[1] The distal surface is divided by two ridges into three facets, for articulation with the second, third, and fourth metacarpal bones, that for the third being the largest.
[1] The palmar surface is narrow, rounded, and rough, for the attachment of ligaments and a part of the adductor pollicis muscle.
[1] The lateral surface articulates with the lesser multangular by a small facet at its anterior inferior angle, behind which is a rough depression for the attachment of an interosseous ligament.
Above this is a deep, rough groove, forming part of the neck, and serving for the attachment of ligaments; it is bounded superiorly by a smooth, convex surface, for articulation with the scaphoid bone.
[1] The medial surface articulates with the hamate bone by a smooth, concave, oblong facet, which occupies its posterior and superior parts; it is rough in front, for the attachment of an interosseous ligament.
H. A. Harris wrote in the British Medical Journal in 1944 that "the strength of construction of the hand in a man is concentrated in the radius, thumb, and index and middle fingers."
Once the cast has been removed, the patient begins physiotherapy to regain the range of movement of the wrist joint and strength in the muscles involved.
This is due to a breakdown of the capitate caused by the lack of blood supply and healing (avascular necrosis).