The palmar carpal ligament is a different structure than the flexor retinaculum of the hand, but the two are frequently confused.
12.
This palmar cutaneous branch travels in a separate fascial groove adjacent to the flexor carpi radialis and then superficial to the flexor retinaculum.
13.
The flexor retinaculum has a limited ability to stretch, so increased pressure will eventually cause compression on the nerve within the tunnel.
14.
The flexor digiti minimi brevis arises from the hamulus of the hamate bone and the palmar surface of the flexor retinaculum of the hand.
15.
After it travels down the ulna, the ulnar nerve enters the palm of the hand by the flexor retinaculum, via the ulnar canal.
16.
The ulnar artery and ulnar nerve, and the cutaneous branches of the median and ulnar nerves, pass on top of the flexor retinaculum.
17.
The ulnar nerve and the ulnar artery run through the ulnar canal, which is deep to the palmar carpal ligament and superficial to the flexor retinaculum.
18.
When surgery is done to divide the flexor retinaculum, by far the more common procedure, scar tissue will eventually fill the gap left by surgery.
19.
The intent is that this will lengthen the flexor retinaculum enough to accommodate inflamed or damaged tendons and reduce the effects of compression on the median nerve.
20.
It ends in a slender, flattened tendon, which passes over the upper part of the flexor retinaculum and inserts onto the central part of the flexor retinaculum and lower part of the palmar aponeurosis.
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