Journal of Hand Surgery (British and European Volume)

 

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

Articles

Transverse Sliding of the Median Nerve Beneath the Flexor Retinaculum

K. NAKAMICHI and 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.


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