Fifth metacarpal bone Fifth metacarpal bone The fifth metacarpal bone (metacarpal bone of the little finger or pinky finger) is the most medial and second-shortest of the metacarpal bones. It presents on its base one facet on its superior surface, which is concavo-convex and articulates with the hamate, and one on its radial side, which articulates with the fourth metacarpal. On its ulnar side is a prominent tubercle for the insertion of the tendon of the extensor carpi ulnaris muscle. The dorsal surface of the body is divided by an oblique ridge, which extends from near the ulnar side of the base to
Geniohyoid muscle artery. The geniohyoid muscle is innervated by fibres from the first cervical nerve travelling alongside the hypoglossal nerve. These fibers are called ansa cervicalis. It may be blended with the one on opposite side or double; slips to greater cornu of hyoid bone and genioglossus occur. The geniohyoid muscle brings the hyoid bone forward and upwards. This dilates the upper airway, assisting respiration. During the first act of deglutition, when the mass of food is being driven from the mouth into the pharynx, the hyoid bone, and with it the tongue, is carried upward and forward by the anterior bellies