 I next encountered the transverse carpal ligament, which in turn is also divided longitudinally from distal to proximal, and the proximal most division of the transverse carpal ligament is done under direct vision into the distal forearm. 
I next encountered the transverse carpal ligament , which in turn is also divided longitudinally from distal to proximal , and the proximal most division of the transverse carpal ligament is done under direct vision into the distal forearm .