Carpal tunnel syndrome of the thumb, and the hamate hook that can be palpated along the axis of the ring finger. From the anatomical position, the carpal tunnel is bordered on the anterior surface by the transverse carpal ligament, also known as the flexor retinaculum. The flexor retinaculum is a strong, fibrous band that attaches to the pisiform and the hamulus of the hamate. The proximal boundary is the distal wrist skin crease, and the distal boundary is approximated by a line known as Kaplan's cardinal line. This line uses surface landmarks, and is drawn between the apex of the skin fold between
Intercarpal joints the hamate, the other, the pisometacarpal ligament, joins the pisiform to the base of the fifth metacarpal bone. These ligaments are, in reality, prolongations of the tendon of the Flexor carpi ulnaris. These joints are also arthrodial joints connected by dorsal, volar, and interosseous ligaments. The dorsal ligaments are three in number, extend transversely from one bone to another on the dorsal surface, connecting the greater with the lesser multangular, the lesser multangular with the capitate, and the capitate with the hamate. The volar ligaments are also three and have a similar arrangement on the volar surface. The three interosseous