Tendon Transfers for Ulnar Nerve Palsy

Outcomes and Complications of Tendon Transfers to Address Pinch and Grasp Weakness: A Systematic Review of the Operative Management of Ulnar Nerve Paralysis

“…A negative Bouvier test indicates a complex claw deformity, which requires an operation to address both metacarpophalangeal hyperextension and weak interphalangeal extension. 6,10,11 The application of the Bouvier test for surgical decision-making is discussed in only two of the included studies. 11,12…”

“…6,10,11 The application of the Bouvier test for surgical decision-making is discussed in only two of the included studies. 11,12…”

“…In addition, the use of a wrist extensor (extensor carpi radialis longus and brevis) for tendon transfer biomechanically introduces a new motor power into the hand and maintains tension during wrist flexion because of its dorsal location. 16,17,49 Hastings and Davidson 11 and Hastings and McCollam 17 reported grip strength results following flexor digitorum superficialis lasso in 1988 and 1994. In 1988, this group noted an increase in grip strength of 7.8 kg following the flexor digitorum superficialis lasso procedure at 40 months postoperatively; however, this study included grip strength measurements for only nine patients, and grip at 8 months decreased by 10.7 kg compared to preoperative measurements.…”

“…A negative Bouvier test indicates a complex claw deformity, which requires an operation to address both metacarpophalangeal hyperextension and weak interphalangeal extension. 6,10,11 The application of the Bouvier test for surgical decisionmaking is discussed in only two of the included studies. 11,12 Fifteen studies including 531 patients described procedures, performed with the intent of restoring grasp by improving claw deformity, with a sample size per study ranging from four to 70 patients (see Table 2 for sample size by procedure).…”

“…6,10,11 The application of the Bouvier test for surgical decisionmaking is discussed in only two of the included studies. 11,12 Fifteen studies including 531 patients described procedures, performed with the intent of restoring grasp by improving claw deformity, with a sample size per study ranging from four to 70 patients (see Table 2 for sample size by procedure). [11][12][13][14][15][16][17][18][19][20][21][22][23][24] The mean patient age was 28 years (range, 7 to 60 years).…”