
CHAPTER 10 PALM OF HAND The skin of the palm is thick and the superficial fascia contains palmaris brevis muscle across the base of hypothenar eminence. Deep fascia is thickened to form: Flexor retinaculum Palmar aponeurosis Fibrous flexor sheaths of digits Flexor retinaculum: It covers the anterior concave surface of the carpus into an osseo fibrous carpal tunnel Attachments: Medially – pisiform bone and hook of the hamate Laterally - tubercle of scaphoid and the crest of trapezium Structures passing superficial to flexor retinaculum: Palmaris longus tendon Palmar cutaneous branch of median nerve Palmar cutaneous branch of ulnar nerve Superficial palmar branch of radial artery Ulnar nerve and ulnar vessels In between superficial and deep slips on the lateral distal part, flexor carpi radialis tendon passes. Structures passing deep to flexor retinaculum: Median nerve Tendons of flex...