Visual System Medicine PowerPoint shapes - Templates Phalanges of the fingers as well as the metacarpal bones are short tubular bones. Each finger has three phalanges: main (proximal), middle, and end, or nail (distal). The exception is the big toe, which is formed by only two phalanges - the main and nail. Between the fifth bone and phalanges of each finger form movable joints. Download Visual System PowerPoint shapes Templates for presentation.