Hand Knob

Synonyms
Omega Zeichen

The Hand Knob is a characteristic cortical region of the precentral gyrus that contains the motor representation of the contralateral hand. The Hand Knob represents an important anatomical landmark in functional neuroanatomy and is of particular significance in neurosurgery and neuroradiological imaging. On Magnetic resonance imaging (MRI), it typically exhibits a distinctive omega (Ω)- or epsilon-shaped configuration, thereby allowing reliable identification of the primary motor hand area.[^1].

Surface anatomy

Projected onto the skull, it is located 4 cm behind the Coronal suture and approximately 2–4 cm lateral to the midline[^2].

Imaging

Hand Knob MRI
The hand knob (red arrow) on an axial T1-weighted MRI sequence

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Edit · Alaric Steinmetz · (+80 −12)
  • Text added: “The Hand Knob is a characteristic cortical region of the precentral gyrus that contains the motor representation of the contralateral hand. The Hand Knob represents an important anatomical landmark in functional neuroanatomy and is of particular significance in neurosurgery and neuroradiological imaging. On Magnetic resonance imaging (MRI) , it typically exhibits a distinctive omega (Ω)- or epsilon-shaped configuration, thereby allowing reliable identification of the primary motor hand area.[^1].”
  • Text added: “Surface anatomy”
  • Text added: “Projected onto the skull, it is located 4 cm behind the Coronal suture and approximately 2–4 cm lateral to the midline[^2].”
  • Text added: “Imaging”
  • Text removed: “The hand knob refers to the portion of the [precentral gyrus](\/lexikon\/gyrus-precentralis) responsible for hand motor function and showing a distinctive appearance on MRI.”
  • Text removed: “## Surface anatomy {#oberflaechenanatomie} Projected onto the skull, it is located 4 cm posterior to the [coronal suture](\/lexikon\/sutura-coronalis) and approximately 3–4 cm lateral to the midline.”
  • Text removed: “## Imaging {#bildgebung}”
  • Citation added: “Viganò, Luca, et al. "Anatomo-functional characterisation of the human “hand-knob”: A direct electrophysiological study." Cortex 113 (2019): 239-254.”
  • Citation added: “Shah, Komal B., et al. "Gliatumoren im Brodmann-Areal 6: Ausbreitungsmuster und Lagebeziehung zu motorischen Arealen." Neuroradiologie Scan 6.01 (2016): 45-57.”
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