Ulnar canal

Ulnar canal

Transverse section across the wrist and digits.

Superficial palmar nerves.
Details
Identifiers
Latin canalis ulnaris
Dorlands
/Elsevier		 c_04/12207652
TA A03.5.11.202
FMA 42358

Anatomical terminology

The ulnar canal or ulnar tunnel (also known as Guyon's canal or tunnel) is a semi-rigid longitudinal canal in the wrist that allows passage of the ulnar artery and ulnar nerve into the hand.[1] The roof of the canal is made up of the superficial palmar carpal ligament, while the deeper flexor retinaculum and hypothenar muscles comprise the floor. The space is medially bounded by the pisiform and pisohamate ligament on the ulnar side, and the hook of the hamate on the radial side.[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

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

Clinical significance

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 on ulnar nerve entrapment.) This is known as ulnar nerve entrapment or Guyon's canal syndrome. There are four subtypes of ulnar neuropathy at the wrist, of which type II is the most common. may be secondary to ganglion cyst formation, or compression against a bicycle handlebar.

See also

References

  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. PMID 5805411.


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