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Eight fresh human cadaveric wrists and hands were used. The peak (PGR) and mean (MGR) gliding resistance of the middle finger flexor digitorum superficialis tendon were measured with the wrist in 0, 30, and 60\u00b0 of flexion and extension. While moving all three fingers together, the PGR at 60\u00b0 flexion was significantly higher than that at 0, 30, or 60\u00b0 extension. While moving the middle finger alone, the PGR at 60 and 30\u00b0 flexion was significantly higher than the PGR at 60\u00b0 extension. The PGR moving the middle finger FDS alone was significantly greater than that for all three digits moving together in 0, 30, and 60\u00b0 flexion. Differential finger motion with wrist flexion elevated the tendon gliding resistance in the carpal tunnel, which may be relevant in considering the possible role of wrist position and activity in the etiology of CTS. \u00a9 2006 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. 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