Short bone

Medically Reviewed by Anatomy Team

Short bones are a type of bone characterized by their roughly equal dimensions of length, width, and thickness, giving them a cube-like shape. These bones are primarily composed of spongy bone tissue covered by a thin layer of compact bone. The structure of short bones allows them to provide stability and support with little movement. They are designed to bear weight and handle stress from multiple directions.

Where is it located?

Short bones are located in the wrists and ankles. In the wrist, they are found as the carpal bones, comprising eight small bones arranged in two rows. In the ankle, they are present as the tarsal bones, which include seven bones forming the ankle and part of the foot. Examples of short bones include the scaphoid, lunate, and cuboid bones. These bones play a crucial role in providing stability and facilitating complex movements in the hands and feet.

Anatomy

Short bones are small, cube-shaped bones that are primarily designed for strength and stability with limited movement. Their structure is distinct, providing a balance between compact and spongy bone tissue, making them well-suited for their roles in the body.

General Structure

Shape and Size

Short bones are roughly equal in length, width, and thickness, giving them a cube-like appearance. Their dimensions allow them to fit tightly together with adjacent bones, forming a robust and stable structure.

Composition

Short bones consist of a thin outer layer of compact bone and an inner core of spongy (cancellous) bone. The compact bone provides strength and a smooth surface, while the spongy bone contains red bone marrow, which is involved in hematopoiesis.

Compact Bone

Outer Layer

The outer surface of short bones is covered by a thin layer of compact bone. This dense, hard layer provides protection and strength, enabling the bone to withstand compressive forces.

Periosteum

The compact bone is covered by the periosteum, a fibrous membrane that contains blood vessels, nerves, and lymphatic vessels. The periosteum plays a crucial role in nourishing the bone and facilitating repair and growth.

Spongy Bone

Trabecular Structure

The interior of short bones is composed of spongy bone, characterized by a lattice-like network of trabeculae (tiny bone struts). These trabeculae are oriented along lines of stress, providing structural support and flexibility.

Red Bone Marrow

Within the spaces of the trabeculae, red bone marrow is present. This marrow is responsible for the production of blood cells, including red blood cells, white blood cells, and platelets.

Bone Marrow

Hematopoietic Function

The red bone marrow within the spongy bone of short bones is actively involved in hematopoiesis. This process is essential for maintaining healthy levels of blood cells in the body.

Nutrient Supply

The bone marrow receives a rich supply of nutrients through the blood vessels that penetrate the bone via the periosteum. This supply is vital for the production and maturation of blood cells.

Examples of Short Bones

Carpal Bones (Wrist)

The carpal bones are a group of eight short bones located in the wrist. They are arranged in two rows and include:

  • Proximal Row: Scaphoid, Lunate, Triquetrum, Pisiform
  • Distal Row: Trapezium, Trapezoid, Capitate, Hamate

Tarsal Bones (Ankle)

The tarsal bones are a group of seven short bones located in the ankle and foot. They include:

  • Calcaneus: The largest tarsal bone, forming the heel.
  • Talus: Articulates with the tibia and fibula to form the ankle joint.
  • Navicular: Located medially, in front of the talus.
  • Cuboid: Located laterally, in front of the calcaneus.
  • Cuneiform Bones (Medial, Intermediate, Lateral): Located in front of the navicular and medial to the cuboid.

Function

Short bones play critical roles in the human skeletal system, contributing to stability, support, movement, and protection. Their unique structure and composition allow them to fulfill these functions effectively.

Support and Stability

Structural Support

Short bones provide robust structural support in areas that require stability. For example, the carpal bones in the wrist and the tarsal bones in the ankle form solid structures that support the weight of the hand and foot, respectively.

Joint Stability

The shape and articulation of short bones contribute to the stability of joints. In the wrist and ankle, the close-fitting arrangement of short bones helps maintain the integrity of these joints, preventing dislocations and maintaining proper alignment.

Facilitation of Movement

Range of Motion

Short bones contribute to the flexibility and range of motion in the wrist and ankle. The multiple articulations between the carpal and tarsal bones allow for complex movements, such as flexion, extension, abduction, and adduction.

Smooth Articulation

The smooth surfaces of short bones, covered with articular cartilage, facilitate smooth movement at the joints. This reduces friction and wear on the bones, allowing for efficient and pain-free motion.

Load Distribution

Shock Absorption

The spongy bone within short bones acts as a shock absorber, distributing forces evenly across the bone and reducing the impact on any single area. This is particularly important in the wrist and ankle, which are subjected to significant forces during activities like walking, running, and grasping.

Weight Bearing

Short bones help distribute weight and load across the skeletal structure. In the feet, the tarsal bones work together to bear the body’s weight and distribute it across the foot, aiding in balance and stability.

Protection

Protection of Vital Structures

In addition to providing structural support, short bones also protect vital structures such as nerves and blood vessels. The arrangement of the carpal bones protects the median nerve and the tendons that pass through the carpal tunnel in the wrist.

Shielding Soft Tissues

The compact bone layer of short bones provides a hard protective shell, shielding the internal spongy bone and bone marrow, as well as surrounding soft tissues, from damage due to external forces.

Hematopoiesis

Blood Cell Production

The red bone marrow within the spongy bone of short bones is involved in hematopoiesis, the production of blood cells. This function is crucial for maintaining healthy levels of red blood cells, white blood cells, and platelets in the body.

Energy Storage

Fat Storage

In addition to their role in blood cell production, short bones store adipose tissue in the yellow marrow. This fat serves as an energy reserve that can be mobilized when needed by the body.

Clinical Significance

Short bones are vital components of the skeletal system, and their health and functionality are crucial for overall mobility and stability. Understanding the clinical significance of short bones is essential for diagnosing and treating various conditions and injuries that affect these structures.

Fractures and Injuries

Short bones, particularly the carpal bones in the wrist and the tarsal bones in the ankle, are prone to fractures due to their location and the stresses they endure. Common injuries include:

  • Scaphoid Fractures: The scaphoid bone in the wrist is one of the most frequently fractured carpal bones. These fractures often result from falls onto an outstretched hand and can be challenging to diagnose and treat due to the bone’s poor blood supply, which can lead to avascular necrosis and delayed healing.
  • Tarsal Bone Fractures: Fractures of the calcaneus (heel bone) or talus can occur from high-impact activities or accidents. These fractures can severely impact mobility and require prolonged rehabilitation and sometimes surgical intervention.

Arthritis and Joint Disorders

Short bones are involved in various joint disorders, including:

  • Osteoarthritis: Degenerative changes can affect the joints formed by short bones, leading to pain, stiffness, and decreased range of motion. Osteoarthritis commonly affects the wrists and ankles, impacting daily activities.
  • Rheumatoid Arthritis: This autoimmune condition can cause inflammation in the joints involving short bones, leading to pain, swelling, and deformities.

Carpal Tunnel Syndrome

The carpal bones form the carpal tunnel, a narrow passageway in the wrist through which the median nerve passes. Compression of this nerve, often due to inflammation or overuse, leads to carpal tunnel syndrome. This condition causes pain, numbness, and weakness in the hand and wrist and requires medical intervention, ranging from conservative treatments to surgical release of the carpal tunnel.

Foot Disorders

Short bones in the foot, particularly the tarsal bones, are involved in various foot disorders:

  • Flatfoot (Pes Planus): This condition can result from abnormalities in the tarsal bones, leading to a collapse of the arch of the foot and causing pain and difficulty in walking.
  • Tarsal Coalition: A congenital condition where two or more tarsal bones are abnormally fused, leading to pain, stiffness, and limited foot mobility.

Bone Health and Disease

Conditions affecting bone health, such as osteoporosis, can also impact short bones. Although osteoporosis primarily affects long bones, the decreased bone density can lead to an increased risk of fractures in short bones, especially in the elderly.

In this Article: