Transverse Ligament of the Palmar Aponeurosis

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Transverse Ligament of the Palmar Aponeurosis
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The palmar aponeurosis and its ligaments.
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Details
SystemMusculoskeletal
Identifiers
LatinLigamentum transversum aponeurosis palmaris
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Anatomical terminology
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The Transverse Ligament of the Palmar Aponeurosis is a fibrous band located in the palm of the hand. It is a component of the palmar aponeurosis, which is a thickened, triangular-shaped fibrous sheet that covers the central compartment of the palm. The transverse ligament plays a crucial role in maintaining the structural integrity of the hand and facilitating its complex movements.

Anatomy[edit | edit source]

The transverse ligament of the palmar aponeurosis is situated superficially in the palm, just beneath the skin and subcutaneous tissue. It extends transversely across the palm, connecting the longitudinal fibers of the palmar aponeurosis. This ligament helps to stabilize the palmar aponeurosis and provides a firm base for the attachment of the skin, allowing for the formation of the palmar creases.

Function[edit | edit source]

The primary function of the transverse ligament of the palmar aponeurosis is to support the palmar aponeurosis and maintain the alignment of the tendons and other structures within the palm. It helps to:

  • Stabilize the skin of the palm, preventing excessive movement and allowing for effective grip.
  • Maintain the position of the flexor tendons as they pass through the palm to the fingers.
  • Contribute to the formation of the palmar creases, which are important for the flexibility and dexterity of the hand.

Clinical Significance[edit | edit source]

The transverse ligament of the palmar aponeurosis can be involved in various clinical conditions, such as:

  • Dupuytren's contracture: A condition characterized by the thickening and shortening of the palmar aponeurosis, leading to flexion contractures of the fingers. The transverse ligament may become involved in the fibrotic process, contributing to the contracture.
  • Palmar fascial injuries: Trauma to the palm can affect the transverse ligament, leading to pain and dysfunction.

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Contributors: Prab R. Tumpati, MD