Topographic anatomy of the ulnar tunnel

Young Chun Gil, Kang Jae Shin, Ju Young Lee, Kyung-Seok Hu, Heejin Kim, Wu Chul Song, Ki Seok Koh

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: The aim of this study was to clarify the definition of the anterior wall of the ulnar tunnel and to reveal the topographical characteristics of the various components of the ulnar tunnel. Materials and methods: Twenty-two forearms from 11 embalmed cadavers (7 males, 4 females; mean age, 67.8 years) were carefully dissected. Results: In all cases, the anterior wall of the ulnar tunnel comprised the hypothenar fascia, which originated from the tendon of the flexor carpi ulnaris muscle. The palmar carpal ligament, the distal extent of the antebrachial fascia, was located deep to the anterior wall and formed only the anterior boundary of the proximal hiatus of the ulnar tunnel. The hypothenar fascia was attached to the flexor retinaculum at 15.2 mm lateral to the pisiform bone. However, the palmar carpal ligament was attached to the flexor retinaculum just lateral to the ulnar artery; the distance between the attachment of the palmar carpal ligament and the pisiform bone was 8.7 mm. Anatomical variations potentially associated with ulnar nerve compression were observed. The accessory abductor digiti minimi muscle and the fibrous band crossing the ulnar nerve in the ulnar tunnel were found in 27 and 23 % of forearms, respectively. Conclusion: A more detailed description of the anterior wall of the ulnar tunnel than was previously available is presented herein, and topographic and metric data regarding each structure of the tunnel are reported.

Original languageEnglish
Pages (from-to)757-764
Number of pages8
JournalSurgical and Radiologic Anatomy
Volume37
Issue number7
DOIs
Publication statusPublished - 2015 Sep 21

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Pisiform Bone
Fascia
Wrist
Ligaments
Anatomy
Forearm
Ulnar Nerve Compression Syndromes
Ulnar Artery
Muscles
Ulnar Nerve
Cadaver
Tendons

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Gil, Y. C., Shin, K. J., Lee, J. Y., Hu, K-S., Kim, H., Song, W. C., & Koh, K. S. (2015). Topographic anatomy of the ulnar tunnel. Surgical and Radiologic Anatomy, 37(7), 757-764. https://doi.org/10.1007/s00276-014-1415-2
Gil, Young Chun ; Shin, Kang Jae ; Lee, Ju Young ; Hu, Kyung-Seok ; Kim, Heejin ; Song, Wu Chul ; Koh, Ki Seok. / Topographic anatomy of the ulnar tunnel. In: Surgical and Radiologic Anatomy. 2015 ; Vol. 37, No. 7. pp. 757-764.
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Gil, YC, Shin, KJ, Lee, JY, Hu, K-S, Kim, H, Song, WC & Koh, KS 2015, 'Topographic anatomy of the ulnar tunnel', Surgical and Radiologic Anatomy, vol. 37, no. 7, pp. 757-764. https://doi.org/10.1007/s00276-014-1415-2

Topographic anatomy of the ulnar tunnel. / Gil, Young Chun; Shin, Kang Jae; Lee, Ju Young; Hu, Kyung-Seok; Kim, Heejin; Song, Wu Chul; Koh, Ki Seok.

In: Surgical and Radiologic Anatomy, Vol. 37, No. 7, 21.09.2015, p. 757-764.

Research output: Contribution to journalArticle

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AU - Gil, Young Chun

AU - Shin, Kang Jae

AU - Lee, Ju Young

AU - Hu, Kyung-Seok

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AU - Koh, Ki Seok

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N2 - Purpose: The aim of this study was to clarify the definition of the anterior wall of the ulnar tunnel and to reveal the topographical characteristics of the various components of the ulnar tunnel. Materials and methods: Twenty-two forearms from 11 embalmed cadavers (7 males, 4 females; mean age, 67.8 years) were carefully dissected. Results: In all cases, the anterior wall of the ulnar tunnel comprised the hypothenar fascia, which originated from the tendon of the flexor carpi ulnaris muscle. The palmar carpal ligament, the distal extent of the antebrachial fascia, was located deep to the anterior wall and formed only the anterior boundary of the proximal hiatus of the ulnar tunnel. The hypothenar fascia was attached to the flexor retinaculum at 15.2 mm lateral to the pisiform bone. However, the palmar carpal ligament was attached to the flexor retinaculum just lateral to the ulnar artery; the distance between the attachment of the palmar carpal ligament and the pisiform bone was 8.7 mm. Anatomical variations potentially associated with ulnar nerve compression were observed. The accessory abductor digiti minimi muscle and the fibrous band crossing the ulnar nerve in the ulnar tunnel were found in 27 and 23 % of forearms, respectively. Conclusion: A more detailed description of the anterior wall of the ulnar tunnel than was previously available is presented herein, and topographic and metric data regarding each structure of the tunnel are reported.

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