Primary Palmaris Longus Transfer as an Opponensplasty in Carpal Tunnel Release

Foucher, G.; Malizos, C; Sammut, D.; Braun, Ferdinand; Michon, J.

doi:10.1016/0266-7681(91)90128-b

Cited by 66 publications

(85 citation statements)

References 15 publications

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“…Because the PL is near the median nerve, this transfer is not optimal for traumatic injury to the distal median nerve. The PL transfer provides abduction, not flexion or pronation, so opposition is not the final result [9,20]. It is a simple method, and it is useful as an internal splint.…”

Section: Camitz Proceduresmentioning

confidence: 99%

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Soucacos¹,

Touliatos²,

Johnson³

2014

European Surgical Orthopaedics and Traumatology

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Section: Camitz Proceduresmentioning

confidence: 99%

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Soucacos¹,

Touliatos²,

Johnson³

2014

European Surgical Orthopaedics and Traumatology

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“…The outcome was defined as "good" when the Apogee achieved at least 80% of the contralateral side and there was also symmetrical Kapandji tip opposition. 4) Electromyography was used to evaluate and assess the status of recovery of the APB muscle. Patients were recommended for EMG at post-operative 3 months, 6 months, and 12 months.…”

Section: Assessment Toolsmentioning

confidence: 99%

Thumb Function and Electromyography Result after Modified Camitz Tendon Transfer

Durban

Antolin

et al. 2017

J Hand Surg Asian-Pac Vol

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Background: Various techniques of opponensplasty have been developed with the aim of restoring the thumb function. The modified Camitz opponensplasty is a simple technique done together with an open carpal tunnel release. It restores thumb palmar abduction soon after the procedure, during such time that the abductor pollicis brevis (APB) is still recovering. The aim of this study was to assess the recovery and level of activity of the abductor pollicis brevis and palmaris longus (PL) muscles during thumb opposition and abduction after performing the modified Camitz opponensplasty. Methods: The records of 21 patients who underwent modified Camitz opponensplasty for severe carpal tunnel syndrome were reviewed. Thumb function was evaluated using the Van Wetter Apogee test, Kapandji index, tripod pinch strength, and power grip. Electromyography was utilized to evaluate APB recovery; ultrasonography was employed to evaluate PL activity. Results: Twenty patients reached 80% of the abduction height of the contralateral hand; the Kapandji index was good in thirteen. Palmaris longus activity was evaluated together with the APB muscle recovery. There was significant improvement in the average grip strength and average tripod pinch strength. However, this did not correlate with the degree of neurologic and muscular recovery of the APB. We surmise that the palmaris longus augmented the abductor pollicis brevis muscle even in those with full muscle recovery. Conclusions: The modified Camitz opponensplasty is a practical option for patients suffering from severe carpal tunnel syndrome with diminished thumb function.

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“…Queremos añadir que en los casos muy avanzados, con atrofia tenar importante y presencia del palmar menor, empleamos al mismo tiempo de la liberación con incisión clásica prolongada proximal y distalmente, la reconstrucción de la oposición trasponiendo el palmar menor prolongado con fascia palmar al tendón del abductor corto, en la cara radial del pulgar; lo pasamos por un túnel subcutáneo tenar y lo fijamos con un Pulvertaff siguiendo la técnica descrita por Camitz (10)(11)(12). Aunque es preciso el empleo de una escayola durante un mes, la recuperación de una cierta oposición reduce notablemente las consecuencias de la falta del oponente.…”

Section: Técnica Quirúrgicaunclassified

Conclusión de una larga búsqueda de la técnica menos mala para la resolución quirúrgica del síndrome del túnel carpiano

García

Marimón²

2008

Cir. plást. iberolatinoam.

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Palabras clave Mano. Síndrome del Túnel Carpiano. Código numérico 3, 32282El Síndrome del Túnel Carpiano es una patología frecuente, estimada en el 1'5% de la población general de EEUU, cuya solución es quirúrgica, pero sujeta a complicaciones numerosas (en más del 10% de los casos operados) y graves en ocasiones (1'74% de los casos operados en nuestra serie). Mostramos la evolución de nuestra búsqueda en los últimos 15 años de la mejor técnica para intervenirlo y los fracasos en el empeño, así como la técnica usada en la actualidad, sin catalogarla como "la mejor", sino como fruto de la experiencia en esa búsqueda. Mostramos los resultados del protocolo de estudio seguido durante el periodo 2000 a 2005, en el que se operaron casi 300 manos en nuestro Servicio, para cuantificar nuestras valoraciones.Conclusión de una larga búsqueda de la técnica menos mala para la resolución quirúrgica del síndrome del túnel carpiano Carpal Tunnel Syndrome is a frequent pathology, estimated in 1.5% of the general population in the USA, that has a surgical solution, but not without complications (more than 10% of operated cases), and sometimes even serious (1.74% of cases in our serie). We show here the evolution over the last 15 years of our search for the best surgical technique to operate on this disease, and the failures along the way. We describe the technique generally employed nowadays, considering it not to be "the best", but simply the result of our search. We show the results of the study, which covers operations on almost 300 hands carried out between 2000 and 2005 in our Unit following a protocol established to quantify our findings.

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Primary Palmaris Longus Transfer as an Opponensplasty in Carpal Tunnel Release

Abstract: Seventy three Camitz-Littler operations combining carpal tunnel release and palmaris longus oppenens transfer provided 90.7% good long term results. A technical modification can provide pronation.

Cited by 66 publications

References 15 publications

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Thumb Function and Electromyography Result after Modified Camitz Tendon Transfer

Conclusión de una larga búsqueda de la técnica menos mala para la resolución quirúrgica del síndrome del túnel carpiano

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