Practice Easily Missed?

Perilunate dislocation

BMJ 2012; 345 doi: (Published 06 November 2012) Cite this as: BMJ 2012;345:e7026

Re: Perilunate dislocation

I am sure that I will not be the only one to notice the quality of the image - Figure 1, in this article. It is a totally inadequate representation of the carpal tunnel and will do little to keep anatomy "alive" at a time that less and less attention is being paid to the subject.

The median nerve looks like a tendon and its branches totally unrealistic, the flexor tendons are arranged entirely wrongly, the median nerve seems to be "invading" the synovial sheaths which in turn are quite incorrectly drawn.

Just to give you some idea as to how the carpal tunnel should be represented, I attach two images. I fully appreciate that you wanted to keep the image simple but this is no reason to draw it so badly.

Competing interests: No competing interests

10 December 2012
Robert H Whitaker
University of Cambridge
Selwyn College, Cambridge CB3 9DQ