Page 87 - untitled
P. 87

AAAC38  21/5/05  10:48 AM  Page 86
           38 The carpal tunnel and joints of the wrist and hand
                                                               Ulna nerve and artery
                  Thenar
                                                               Hypothenar muscles
                  muscles
                                                               Flexor retinaculum
                  Flexor                                       Median nerve
                  carpi radialis                               Tendons of flexor
                                                 Vein
                  Flexor pollicis                              digitorum superficialis
                  longus
                                                               Tendons of flexor
                  Trapezium                                    digitorum profundus
                  Trapezoid                                    Hamate

                                                               Capitate
                  Fig.38.1
                  A diagrammatic cross-section through the carpal tunnel








                                                                                                   Flexor retinaculum
                     Radius
                                                                                                   Occasional
                                                         Ulna                                      communication
                                                                                Fig.38.2
                                                         Disc of                The synovial sheaths of the flexor tendons
                                                         fibrocartilage
                     Scaphoid
                                                         Midcarpal
                                                         joint
                     Trapezium                           Articular
                                                         cartilage

                     1st
                     metacarpal
                                                                       Dorsal tubercle of radius
                                                                          Extensor pollicis longus
                  Fig.38.3                                    Cephalic
                  The wrist and carpal joints                 vein             Scaphoid  First dorsal interosseous
                                                                                                  Extensor expansion





                                                                                               Extensor pollicus brevis
                                                                  Radial
                                                                  artery

                                                                           Abductor
                                                                           pollicus longus
                                                              Fig.38.4
                                                              The anatomical snuffbox



                86 Upper limb
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