Wrist hand Path 1 pt2 Flashcards
Borders of guyons canal
Pisiform
Hamate
Transverse carpal ligament
Volar carpal ligament
How many entrapment zones are there in guyons canal?
3
Zone 1 entrapment
Proximal to canal before division of deep and superficial nerve
Zone 2 entrapment
Entrapment after division of deep and superficial nerve between ADM and FDM muscles. Superficial nerve is spared
Zone 3 entrapment
Entrapment occurs distal to ulnar tunnel medially in canal and compressing superficial nerve
Zone 1 entrapment symptoms
Motor weakness of all intrinsics
Sensation loss of 4-5 digits
Zone 2 entrapment symptoms
No loss of sensation
Motor weakness of intrinsics with exception of some hypothenar muscles (palmaris brevis)
Zone 3 entrapment of symptoms
Sensation loss of 4-5th digits