Single Tendon Transfer of the Flexor Carpi Ulnaris for High Radial Nerve Injury

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Single tendon transfer of the flexor carpi ulnaris for high radial nerve injury.

PURPOSE To evaluate the outcome after single tendon transfer of the flexor carpi ulnaris (FCU) to the digital extensors for high radial nerve palsy. METHODS Records of 10 patients aged 16 to 43 (median, 27) years who underwent single tendon transfer of the FCU to the digital extensors for high radial nerve palsy secondary to closed (n=4) or open (n=4) diaphyseal humeral fractures or deltoid i...

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An objective functional evaluation of the flexor carpi ulnaris set of triple tendon transfer in radial nerve palsy.

This study reports an objective assessment of postoperative function of 11 triple transfers for high radial palsies, using pronator teres for wrist extension, flexor carpi ulnaris for finger extension and palmaris longus for thumb extension. The mean follow-up was 3.3 years. Assessment was done by recording the active ranges of wrist motion, grip strength, wrist and finger strength and work sim...

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Fiber length variability within the flexor carpi ulnaris and flexor carpi radialis muscles: implications for surgical tendon transfer.

PURPOSE The purpose of this study was to understand the detailed architectural properties of the human flexor carpi radialis (FCR) and flexor carpi ulnaris (FCU) muscles and their implications for tendon transfer surgery. METHODS Muscle fiber length was measured in 6 separate regions of the FCU and FCR from 10 cadaveric specimens. Sarcomere length was measured by laser diffraction for normali...

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Flexor carpi ulnaris tendon transfer to the split brachioradialis tendon to restore supination in paralytic forearms.

Inability to actively supinate the forearm makes common activities of daily living and certain vocational activities awkward or impossible to perform. A total of 11 patients with deficient supination of the arm underwent transfer of the tendon of flexor carpi ulnaris to the split tendon of brachioradialis with its bony insertion into the radial styloid left intact. Active supination beyond neut...

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The Biomechanics of the Split Pedicled Flexor Carpi Ulnaris For Tendon Transfer

The reconstruction of the upper limb often requires functioning muscle units to be transferred. In severe injuries such as crushed forearms, Volkmann's ischaemia, brachial plexus lesions and tetraplegia, there is often a paucity of available muscle units for reconstruction. One avenue, which is relatively unexplored, is the use of split pedicled muscle transfers. The prerequisite for a split mu...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2015

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901502300318