The volar ligaments have been removed and the articular capsules have been incised to allow the carpal and metacarpal bones to be pulled apart. The interosseous ligament between the hamate and capitate has been cut. The interosseous ligaments of the bases of the metacarpals have also been incised.
Palmar metacarpal ligaments
Intermetacarpal joint
Hamulus of hamate bone
Interosseous intercarpal ligament
Hamate bone
Extensor carpi ulnaris muscle (tendon of insertion)
Synovial fold
Joint capsule of pisiform bone
Joint of pisiform bone (cavity extends proximally nearly to articular disc, 13)