Triquetral bone months (4 years and 2 months). The "superior surface" presents a medial, rough, non-articular portion, and a lateral convex articular portion which articulates with the triangular articular disk of the wrist. The "inferior surface", directed lateralward, is concave, sinuously curved, and smooth for articulation with the hamate. The dorsal surface is rough for the attachment of ligaments. The "volar surface" presents, on its medial part, an oval facet, for articulation with the pisiform; its lateral part is rough for ligamentous attachment. The "lateral surface", the base of the pyramid, is marked by a flat, quadrilateral facet, for articulation with the
Carpal bones proximal row (comprising scaphoid, lunate, and triquetrum) articulates with the surfaces of the radius and distal carpal row, and thus constantly adapts to these mobile surfaces. Within the proximal row, each carpal bone has slight independent mobility. For example, the scaphoid contributes to midcarpal stability by articulating distally with the trapezium and the trapezoid. In contrast, the distal row is more rigid as its transverse arch moves with the metacarpals. Biomechanically and clinically, the carpal bones are better conceptualized as three longitudinal columns: In this context the pisiform is regarded as a sesamoid bone embedded in the tendon of the