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It is continuous, superficially, with the volar carpal ligament; and deep, with the palmar aponeurosis.
I took it in both of mine and pressed the gnarled fingers back, rubbing my thumb gently over the thickened palmar aponeurosis that was trapping the tendons.
The palmar aponeurosis (palmar fascia) invests the muscles of the palm, and consists of central, lateral, and medial portions.
In the palm of the hand the median nerve is covered by the skin and the palmar aponeurosis, and rests on the tendons of the Flexor muscles.
The principle behind the endoscopic release is that the Palmar aponeurosis, a thick tough layer of tissue that lines the palm, is not divided with endoscopic methods.
Dupuytren's contracture is a deformity of the hand due to thickening and fibrosis of the palmar aponeurosis and eventual contracture of the 4th and 5th digits.
Exceptions to this simple division are brachioradialis - a strong elbow flexor - and palmaris longus - a weak wrist flexor which mainly acts to tense the palmar aponeurosis.
With the help of his anatomical studies, Plater had proven that subcutaneous ligamentous extensions of the palmar aponeurosis and not the flexor tendons were responsible for Dupuytren's disease.
Felix Plater realised more than one hundred and fifty years before Henry Cline, Astley Cooper, and Dupuytren, the palmar aponeurosis was the anatomical substrate of the disease.
Presenting as a small hard nodule in the base of the ring finger, it tends to affect the ring and little finger as puckering and adherence of the palmar aponeurosis to the skin.
I was so nearly sure of it from Sir Joseph's calculated indiscretions that I brought you an example of the palmar aponeurosis and the contractions which so interested you and Dupuytren.'
This is continuous with the transverse carpal ligament, and forms a sheath for the tendon of the palmaris longus which passes over the transverse carpal ligament to be inserted into the palmar aponeurosis.
The central part of the palmar aponeurosis is intimately bound to the integument by dense fibroareolar tissue forming the superficial palmar fascia, and gives origin by its medial margin to the palmaris brevis.
It arises by tendinous fasciculi from the transverse carpal ligament and palmar aponeurosis; the fleshy fibers are inserted into the skin on the ulnar border of the palm of the hand, and occasionally on the pisiform.
He had performed three dissections of the calcified palmar aponeurosis with Dupuytren; Corvisart had told him a great deal about his new method of auscultation; and he had attended three splendid concerts at the Hotel de La Mothe.
He leafed through the diary and showed Mr Evans various anatomical drawings - the alimentary tract of the sea-elephant that covered two pages, the whale-bird's oviducts, the flayed hand of a man suffering from calcification of the palmar aponeurosis, some dissected aborigines.
Having observed him closely at dinner, though, I was nearly sure that what I was seeing in the left hand was not arthritis, but Dupuytren's contracture-an odd, hooklike drawing-in of the ring and little fingers toward the palm of the hand, caused by shortening of the palmar aponeurosis.
It ends in a slender, flattened tendon, which passes over the upper part of the flexor retinaculum, and is inserted into the central part of the flexor retinaculum and lower part of the palmar aponeurosis, frequently sending a tendinous slip to the short muscles of the thumb.
Dr Amos Jacob brings aboard a preserved hand exhibiting what is described as palmar aponeurosis - and now known as Dupuytren's contracture, named for distinguished surgeon and Stephen's friend Baron Guillaume Dupuytren, a hand with the fingers bent inwards and the fingernails growing through the flesh of the palm.