Carpal bones (from within the cartilage) and the ossific centers appear only after birth. The formation of these centers roughly follows a chronological spiral pattern starting in the capitate and hamate during the first year of life. The ulnar bones are then ossified before the radial bones, while the sesamoid pisiform arises in the tendon of the flexor carpi ulnaris after more than ten years. There are four groups of ligaments in the region of the wrist: The hand is said to be in straight position when the third finger runs over the capitate bone and is in a straight line with
Intercarpal joints the hamate, the other, the pisometacarpal ligament, joins the pisiform to the base of the fifth metacarpal bone. These ligaments are, in reality, prolongations of the tendon of the Flexor carpi ulnaris. These joints are also arthrodial joints connected by dorsal, volar, and interosseous ligaments. The dorsal ligaments are three in number, extend transversely from one bone to another on the dorsal surface, connecting the greater with the lesser multangular, the lesser multangular with the capitate, and the capitate with the hamate. The volar ligaments are also three and have a similar arrangement on the volar surface. The three interosseous