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Anatomy · Upper limb
Sample itemWhich tendon does NOT pass through the carpal tunnel?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Palmaris longus
Nine tendons and the median nerve pass through the carpal tunnel: four of flexor digitorum superficialis, four of flexor digitorum profundus and flexor pollicis longus. Palmaris longus runs superficial to the flexor retinaculum, which is why it is often used as a graft.
Option by option
A. Flexor pollicis longus
Flexor pollicis longus runs through the tunnel in its own synovial sheath.
B. Palmaris longus (correct)
Correct. It lies in front of the flexor retinaculum and so is not compressed in carpal tunnel syndrome.
C. Flexor digitorum superficialis
The four superficialis tendons pass through the tunnel, arranged in two rows.
D. Flexor digitorum profundus
The four profundus tendons pass through the tunnel, deep to the superficialis tendons.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.