Carpal Tunnel Flashcards

1
Q

what forms the flexor retinaculum?

A

anterior fascia of the forearm thickening distally (transverse carpal ligament)

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2
Q

what does the flexor retinaculum prevent?

A

bowstringing of the tendons during flexion

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3
Q

what forms the carpal tunnel?

A

carpal bones posteriorly

flexor retinaculum anteriorly

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4
Q

what does the carpal tunnel contain?

A

4 x FDS (flexor digitorum superficialis)
4 x FDP (flexor digitorum profundus)
FPL (flexor pollicis longus)
median nerve

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5
Q

what causes the Hand of Benediction

A

median nerve lesion that is proximal to the carpal tunnel as the palmar cutaneous branch (which is outside the tunnel) is also affected

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6
Q

what do median nerve palsies potentially present with?

A

ape hand
abnormal OK sign
hand of benediction

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7
Q

what does the median nerve innervated?

A

thenar eminence and lateral 2 lumbricals

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8
Q

what does the thenar eminence consist of?

A

abductor pollicis brevis
flexor pollicis
opponens pollicis

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