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Tendon transfer

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2 papers 100 to 500 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
https://www.readbyqxmd.com/read/24084432/intrinsic-contracture-of-the-hand-diagnosis-and-management
#1
REVIEW
Rick Tosti, Joseph J Thoder, Asif M Ilyas
Intrinsic contracture of the hand may result from trauma, spasticity, ischemia, rheumatologic disorders, or iatrogenic causes. In severe cases, the hand assumes a posture with hyperflexed metacarpophalangeal joints and hyperextended proximal interphalangeal joints as the contracted interossei and lumbrical muscles deform the natural cascade of the fingers. Considerable disability may result because weakness in grip strength, difficulty with grasping larger objects, and troubles with maintenance of hygiene commonly encumber patients...
October 2013: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/24187037/tendon-transfers-for-radial-median-and-ulnar-nerve-palsy
#2
REVIEW
John G Seiler, Mihir J Desai, S Houston Payne
Tendon transfers are used to restore balance and function to a paralyzed, injured, or absent neuromuscular-motor unit. In general, tendon transfer is indicated for restoration of muscle function after peripheral nerve injury, injury to the brachial plexus or spinal cord, or irreparable injury to tendon or muscle. The goal is to improve the balance of a neurologically impaired hand. In the upper extremity, tendon transfers are most commonly used to restore function following injury to the radial, median, and ulnar nerves...
November 2013: Journal of the American Academy of Orthopaedic Surgeons
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