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The carpometacarpal joint of the thumb, also known as the first carpometacarpal joint, or the trapeziometacarpal joint (TMC) because it connects the trapezium to the first metacarpal bone, plays an irreplaceable role in the normal functioning of the thumb.
The palmar aspect of the joint is stabilized by a plate of fibrocartilage called the volar plate. The metacarpal bones articulate with the wrist to form five carpometacarpal (CMC) joints. The first CMC joint has a saddle-shaped surface that allows it to move in all directions.