The carpal bones on the distal row are closer to the center of the hand and make up the center portion of the palm. Beginning at the thumb side of the hand, the trapezium has four distinct sides. The trapezoid has a wedge shape and is similar to the trapezium. It is the smallest bone in the distal row. The central capitate is the largest carpal bone. Finally, the hamate has a wedge shape and a hook-like process that reaches towards the surface of the palm.
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