Web Definition: Carpal Tunnel
The carpal tunnel is a fibro-osseous tunnel on the palmar surface of the carpal bones which transmits a number of tendons & the median nerve from the forearm into the hand. Surface markings are, proximally, the distal wrist crease; distally, the hook of the hamate bone. The recurrent thenar branch of the median nerve, the motor branch to the thenar eminence, leaves the median nerve in or beyond the carpal tunnel, then curves back over the flexor retinaculum to reach the thenar emminence. It is endagered in carpal tunnel surgery if the incision over the carpal tunnel is mede too far laterally. The base & walls of the carpal tunnel are a concave bony channel formed by the carpal bones. The flexor retinaculum, or transverse carpal ligament, forms the roof of the carpal tunnel. It attaches to the scaphoid tubercle & ridge of the trapezium laterally & to the pisiform & hook of the hamate laterally. Palmaris longus tendon merging with palmar aponeurosis. The median nerve is immediately deep to the retinaculum. Flexor carpi radialis tendon, in its own synovial sheath.
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