Guyon's canal

Guyon’s canal is a fibro-osseous tunnel extending from the transverse carpal ligament at the proximal aspect of the pisiform to the origin of the hypothenar muscles at the hook of hamate. It is approximately 4 cm in length.

Boundaries
Contents
  • ulnar nerve: bifurcates within the canal into the deep (more radial) and superficial (more ulnar) branches
  • ulnar artery
  • veins associated with the ulnar nerve
  • fat

At the level of the hook of hamate, the canal bifurcates into two channels: the first channel contains the superficial ulnar nerve and ulnar artery, and the second channel contains the deep ulnar nerve. These are separated by either the fibrous arch of the flexor digiti minimi brevis, or the muscle itself attaching to the hook of hamate.

The digiti minimi muscle can occasionally have an anomalous presence in Guyon’s canal. It was present in 25% of a sampled population and can cause compression leading to Guyon's canal syndrome 1.

Described and named by Dr Jean Casimir Felix Guyon, a French urologist in 1861.

Upper limb anatomy
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Article Information

rID: 43525
Section: Anatomy
Synonyms or Alternate Spellings:
  • Ulnar canal
  • Guyon's tunnel
  • Ulnar tunnel

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