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A comprehension of the customized geometry of distal carpals is essential for preoperative planning and creation of implants and fixators.1 The distal carpals are prone to fractures and avascular necrosis. The distal morphology and morphometry influence the development or progression of various wrist pathologic conditions, such as kienbock’s disease and post-traumatic arthritis and the outcome of certain surgical procedures. The fracture of the hook of hamate is quite common in athletes, especially baseball players, golfers and tennis players.1,2 Trapezoid fractures occur in 0. 4% of all carpal injuries.3 The bend of the hamate hook could be its weakest part and is prone to avascular necrosis.4 The capitate is another bone prone to avascular necrosis.5The size of the trapezium must be taken into consideration when implanting a trapeziometacarpal prosthesis.6

The Distal Row Carpal Bones - A Morphometric Treatise