RT Book, Section A1 Parks, Edward (Ted) SR Print(0) ID 1156826284 T1 The Hand, Wrist, and Elbow T2 Practical Office Orthopedics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259642869 LK accessmedicine.mhmedical.com/content.aspx?aid=1156826284 RD 2024/04/19 AB The best way to understand carpal tunnel syndrome is to start by understanding the carpal tunnel. As its name implies, it is an actual tunnel, with a floor, two walls, and a roof. The carpal bones of the wrist make up the floor and both walls of the carpal tunnel, and the roof is a tough, rigid sheet of connective tissue called the transverse carpal ligament. The tunnel is 2-4 cm long, and 10 structures travel through it to get from the forearm to the hand: nine flexor tendons and the median nerve (Figure 4-1).