Practical anatomy of the carpal tunnel

Hand Clinics

Volumn 18, Issue 2, 2002, Pages 219-230

  Rotman, Mitchell B ^a   Donovan, James P ^b  

^a Orthopedic Center of St Louis   (United States)

^b S LOUIS UNIV HLTH SCIENCES CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANATOMY; ARTICLE; CARPAL BONE; FASCIA; HAND GRIP; HAND MUSCLE; HUMAN; LIGAMENT; MEDIAN NERVE; POSTOPERATIVE COMPLICATION; SURGICAL ANATOMY; SURGICAL TECHNIQUE; ULNA; WRIST;

EID: 0036586878     PISSN: 07490712     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0749-0712(01)00003-8     Document Type: Review

References (55)

1. Cobb T, Dalley B, Posteraro R, Lewis R. Anatomy of the flexor retinaculum. J Hand Surg 1993;18:91-9.
2. Robbins H. Anatomical study of the median nerve in the carpal tunnel and etiologies of the carpal tunnel syndrome. J Bone Joint Surg 1963;45:953-66.
3. Papaioannou T, Rushworth G, Atar D, Dekel S. Carpal canal stenosis in men with idiopathic carpal tunnel syndrome. Clin Ortho Rel Res 1992;285:210-3.
4. Richman J, Gelberman R, Rydevik B, Gylys-Morin V, Hajek P, Sartoris D. Carpal tunnel volume determination by magnetic resonance imaging three-dimensional reconstruction. J Hand Surg 1987;12:712-7.
5. Cobb T, Bond J, Cooney W, Metcalf B. Assessment of the ratio of carpal contents to carpal tunnel volume in patients with carpal tunnel syndrome. A preliminary report. J Hand Surg 1997;22:635-9.
6. Kaplan E, Milford L. The retinacular system of the hand. In: Spinner M, editor. 3rd edition. Kaplan's functional and surgical anatomy of the hand. Philadelphia: JB Lippincott; 1984, p. 245-282.
7. Nigro R. Anatomy of the flexor retinaculum of the wrist and the flexor carpi radialis tunnel. Hand Clin 2001;17:61-4.
8. Kay N, Marshall P. A safe reliable method of carpal tunnel injection. J Hand Surg 1992;17:1160-1.
9. Szabo R. Carpal tunnel syndrome-general, operative nerve repair and reconstruction. Gelberman, RH, editor. Volume II. Philadelphia: JB Lippincott. p. 869-88.
10. Rotman M, Manske P. Anatomic relationships of an endoscopic carpal tunnel device to surrounding structures. J Hand Surg 1993;18:442-50.
11. Cobb T, Knudson G, Cooney W. The use of topographical landmarks to improve the outcome of Agee endoscopic carpal tunnel release arthroscopy. J Arthroscopic Related Surg 1995;11:165-72.
12. Chow J. An illustrated guide to endoscopic release of the carpal tunnel two-portal manual, Smith & Nephew Dyonics, Inc.; 1990.
13. Hoppenfeld S. Surgical exposure in orthopaedics: the anatomic approach, 2nd edition. Philadelphia: JB Lippincott; 1994. p. 174.
14. Johnson R, Shrewsbury M. Anatomical course of the thenar branch of the median nerve-usually in a separate tunnel through the transverse carpal ligament. J Bone Joint Surg 1970;2:269-73.
15. Schmidt H-M, Lanz. Anatomy of the median nerve in the carpal tunnel, operative nerve repair and reconstruction. Gelberman, RH, editor, Volume II. Philadelphia: JB Lippincott. p. 889-97.
16. Tanzer R. The carpal tunnel syndrome. A clinical and anatomical study. J Bone Joint Surg 1959;41:626-34.
17. Tanabe T, Okutsu I. An anatomical study of the palmar ligmentous structures of the carpal canal. J Hand Surg (Br) 1997;22:754-7.
18. Siverhus S, Kremcheck T, Smith W, Basch T, Drake R. A cadaveric study of the anatomic variations of the recurrent motor branch of the median nerve. Orthop Rev 1989;18:315-20.
19. Garcia-Elias M, An K, Cooney W. Stability of the transverse carpal arch: an experimental study. J Hand Surg 1989;14:277-82.
20. Davlin L, Aulicino P, Bergfield T. Anatomical variations of the median nerve at the wrist. Orthop Rev 1992;21:955-9.
21. Lanz U. Anatomical variations of the median nerve in the carpal tunnel. J Hand Surg 1977;1:44-53.
22. Ogden J. An unusual branch of the median nerve. J Bone Joint Surg 1972;54:1779-81.
23. Tountas C, Bihrle D, MacDonald C, Berman R. Variations of the median nerve in the carpal canal. J Hand Surg (Am) 1987;12:708-12.
24. Entin M. Carpal tunnel syndrome and its variants. Surg Clin North Am 1968;48:1097.
25. Kozin S. The anatomy of the recurrent branch of the median nerve. J Hand Surg 1998;23:852-8.
26. Mumford J, Morecraft R, Blair WM. Anatomy of the thenar branch of the median nerve. J Hand Surg 1987;12:361-5.
27. Ritter M. The anatomy and function of the palmar fascia. Hand 1973;5:263-7.
28. Caughell K, McFarlene R, McGrouther D, Martin A. Developmental anatomy of the palmar aponeurosis and its relationship to the palmaris longus tendon. J Hand Surg 1988;13:485-93.
29. Manske P, Lesker P. Palmar aponeurosis pulley. J Hand Surg 1983;8:259-63.
30. Netscher D, Polsen C, Thornby J, Choi H, Udeh J. Anatomic delineation of the ulnar nerve and ulnar artery in relation to the carpal tunnel by axial magnetic resonance imaging scanning. J Hand Surg 1996;21:273-6.
31. Cobb T, Carmichael S, Cooney W. The ulnar neurovascular bundle at the wrist. J Hand Surg 1994;19:24-6.
32. Lindsey J, Watumull D. Anatomic study of the ulnar nerve and related vascular anatomy at guyon's canal: a practical classification system. J Hand Surg 1996;21:626-33.
33. Terrono A, Belsky M, Feldon P, Nalebuff E. Injury to the deep motor branch of the ulnar nerve during carpal tunnel release. J Hand Surg 1993;18:1038-40.
34. Meals R, Shaner M. Variations in digital sensory patterns. J Hand Surg 1983;8:411-4.
35. Ferrari G, Gilbert A. The superficial anastomosis on the palm of the hand between the ulnar and median nerves. J Hand Surg 1991;16:511-4.
36. Bas H, Kleinert J. Anatomic variations in sensory innervation of the hand and digits. J Hand Surg 1999;24:1171-84.
37. Agee J. The Agee surgical technique for the 3M Agee carpal tunnel release system. St. Paul, MN: 3M Health care; 1996.
38. North E, Gelberman R. Carpal tunnel release, operative nerve repair and reconstruction. Gelberman RH, editor. Volume II. Philadelphia: JB Lippincott, 1991. p. 899-920.
39. Engber W, Gmeiner G. Palmar cutaneous branch of the ulnar nerve. J Hand Surg 1980;5:26-9.
40. Taleisnik J. The palmar cutaneous branch of the median nerve and the approach to carpal tunnel. J Bone Joint Surg 1973;55:1212-7.
41. Martin C, Seiler J, Lesesne J. Cutaneous innervation of the palm: an anatomic study of the ulnar and median nerves. J Hand Surg 1996;21:634-8.
42. DaSilva M, Moore D, Weiss AP, Akelman E, Sikirica M. Anatomy of the palmar cutaneous branch of the median nerve: clinical significance. J Hand Surg 1996;21:639-43.
43. Watchmaker G, Weber D, Mackinnon S. Avoidance of transection of the palmar cutaneous branch of the median nerve in carpal tunnel release. J Hand Surg 1996;21:644-50.
44. McCabe S, Shaner M. Variations in digital sensory patterns. J Hand Surg 1983;8:411-4.
45. Bauer J, Trusell J. Palmaris profundus causing carpal tunnel syndrome. Orthopedics 1992;15:1348-50.
46. Lahey M, Aulicino P. Anomalous muscles associated with compression neuropathies. Orthop Rev 1986;15:19-28.
47. Herrick R, Herrick S. Median nerve compression at the wrist caused by a reversed palmaris longus muscle in an adolescent. Contemp Orthop 1990;21:583-5.
48. Siegel D, Kuzma G, Eakins D. Anatomic investigation of the role of the lumbrical muscles in carpal tunnel syndrome. J Hand Surg 1995;20:860-3.
49. Linburg R, Comstock B. Anomalous tendon slips from the flexor pollicis longus to the flexor digitorum profundus. J Hand Surg 1979;4:79-83.
50. Lombardi R, Wood M, Linscheid R. Symptomatic restrictive thumb-index flexor tenosynovitis: Incidence of musculotendinous anomalies and results of treatment. J Hand Surg 1988;13:325-8.
51. Denman E. The anatomy of the space of guyon. Hand 1978;10:69-75.
52. Dyreby J, Engber WM. Palmaris profundus: rare anomalous muscle. J Hand Surg 1982;7:513-4.
53. Nath R, MacKinnon S, Weeks P. Ulnar nerve transection as a complication of two-portal endoscopic carpal tunnel release: a case report. J Hand Surg 1993;18:896-8.
54. Shrewsbury M, Johnson RK, Ousterhout DK. The palmaris brevis-a reconsideration of its anatomy and possible function. J Bone Joint Surg 1972;54:344-8.
55. Reiman AF, Daseler EH, Anson BJ, Beaton LE. The palmaris longus muscle and tendon. Anat Rev 1994;89:495-505.