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Carpal Tunnel Contents and Structures That Pass Through

These flashcards cover the structures that pass through the carpal tunnel — a clinically critical anatomy topic for medical students, PT students, and anyone preparing for boards or anatomy lab practicals. Understanding what travels through the carpal tunnel (and what doesn't) is essential for diagnosing carpal tunnel syndrome, interpreting nerve compression symptoms, and mastering wrist anatomy. These cards reinforce the boundaries, contents, and clinical implications you'll need to recall quickly on practical exams.

Interactive Deck

5 Cards
1
Front

What is the carpal tunnel?

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1
Back

The carpal tunnel is a narrow passageway on the palmar side of the wrist formed by the carpal bones (posteriorly and laterally) and the flexor retinaculum (anteriorly). It transmits tendons and the median nerve into the hand.

2
Front

What forms the roof of the carpal tunnel?

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2
Back

Flexor retinaculum (transverse carpal ligament) — a thick fibrous band stretching between the pisiform and hamate on the ulnar side, and the scaphoid tubercle and trapezium on the radial side.

3
Front

Which structures pass through the carpal tunnel?

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3
Back
  • Median nerve (1)
  • Flexor digitorum superficialis tendons (4)
  • Flexor digitorum profundus tendons (4)
  • Flexor pollicis longus tendon (1)

Total: 10 structures (1 nerve + 9 tendons)

4
Locked

Which structures do NOT pass through the carpal tunnel?

5
Locked

What happens when the median nerve is compressed in the carpal tunnel?

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Frequently Asked Questions

How many tendons pass through the carpal tunnel?

9 tendons pass through the carpal tunnel: 4 from flexor digitorum superficialis, 4 from flexor digitorum profundus, and 1 from flexor pollicis longus. Together with the median nerve, that makes 10 total structures.

What is the difference between the carpal tunnel and Guyon's canal?

Carpal tunnel transmits the median nerve and 9 flexor tendons; compression causes thenar wasting and lateral 3½ finger numbness.

Guyon's canal (ulnar canal) transmits the ulnar nerve and artery; compression causes hypothenar wasting and medial 1½ finger numbness.

  • Key distinction: the ulnar nerve does not pass through the carpal tunnel

How do I remember what passes through the carpal tunnel?

Use the mnemonic 1 nerve + 9 tendons: the median nerve plus 4 FDS + 4 FDP + 1 FPL tendons = 10 structures total. Remember that the ulnar nerve and palmaris longus both travel outside the tunnel.