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Flashcards in Tendon Transfers Deck (6)
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1

 

Nerve Palsy: Axillary

 

What is/are the typical tendon transfers or alternative treatment?

 

GH Arthrodesis

2

 

Nerve Palsy: Musculocutaneous

 

What is/are the typical tendon transfers or alternative treatment?

 

Elbow flexion

pectoralis major, latissimus dorsi --> biceps

or

Elbow flexion

common flexor mass --> point more proximal on humerus                                                     (Steindler flexorplasty) 

3

 

Nerve Palsy: Radial & PIN

 

What is/are the typical tendon transfers or alternative treatment?

 

Elbow extension

deltoid, latissimus dorsi, or biceps --> triceps

Wrist extension 

PT --> ECRB

Finger extension 

FDS, FCR, or FCU --> EDC 

Thumb extension

PL or FDS --> EPL

4

 

Nerve Palsy: Low Median

 

What is/are the typical tendon transfers or alternative treatment?

 

Thumb opposition and abduction

FDS (ring) --> base of thumb proximal phalanx

            or  --> APB tendon

         (use FCU as pulley - classic Bunnell opponensplasty)

 

EIP -->  APB (pulley around ulnar side of wrist)

5

 

Nerve Palsy: High Median

 

What is/are the typical tendon transfers or alternative treatment?

 

Thumb IP flexion

BR --> FPL

 

Index and long finger flexion

FDP of ring and small finger (ulnar nerve) --> FDP of                                      index and middle (side-to-side transfer)

 

Thumb Opposition

EIP --> APB (pulley around ulnar side of wrist)

*** Can't do the FDS Bunnel trasnfer because in a high nerve palsy FDS is OUT

6

 

Nerve Palsy: Ulnar

 

What is/are the typical tendon transfers or alternative treatment?

 

Thumb adduction

FDS or ECRB --> adductor pollicis

Finger abduction (index most important)

APL, ECRL, or EIP --> 1st dorsal interosseous

Reverse clawing effect

FDS, ECRL --> lateral bands of ulnar digits

(must pass volar to transverse metacarpal ligament to flex proximal phalanx)