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Journal of Hand Surgery (British and European Volume)
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Transverse Sliding of the Median Nerve Beneath the Flexor Retinaculum

K. NAKAMICHI
S. TACHIBANA

From the Department of Orthopaedic Surgery, Torano-mon Hospital, Tokyo, Japan

Correspondence: Ken-ichi Nakamichi, M.D., Department of Orthopaedic Surgery, Torano-mon Hospital, 2-2-2 Toranomon Minato-ku, Tokyo 105, Japan.

Transverse sliding of the median nerve beneath the flexor retinaculum during active-resistant flexion of the fingers was sonographically demonstrated. Although it is a physiological phenomenon, it may cause mechanical nerve deformation in addition to longitudinal sliding when the nerve is subject to compression against the flexor retinaculum by tensed overlying flexor tendons.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 2, 213-216 (1992)
DOI: 10.1016/0266-7681(92)90092-G
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[Abstract] [PDF]