Tendon Transplantations in Median-Nerve and Ulnar-Nerve Paralysis

Riordan, Daniel C.

doi:10.2106/00004623-195335020-00003

Cited by 111 publications

(28 citation statements)

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“…This stabilization of MCP can be done by capsuloplasty [15] tenodesis [11], bone block [5], arthrodesis, or tendon transfers that actively extend the IP joints and flex the MCP. The typical indication for the bone block, capsule plication or tenodesis is long-standing lesions with fibrosis and in muscular paralysis of central origin rather than peripheral nerve lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Brand, Riordan, and others described the use of wrist-level motors to treat clawing and integrate finger flexion as well as augment grip strength [11,14,15]. The FCR, ECRL, ECRB, or brachioradialis may be used.…”

Section: Research Articlementioning

confidence: 99%

“…Dynamic tenodesis can also be performed, as popularized by Fowler and Tsuge [9][10][11]. A tendon graft is looped through the…”

Section: Introductionmentioning

confidence: 99%

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Restoration of Lumbrical Function after Irreversible Ulnar Nerve Injury by Modified Bunnel’s Procedure (A Report of Five Cases

Alkhooly¹

2017

Austin J Orthopade & Rheumatol

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Normal hand function depends on the balance between the extrinsicintrinsic and extensor-flexor muscle groups. Despite their small size, the intrinsic muscles, contribute about 50% of grip strength. Clawing, partial or total due to ulnar nerve palsy affects greatly, hand's ability for fine movements, grip and skilful use along with loss of tactile sensation of hand, which usually precedes the motor weakness. We evaluated the functional results of Modified Bunnel's procedure in management of 5 patients of claw hand deformity. After a mean follow up of 16 months (range 12-24 months) results were excellent in 2 (40%) cases, good in 3 (60%). All the patients had improvement in the grip. No patient had Swan-neck deformity, flexion contracture, check-rein deformity, insufficient finger flexion, or superficial minus deformity. Despite being simple procedure, Modified Bunnel's procedure results in less adhesion, straight course for the tendons, good grip and leverage. The patients were satisfied with their hand function and cosmetic appearance.

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Section: Discussionmentioning

confidence: 99%

Section: Research Articlementioning

confidence: 99%

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Restoration of Lumbrical Function after Irreversible Ulnar Nerve Injury by Modified Bunnel’s Procedure (A Report of Five Cases

Alkhooly¹

2017

Austin J Orthopade & Rheumatol

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“…With combined median and ulnar nerve injuries, the static tenodesis can be used [22,25]. The Zancolli lasso procedure creates a functional dynamic tenodesis in which each FDS is looped around its corresponding A2 pulley to provide flexion of the metacarpophalangeal joints, with no change in grip strength [38,39].…”

Section: Combined Nerve Palsiesmentioning

confidence: 99%

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Soucacos¹,

Touliatos²,

Johnson³

2014

European Surgical Orthopaedics and Traumatology

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“…To achieve a perfect grip, both groups have to work together, in a synchronic and synergistic action, the intensity and timing of which depend on local requirements, transmitted to the nervous system by the kinesthetic motor-receptors of the skin (Kaplan 1968). All this intrincate mechanism is coordinated by the A lesion of the ulnar nerve, whatever may be the c a u s etraumatic, non-traumatic, leprotic (Cochrane 1959;Abreu 1963;Tsuge 1967) or of any other kind of neuritis -results in a severe muscular imbalance, destroying this exquisite mechanical system and affecting deeply the grip function (Froment 1914;Decoust 1917;Wood-Jones 1944;Littler 1949;Duchenne 1949;Riordan 1953;Matev 1960;Boyes 1970;Lamb 1980).…”

Section: Functional Aspectsmentioning

confidence: 99%

Clinical aspects of muscle imbalance in the hand due to ulnar nerve lesions

Abreu

1984

Anat. Clin

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This study deals with the anatomical and clinical bases of the thumb-index finger grip, emphasizing not only its general importance, but also its ergonomic role. A classification according to the different functions of two muscular groups (extrinsic and intrinsic), with special reference to muscular imbalance due to ulnar nerve lesions is proposed. After some general considerations on the function of the hand practical conclusions are drawn.

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Tendon Transplantations in Median-Nerve and Ulnar-Nerve Paralysis

Cited by 111 publications

References 0 publications

Restoration of Lumbrical Function after Irreversible Ulnar Nerve Injury by Modified Bunnel’s Procedure (A Report of Five Cases

Restoration of Lumbrical Function after Irreversible Ulnar Nerve Injury by Modified Bunnel’s Procedure (A Report of Five Cases

Tendon Transfers for Median, Radial and Ulnar Nerve Palsies

Clinical aspects of muscle imbalance in the hand due to ulnar nerve lesions

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