A Text book of Surgical Anatomy

Cover A Text book of Surgical Anatomy
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Typically, there are two transverse furrows in front of the wrist. The distal fold marks the upper margin of the anterior annular ligament and the lower articular surface of the semilunar bone.
The proximal fold follows very closely the line of the wrist- joint, marking the upper articular surfaces of the scaphoid and semilunar bones. The semilunar bone may be accurately located in the midline between these two folds (Fig. 119).
The superficial palmar arch is represented by a line drawn transve
...rsely across the hand from a point where the web of the thumb joins the palm (Fig. 119).
The deep palmar arch is about \ inch nearer the wrist.
Surgical Significance of the Flexure Folds of the Hand. The characteristic lines on the palmar surface of the hand possess a far deeper significance than that imparted by the subtle imagination of the professional palmist. These creases are the surface landmarks of an underlying physiologic function. They represent the adaptation of the skin and subcutaneous tissue to the movement of the underlying joint for the evident purpose of permitting the greatest freedom of movement of all the joints of the hand.


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