Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand, called the carpometacarpal joints, where a small immovable protuberance occurs when this joint becomes swollen or bossed.
The joint between the index metacarpal and the capitate is a fibrous non-mobile joint. Some people have a gene that leads to this growth. It looks like arthritis (bone spurs on each side of the joint) on X-ray. It looks like a ganglion on the hand, but more towards the fingertips.
Bosses are usually painless and will never cause more than a slight ache. They tend to be of manageable size, but on occasion the extensor tendons can slide over the bump, which can be annoying. Sometimes there is a ganglion cyst along with the boss.
Often, this condition will be mistaken for a ganglion cyst due to its location and external appearance.
Carpometacarpal boss is uncommon and there is not much scientific data. It is likely genetic as often present on both hands. There is no evidence that it is related to hand use. Typically, this condition will begin to show itself in the 3rd or 4th decade.
- Conway, William F.; et al. (1984). "The Carpal Boss: An Overview of Radiographic Evaluation" (PDF). Radiology. 156 (1): 29–31. PMID 3923555. doi:10.1148/radiology.156.1.3923555. Retrieved February 2010. Check date values in:
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- Walker, Lorenzo G. "Carpometacarpal Boss". The Hand Center of Ventura County. Archived from the original on 2009-06-08. Retrieved February 2010. Check date values in:
|Wikimedia Commons has media related to Carpal boss.|
- Mennen, Ulrich (May 2004). ""Bossing" of the second and third Carpo-Meta-Carpal joint". Electronic Doctor. Retrieved February 2010. Check date values in:
- About.com: Orthopedics - Bossing
- Carpal Boss: An Overview of Radiographic Evaluation[permanent dead link]
- The Internet Journal of Orthopedic Surgery
- Electronic Doctor
- eMedicine from WebMD