The flexor retinaculum attaches medially to the hook of the hamate and laterally splits into two laminae that attach to the tubercle of the scaphoid and crest of the trapezium. It transmits the median nerve and tendons of the flexor muscles in the carpal tunnel. Structures superficial to it include the ulnar nerve and artery, while deep structures include the median nerve and flexor tendons. It functions to maintain the tendons in position through the wrist. Carpal tunnel syndrome results from compression of the median nerve in the tunnel. The extensor retinaculum divides the back of the wrist into six compartments for the extensor tendons through sept
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The flexor retinaculum attaches medially to the hook of the hamate and laterally splits into two laminae that attach to the tubercle of the scaphoid and crest of the trapezium. It transmits the median nerve and tendons of the flexor muscles in the carpal tunnel. Structures superficial to it include the ulnar nerve and artery, while deep structures include the median nerve and flexor tendons. It functions to maintain the tendons in position through the wrist. Carpal tunnel syndrome results from compression of the median nerve in the tunnel. The extensor retinaculum divides the back of the wrist into six compartments for the extensor tendons through sept
The flexor retinaculum attaches medially to the hook of the hamate and laterally splits into two laminae that attach to the tubercle of the scaphoid and crest of the trapezium. It transmits the median nerve and tendons of the flexor muscles in the carpal tunnel. Structures superficial to it include the ulnar nerve and artery, while deep structures include the median nerve and flexor tendons. It functions to maintain the tendons in position through the wrist. Carpal tunnel syndrome results from compression of the median nerve in the tunnel. The extensor retinaculum divides the back of the wrist into six compartments for the extensor tendons through sept
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as PPT, PDF, TXT or read online from Scribd
The flexor retinaculum attaches medially to the hook of the hamate and laterally splits into two laminae that attach to the tubercle of the scaphoid and crest of the trapezium. It transmits the median nerve and tendons of the flexor muscles in the carpal tunnel. Structures superficial to it include the ulnar nerve and artery, while deep structures include the median nerve and flexor tendons. It functions to maintain the tendons in position through the wrist. Carpal tunnel syndrome results from compression of the median nerve in the tunnel. The extensor retinaculum divides the back of the wrist into six compartments for the extensor tendons through sept
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Flexor retinaculum
Attachment: Medially: besiform& hook of hamate. Laterally: split into two laminae;the superficial attached to tubercle of scaphoid and crest of trapezium. Deep lamina: attached to med. Lip of groove of trapezium. (The tendon of flexor carpi radialis lies between the 2 lamina). Proximally: continuous with antebrachial fascia. Distally: continuous with palmar aponeurosis Structures superficial to flexor retinaculum From medial to lateral: 1- ulnar nerve close to bisiform 2- ulnar artery 3- palmar cutaneous branch of ulnar nerve 4- tendon of palmaris longus 5- palmar cutaneous branch of median nerve Structures deep to flexor retinaculum 1- median nerve most superficial 2- 4 tendons of flexor digitorum superficialis and 4 tendons of flexor digitorum profundus ( in common synovial sheath) 3- 1 tendon of flexor pollicis longus in its synovial sheath 4- recurrent branch from deep palmar arch Functions of flexor retinaculm Protection and maintining the tendons in position carpal tunnel It is the space between the concave anterior surface of carpal bone and flexor retinaculum Contents of the tunnel: 1- median nerve 2-tendon of flexor PL& its sheath 3&4- tendons of FDS & FDP in the common sheath.
Carpal tunnel syndrome: it is compression of median nerve within the
tunnel by: a) Inflammation of synovial sheaths of flexor tendons b) Dislocation of lunate bone c) thickness of retinaculum by arthritis Manifistations: Ape hand 1- adducted thumb 2- wasting of thenar muscle 3- loss of opposition of thumb 4- loss of sensation over lat. 3.5 fingers Extensor retinaculum Attachment: Laterally: ant. border of radius above styloid process. Medially triquetral and pisiform bones. The space deep to it is 1 divided into 6 tunnels by 5 septa. Contents: 1st compatment: on lat. Side of styloid process of radius 2nd compartment: on back of radius lat. To dorsal tubercle. 3rd compartment back of radius just med. To dorsal tubercle. 4th compartment: on back of radius med. To later one. 5th compartment: between radius and ulna. 6th compartment: back of ulna between head of and styloid process 56
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Indicis + longus Post.interos.N+ant interos.A
minimi
6 Anatomical snuff box: It is a triangular hollow situated on lat. Side of back of thumb near wrist joint Boundaries: Laterally: tendons of APL & EPB Medially: tendon of EBL Floor: back of scaphoid and trapezium Roof: skin, superficial fascia containing cephalic vein, dorsal digital brs of superficial branch of radial nerve Contents: radial A & tendons of Extensor carpi radialis longus and brevis
