The mechanism and the pathology, in a few clicks
The “Movements” section bends and extends the wrist; the “Pathology & lesions” panel sets the severity, the cause and the median nerve variant. Each setting changes the model in front of the patient.
Bend the wrist, the pressure rises
A slider from −60° extension to 60° flexion, or “Bend/straighten the wrist” back and forth, fist, Phalen's test. The tunnel pressure gauge follows the movement (Gelberman 1981: 2.5 → 94-110 mmHg).



Severity, in three steps
The synovial sheaths thicken, the nerve flattens under the ligament then swells and turns red proximally; at the severe stage, the thenar muscles waste.



What occupies the tunnel
Idiopathic tenosynovitis by default; a ganglion cyst or a lipoma can occupy the tunnel, which the nerve and tendons run around.



The median nerve, Lanz classification
The thenar branch most often runs an extraligamentous course (75%, Henry 2015); it can also pierce the ligament itself, a variant worth knowing before incising.
















