Locking first metacarpal plate

1. A bone plate sized and shaped for fixation to a phalangeal bone, comprising:

a head extending from a first end to a second end and having first, second third and fourth fixation element holes extending therethrough and arranged in a diamond configuration on the head, an outer wall of the head having a diamond shape corresponding to the diamond configuration, a bone contacting surface of the head being contoured to conform to the anatomy of a dorsal surface of a first metacarpal, the contour being curved to be seated over a protuberance at a head of the first metacarpal; and a shaft extending from the head, the shaft including an elongated fixation element hole elongated in a direction parallel to a longitudinal axis of the bone plate, wherein the head includes a guidewire hole extending therethrough.

2. The bone plate of claim 1 , wherein an axial length of the head along the longitudinal axis is greater than a width of the head.

3. The bone plate of claim 2 , wherein the elongated fixation element hole is centered about the longitudinal axis.

4. The bone plate of claim 1 , wherein the second and third plate holes are aligned along an axis extending orthogonal to the longitudinal axis at a location having a maximum width of the head.

5. The bone plate of claim 1 , wherein the bone plate is symmetric about the longitudinal axis.

6. The bone plate of claim 1 , further comprising a reduced diameter neck extending between the head and the shaft.

7. The bone plate of claim 6 , wherein the shaft further comprises fifth and sixth fixation element holes extending along the longitudinal axis.

8. The bone plate of claim 6 , further comprising a plurality of notches formed in first and second side walls of the bone plate, the plurality of notches defining reduced width regions of the bone plate.

9. The bone plate of claim 6 , further comprising a tapered region extending around a periphery of the bone plate to reduce a profile thereof.