Tendon Transfers for Radial, Median, and Ulnar Nerve Injuries: Current Surgical Techniques

Machado, Gustavo R.

doi:10.1016/j.cps.2011.07.002

Cited by 35 publications

(18 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In high injuries, the nerve is damaged above the origin of the motor branch of the FCU and FDP muscles. 11 The loss of intrinsic muscle function results in an inability to flex at the metacarpal (MCP) joints and extend the interphalangeal (IP) joints. This results in the development of the intrinsic-minus or claw posture of the ring and little fingers, where there is hyperextension at the MCP joints and flexion at the IP joints (Duchenne's sign).…”

Section: Clinical Findingsmentioning

confidence: 99%

Management of Ulnar Nerve Injuries

Woo,

Bakri,

Moran

2015

The Journal of Hand Surgery

View full text Add to dashboard Cite

Section: Clinical Findingsmentioning

confidence: 99%

Management of Ulnar Nerve Injuries

Woo,

Bakri,

Moran

2015

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Tendon transfers do not restore the native musculotendinous units of the thumb and are generally downgraded by one unit of strength compared with their donor function. 4 Theoretically, by reinnervating the entire thenar group, a nerve transfer could provide improved strength. Disadvantages to using a nerve transfer are longer time to functional recovery and potential for variable outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…However, they require prolonged immobilization and fail to anatomically restore the musculotendinous units that contribute to thumb motion (abduction, flexion, and pronation). 4 A nerve transfer for thumb opposition using a branch to the abductor digiti minimi (ADM) from the ulnar nerve yielded good functional outcomes in 5 patients. 5 We present a case of comprehensive median nerve reconstruction using nerve transfers and free flap coverage after resection of a synovial sarcoma of the median nerve.…”

mentioning

confidence: 99%

Restoration of Sensation and Thumb Opposition Using Nerve Transfers Following Resection of a Synovial Sarcoma of the Median Nerve

Power

Fox

Kahn

et al. 2019

Journal of Hand Surgery Global Online

View full text Add to dashboard Cite

Synovial sarcomas of peripheral nerves are rare and often leave major functional deficits after wide excision. We present a case of median nerve reconstruction using nerve transfers after resection of a synovial sarcoma of the median nerve. Sensation was restored by transferring the fourth common digital nerve to the first and second common digital nerves. Thumb opposition was restored by transferring the abductor digiti minimi branch to the recurrent motor branch. The soft tissue defect was reconstructed with a free gracilis muscle flap. Fifteen months after surgery, there was Medical Research Council grade 4þ opposition strength with co-contraction of the abductor digiti minimi. Sensation recovered slowly over time. The Disabilities of the Arm, Shoulder, and Hand score decreased from 47.4 before surgery to 13.3 afterward. The patient was able to use the right hand for writing and crafting pottery. Distal nerve transfers are a reliable option for reconstruction of complete median nerve defects.

show abstract

“…For example, the flexor carpi ulnaris tendon transfer is a common procedure performed in patients with radial nerve palsy. [2][3][4][5] In 1952, McLaughlin introduced the concept and technique of mobilization and transposing the temporalis tendon for facial suspension. 6 The more traditional temporalis muscle transfer later replaced this technique until it was recently reintroduced by several authors.…”

Section: Introductionmentioning

confidence: 99%

Principles and biomechanics of muscle tendon unit transfer: Application in temporalis muscle tendon transposition for smile improvement in facial paralysis

Boahene

2012

The Laryngoscope

View full text Add to dashboard Cite

Muscle tendon unit (MTU) transfer is a common procedure performed to restore hand function after peripheral nerve or spinal cord injury. The principles of MTU transfer established for hand surgery can be adopted to optimize the dynamic excursion of the temporalis tendon transfer procedure for facial reanimation. Additionally, the force generating ability of a transferred MTU depends on the ideal length-tension relationship of the donor muscle. There are unclear guideline for selecting the ideal tension at which a transferred MTU will generate maximum force and excursion and current practice often leads to overstretch and suboptimal actin myosin interaction. The use of intraoperative electrical stimulation is an option for determining the ideal tension to optimize excursion of transferred temporalis tendon units in simile restoration. Understanding the biomechanics and principles of MTU and applying it to the temporalis tendon transfer procedure is necessary to improve its use in facial reanimation.

show abstract

Tendon Transfers for Radial, Median, and Ulnar Nerve Injuries: Current Surgical Techniques

Cited by 35 publications

References 40 publications

Management of Ulnar Nerve Injuries

Management of Ulnar Nerve Injuries

Restoration of Sensation and Thumb Opposition Using Nerve Transfers Following Resection of a Synovial Sarcoma of the Median Nerve

Principles and biomechanics of muscle tendon unit transfer: Application in temporalis muscle tendon transposition for smile improvement in facial paralysis

Contact Info

Product

Resources

About