1. Palmaris longus tendon; 2. Palmaris brevis; 3. Muscular aponeurosis
of hypothenar eminence; 4. Fibres from radiating fascia to hypothenar
eminence; 5. Innermost digital portion of central segment of radiating
fascia; 6. Fibrous band passing to integumental fold; 7. Transverse
fibres appended to radiating fascia; 8. Lateral digital branches of
radiating fascia; 9. Portion of vaginal fascia exposed between 5 and 10,
Fibres of Gerdy; 11. Superficial digital fascia continuous with fibres
of Gerdy; 12. Thenar portion of radiating fascia blending with muscular
aponeurosis.]
The _transverse fibres of Gerdy_ are really the proximal portion of a
superficial fascia which invests the whole of the four inner digits
immediately under the skin, forms the subcutaneous web of the fingers,
and is continuous posteriorly with the superficial fascia of the back of
the hand. As seen in the palm, it consists of loose fibres intermingled
with fat, running for the most part in a transverse direction from the
second to the fifth metacarpo-phalangeal joint. Proximally it presents
a somewhat sharply defined free border placed nearly opposite the joint
fissure, and extends distally, as before stated, to the fingers and
the inter-digital web, and is connected with the deeper tissues by a
few fibres, but is for the most part separated from them by loose,
whitish fat. On the fingers the tissue constitutes a sheath investing
the tendinous, bony, and ligamentous structures and the lateral bands
derived from the radiating fascia. It takes the form of a distinctly
membranous sheet dorsally and at the sides, but in front it appears as
a coarse irregular network supporting the digital vessels and nerves,
and containing a large quantity of fat in its meshes. It is connected
strongly with the corium, especially at the palmar folds, and more
loosely with the deeper structures by fine fibres.
[Illustration: FIG. 3.
TRANSVERSE SECTION OF HAND THROUGH THE THIRD, FOURTH, AND FIFTH
METACARPAL BONES.
1. Palmar integument; 2. Fat transversed by fibres from 3; 3. Radiating
fascia; 4. Vaginal fascia, superficial portion; 5. Palmar vessels and
nerve; 6. Flexor tendons and lumbricales; 7. Vaginal sheath blending
with fascia of interossei; 8. Septal fibres from vaginal fascia to bone;
9. Interossei; 10. Middle metacarpal bone; 11. Extensor tendon and
sheath; 12. Superficial fascia beneath dorsal integument; 13. Fascia of
hypothenar eminence; 14. Muscles of little finger.]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account