3.3. Carpal Tunnel Flashcards

1
Q

What is the Carpal Tunnel?

A

A Narrow Passageway found on the Anterior Portion of the Wrist

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2
Q

What is the function of the Carpal Tunnel?

A

It serves as the Entrance to the Palm for Several Tendons and the Medial Nerve

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3
Q

How many Layers form the Carpal Tunnel?

A

2

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4
Q

What are the 2 Layers of the Carpal Tunnels?

A
  1. Deep Carpal Arch

2. Superficial Flexor Retinaculum

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5
Q

How do the Deep Carpal Arch and Superficial Flexor Retinaculum form the Carpal Tunnel?

A

A Concave Surface, which is converted into a Tunnel by the Overlying Superficial Flexor Retinaculum

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6
Q

Which side of the Deep Carpal Arch is Concave?

A

The Palmar Side

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7
Q

What parts of the Carpal Tunnel is formed by the Deep Carpal Arch?

A
  1. Base of the Carpal Tunnel

2. Sides of the Carpal Tunnel

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8
Q

What forms the Lateral Wall of the Carpal Tunnel?

A
  1. Scaphoid

2. Trapezium tubercles

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9
Q

What forms the Medial Wall of the Carpal Tunnel?

A
  1. Hook of the Hamate

2. Pisiform

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10
Q

What type of Tissue forms the Superficial Flexor Retinaculum?

A

Thick Connective Tissue

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11
Q

How does the Superficial Flexor Retinaculum turn the Carpal Arch into the Carpal Tunnel?

A

By Bridging the Space between the Medial and Lateral parts of the Arch

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12
Q

Where does the Superficial Flexor Retinaculum Originate from?

A

Lateral Side of the Carpal Arch

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13
Q

Where does the Superficial Flexor Retinaculum insert into?

A

Medial Side of the Carpal Arch

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14
Q

How many Tendons are contained in the Carpal Tunnel?

A

9

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15
Q

What Surrounds the Tendons contained in the Carpal Tunnel?

A

Synovial Sheaths

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16
Q

What nerve is contained in the Carpal Tunnel?

A

Median Nerve

17
Q

What Branch of the Median Nerve splits off before the Carpal Tunnel?

A

Palmar Cutaneous Branch of the Median Nerve

18
Q

Where does the Palmar Cutaneous Branch of the Median nerve travel, in relation to the Carpal Tunnel?

A

Superficially to the Superficial Flexor Retinaculum

19
Q

What are the Tendons which travel through the Carpal Tunnel?

A
  1. 1 x Tendon of the Flexor Pollicus Longus
  2. 4 x Tendons of the Flexor Digitorum Profundus
  3. 4 x Tendons of the Flexor Digitorum Superficialis
20
Q

How many Synovial Sheaths surround the 4 Tendons of the Flexor Digitorum Profundus, and the Tendons of the Flexor Digitorum Superficialis?

A

1

21
Q

What is the only Tendon, to be contained in the Carpal Tunnel, which has its own Synovial Sheath?

A

Tendon of the Flexor Pollicus Longus

22
Q

What is the function of the Synovial Sheaths?

A

It allows Free Movement of the Tendons

23
Q
  1. What Tendon is often said to be in the Carpal Tunnel, but actually isn’t?
  2. Where is this actually found?
A
  1. Flexor Carpi Radialis Tendon

2. Within the Flexor Retinaculum

24
Q

What happens to the Median Nerve, once it has passed through the Carpal Tunnel?

A

It Divides into 2 Branches

25
Q

What are the 2 Branches the Median Nerve Divides into after passing through the Carpal Tunnel?

A
  1. Recurrent Branch of the Median Nerve

2. Palmar Digital Nerves

26
Q

What does the Recurrent Branch of the Median Nerve, innervate?

A

Thenar Muscle Group

27
Q

What do the Palmar Digital Nerve Branch, of the Median Nerve, Innervate?

A

Lateral 2 Lumbrical Muscles

28
Q

What does the Palmar Digital Nerve Branch, of the Median Nerve, provide Sensory Innervation for?

A
  1. Palmar Skin

2. Dorsal Nail Beds of the Lateral 3 1/2 Digits