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Ulnar canal

From Wikipedia, the free encyclopedia
Passageway through the wrist for the ulnar nerve and artery
Ulnar canal
Transverse section across the wrist and digits.
Superficial palmar nerves.
Details
Identifiers
Latincanalis ulnaris
TA98A03.5.11.202
TA22552
FMA42358
Anatomical terminology

Theulnar canal orulnar tunnel(also known asGuyon's canalortunnel) is a semi-rigid longitudinal canal in the wrist that allows passage of theulnar artery andulnar nerve into the hand.[1] (These are named after theulna, the long bone on the little finger side of the arm.) The roof of the canal is made up of the superficialpalmar carpal ligament, while the deeperflexor retinaculum andhypothenar muscles comprise the floor. The space is medially bounded by thepisiform andpisohamate ligament more proximally, and laterally bounded by thehook of the hamate more distally.[2][3] It is approximately 4 cm long, beginning proximally at the transverse carpal ligament and ending at the aponeurotic arch of the hypothenar muscles.[4]

Eponym

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The ulnar tunnel is named after the French surgeonJean Casimir Félix Guyon, who originally described the canal in 1861.[5]

Clinical significance

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Entrapment of the ulnar nerve at the ulnar canal can result in symptoms of ulnar neuropathy, including numbness or weakness of certain parts of the hand.[6] (See full article onulnar nerve entrapment.) This is known asulnar nerve entrapment orGuyon's canal syndrome. There are four subtypes ofulnar neuropathy at the wrist, of which type II is the most common. Guyon's canal syndrome[7] may be secondary toganglion cyst formation, or compression against abicycle handlebar.

See also

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References

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  1. ^Stanley Hoppenfeld; Michael S. Zeide (1994).Orthopaedic Dictionary. Lippincott Williams & Wilkins.ISBN 978-0-397-51311-6.
  2. ^Hatch, Daniel (Aug 20, 2014)."Ulnar Tunnel Syndrome".Orthobullets.
  3. ^James R. Doyle (2003).Surgical Anatomy of the Hand and Upper Extremity. Lippincott Williams & Wilkins. pp. 682–.ISBN 978-0-397-51725-1.
  4. ^Wheeless, III, Clifford R. (Dec 21, 2012)."Tunnel of Guyon".Wheeless' Textbook of Orthopaedics. Duke Orthopaedics.
  5. ^Guyon, Felix (1861). "Note sur une disposition anatomique propere a la face anterieure de la region du poignet et non encore decrite".Bull Soc Anat Paris.6:184–186.
  6. ^Shea, JD; McClain, EJ (1969). "Ulnar-nerve compression syndromes at and below the wrist".The Journal of Bone and Joint Surgery. American Volume.51 (6):1095–103.doi:10.2106/00004623-196951060-00004.PMID 5805411.
  7. ^Aleksenko, Dmitri; Dulebohn, Scott C. (2018).StatPearls. Treasure Island (FL): StatPearls Publishing.PMID 28613717.
Shoulder
Sternoclavicular
Acromioclavicular
Glenohumeral
Elbow
Humeroradial
Humeroulnar
Proximal radioulnar
Forearm
Distal radioulnar
Hand
Wrist/radiocarpal
Intercarpal
Carpometacarpal
Intermetacarpal
Metacarpophalangeal
Interphalangeal
Other
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