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Advanced Technical IVT

thenar space

Pronunciation: THEE-nar

A potential fascial space in the palm bounded by the thenar muscles radially and the index finger flexor tendons ulnarly, prone to infection.

Full Definition

The thenar space is one of the deep fascial spaces of the palm, located on the radial side of the hand between the thenar muscles and the flexor tendons of the index finger. This potential space is bounded dorsally by the adductor pollicis muscle and palmarly by the flexor tendons and their synovial sheaths. Infections in the thenar space can occur following penetrating trauma or spread from adjacent structures, resulting in significant swelling of the thenar eminence and loss of the normal palmar concavity. Prompt surgical drainage is essential to prevent spread to adjacent spaces or development of chronic complications.

Usage

Usage note: Distinguish from thenar eminence, which refers to the surface muscle mass.

In Context

  • "MRI revealed fluid collection within the thenar space consistent with deep infection." — Imaging report
  • "Surgical drainage of the thenar space was performed through a thenar crease incision." — Emergency department note

Also known as

lateral palmar space

Contrasted with

midpalmar space

Don't confuse with

midpalmar space hypothenar space

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