 weeks, chondrogenic areas are formed in the mesenchyme. They are determined by the greater density of the location of mesenchymal cells, significant mitotic activity and the absence of blood vessels. The function of the hand consists of three elements. Stretched forward hand, open, with straight fingers serves as a shovel,; bent fingers - crochet, tongs; more difficult function – snatching. When it is executed, a person, depending on the purpose of the movement, on the nature of the object (size, weight, shape, texture) forms a new mechanism from the hand each time. In the core of various movements of the hand there are six types of grasping: ragged, interdigital, planar, pinching, cylindrical, and spherical. The processes of osteo- and chondrogenesis are in a certain dependence on carbohydrate and lipid metabolism, in particular on the complete and sequential synthesis of carbohydrate-protein complexes – glycosaminoglycans, proteoglycans, collagen and their interaction with each other. Disorders in these processes lead to bone problems and, consequently, to the formation of cartilage defects and bones. In most cases, there is a certain sequence of appearance of ossification centers: first, the center of ossification of the trapezoid bone, then the navicular bone, and the last on – the trapezoid. At the same time, by the end of this age period, the ossification of the cartilaginous models of the epiphyses of the metacarpal bones and phalanges of the finger ends, and the design of the bone structure of the epimetaphysis of the short tubular bones.
Read full abstract