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Bones of the Human Body
The adult human body has 206 bones total - 80 in the axial skeleton and 126 in the appendicular skeleton (extremities). - Miller's Review of Orthopaedics
The Human Skeleton at a Glance
Axial Skeleton (80 bones)
The axial skeleton forms the central axis of the body:
| Region | Bones | Count |
|---|
| Skull (cranium + face) | Frontal, parietal (×2), temporal (×2), occipital, sphenoid, ethmoid; facial bones (mandible, maxilla, zygomatic, etc.) | 22 |
| Vertebral column | Cervical (7), Thoracic (12), Lumbar (5), Sacrum (1 fused), Coccyx (1 fused) | 26 |
| Ribs | 12 pairs (true, false, floating) | 24 |
| Sternum | Manubrium, body, xiphoid process | 3 |
| Hyoid | Hyoid bone (neck) | 1 |
| Auditory ossicles | Malleus, incus, stapes (×2 ears) | 6 |
| Total | | ~80 |
Appendicular Skeleton (126 bones)
Forms the limbs and their girdles:
| Region | Count |
|---|
| Shoulder girdle (clavicles + scapulae) | 4 |
| Arms (humerus, radius, ulna ×2) | 6 |
| Hands (27 per hand × 2) | 54 |
| Pelvic girdle (hip bones) | 2 |
| Legs (femur, tibia, fibula, patella ×2) | 8 |
| Feet (26 per foot × 2) | 52 |
| Total | ~126 |
Bones of the Hand (27 per hand)
Here is the detailed textbook diagram from Gray's Anatomy for Students:
The 27 hand bones are divided into 3 groups:
1. Carpal Bones (8 bones) - The Wrist
Arranged in two rows:
Proximal row (closer to forearm):
- Scaphoid - boat-shaped; most commonly fractured carpal (fall on outstretched hand)
- Lunate - moon-shaped
- Triquetrum - triangular
- Pisiform - pea-shaped; sits on top of triquetrum
Distal row (closer to palm):
- Trapezium - saddle-shaped; articulates with the thumb
- Trapezoid - smallest in distal row
- Capitate - largest carpal bone; central position
- Hamate - has a hook-like projection (hook of hamate)
Memory mnemonic: "She Looks Too Pretty, Try To Catch Her" (Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate)
The carpal bones form an arch (the carpal arch/tunnel). The flexor retinaculum spans across the arch, creating the carpal tunnel through which tendons and the median nerve pass. - Gray's Anatomy for Students, p. 914
2. Metacarpal Bones (5 bones) - The Palm
Numbered I to V (thumb to little finger). Each has:
- A base (articulates with carpals)
- A shaft/body
- A head (forms the knuckles when fingers are flexed)
| Metacarpal | Digit |
|---|
| I | Thumb |
| II | Index finger |
| III | Middle finger |
| IV | Ring finger |
| V | Little finger |
3. Phalanges (14 bones) - The Fingers
- Thumb (digit I): 2 phalanges - proximal + distal
- Fingers II-V: 3 phalanges each - proximal, middle, distal
Each phalanx has a base, shaft, and head. - Gray's Anatomy for Students, p. 915
Total per hand: 8 carpals + 5 metacarpals + 14 phalanges = 27 bones
Key Clinical Points
- Scaphoid fracture - the most common carpal fracture; at risk for avascular necrosis because blood supply enters distally and runs proximally
- Boxer's fracture - fracture of the 5th metacarpal neck (from punching with a closed fist)
- Carpal tunnel syndrome - compression of the median nerve within the carpal tunnel (pain/numbness in thumb, index, middle fingers)
- Colles' fracture - distal radius fracture (just proximal to the hand) from a fall on an outstretched hand
Here is a helpful video walkthrough of hand and wrist bone anatomy: