Carpal tunnel mechanics and its relevance to carpal tunnel syndrome |
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| Affiliation: | 1. Department of Physical Education and Sport Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece;2. Department of Experimental Psychology, Justus Liebig University Giessen, Giessen, Germany;3. Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands;1. Centre for Interdisciplinary Research in Rehabilitation and Social Integration, CIUSSS-CN, IRDPQ, Québec, Canada;2. Department of Rehabilitation, Faculty of Medicine, Université Laval, Québec, Canada;3. School of Physical and Occupational Therapy, McGill University, Québec, Canada;4. Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital – CISSS Laval site of Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Québec, Canada;1. Département des sciences de l''activité physique, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC G8Z 4M3, Canada;2. École de kinésiologie et des sciences de l''activité physique de la Faculté de médecine, Université de Montréal, 2100 Edouard Montpetit Blvd. #6219, Montreal, QC H3T 1J4, Canada;3. Centre de recherche du CHU Sainte-Justine, 5858 Côte-des-Neiges Rd, Montreal, QC H3S 1Z1, Canada;4. Department of Family Medicine, McGill University, 5858 Côte-des-Neiges Rd, Montreal, QC H3S 1Z1, Canada;5. Human Kinetics Department, St Francis Xavier University, 4130 University Ave, Antigonish, NS B2G 2W5, Canada;6. Département de kinésiologie, Université Laval, 2300, rue de la Terrasse, Quebec, QC G1V 0A6, Canada;7. Département de Pédiatrique, Faculté de médecine, Université de Montréal, 3175, chemin Côte Sainte-Catherine, Montréal, QC H3T 1C5, Canada;1. Nicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, ON, Canada;2. Department of Health Research, Evidence, and Impact, McMaster University, Hamilton, ON, Canada;3. Division of Oncology, The Children''s Hospital of Philadelphia, Philadelphia, PA, USA;4. School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia;5. Department of Child and Youth Studies, Brock University, St. Catharines, ON, Canada |
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| Abstract: | The carpal tunnel is an elaborate biomechanical structure whose pathomechanics plays an essential role in the development of carpal tunnel syndrome. The purpose of this article is to review the movement related biomechanics of the carpal tunnel together with its anatomical and morphological features, and to describe the pathomechanics and pathophysiology associated with carpal tunnel syndrome. Topics of discussion include biomechanics of the median nerve, flexor tendons, subsynovial tissue, transverse carpal ligament, carpal tunnel pressure, and morphological properties, as well as mechanisms for biomechanical improvement and physiological restoration. It is our hope that the biomechanical knowledge of the carpal tunnel will improve the understanding and management of carpal tunnel syndrome. |
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