Tendon Transfers in the Upper Limb, An Issue of Hand Clinics

Name: Tendon Transfers in the Upper Limb, An Issue of Hand Clinics
Brand: Elsevier
Price: 86.86 EUR
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Glenn Gaston(Autor*in)

Elsevier (Verlag)

1. Auflage

Erschienen am 15. Juli 2016

100 Seiten

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978-0-323-45968-6 (ISBN)

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Front Cover
Tendon Transfers in theUpper Limb
Copyright
Contributors
CONSULTING EDITOR
EDITOR
AUTHORS
Contents
Preface: An Update on Upper Extremity Tendon Transfers
Principles of Tendon Transfer
Biomechanics of Tendon Transfers
Restoration of Shoulder Function
Restoration of Elbow Flexion
Radial Nerve Tendon Transfers
High Median Nerve Injuries
Low Median Nerve Transfers (Opponensplasty)
A Comprehensive Guide on Restoring Grasp Using Tendon Transfer Procedures for Ulnar Nerve Palsy
Ulnar Nerve Tendon Transfers for Pinch
Tendon Transfers for Combined Peripheral Nerve Injuries
Tendon Transfers for Tetraplegia
Free Flap Functional Muscle Transfers
Tendon Transfers in the Rheumatoid Hand for Reconstruction
Tendon Transfers for the Hypoplastic Thumb
Cerebral Palsy Tendon Transfers: Flexor Carpi Ulnaris to Extensor Carpi Radialis Brevis and Extensor Pollicis Longus Rerout ...
HAND CLINICS
FORTHCOMING ISSUES
November 2016
February 2017
May 2017
RECENT ISSUES
May 2016
February 2016
November 2015
Preface: An Update on Upper Extremity Tendon Transfers
Principles of Tendon Transfer
Key points
INTRODUCTION
GENERAL PRINCIPLES OF TENDON TRANSFER
Preoperative Assessment
Tissue Equilibrium
Mobile, Intercalary Joints
Donor Muscle Properties
Adequate strength
Excursion
Expendable Donor
One Tendon, One Function
Straight Line of Pull
Synergism
Surgical Technique
Rehabilitation
REFERENCES
Biomechanics of Tendon Transfers
Key points
INTRODUCTION
BIOMECHANICS FUNDAMENTALS
Balance and Synergy
Muscle Mechanics
Tension
Excursion
Planning
MUSCLE CHANGES FOLLOWING TRANSFER
Tension Capacity
Excursion
Tensioning
BIOMECHANICAL CHALLENGES
One Muscle Controlling Multiple Joints in Parallel
One Muscle Controlling Multiple Joints in Series
COAPTATION TECHNIQUES
SUMMARY
REFERENCES
Restoration of Shoulder Function
Key points
INTRODUCTION
Preoperative Planning
SURGICAL TECHNIQUE
Preparation and Patient Positioning
Surgical Approach and Procedure
Immediate Postoperative Care
REHABILITATION AND RECOVERY
CLINICAL RESULTS IN THE LITERATURE
SUMMARY
REFERENCES
Restoration of Elbow Flexion
Key points
INTRODUCTION
TRANSFER OPTIONS
Pectoralis Major Transfers
Introduction
Anatomy
Indications
Contraindications
Review of pectoralis transfer options
Tendon transfer
Unipolar transfer
Bipolar transfer
Results
Steindler Flexorplasty
Introduction
Anatomy
Indications
Contraindications
Surgical technique evolution
Surgical technique
Results
Latissimus Transfer
Indications
Contraindications
Surgical technique
Results
Triceps to Biceps
Indications
Contraindications
Surgical technique
Triceps to biceps transfer
Isolated long head of triceps to biceps transfer
Results
SUMMARY
REFERENCES
Radial Nerve Tendon Transfers
Key points
INTRODUCTION
Nature of the Problem
Effect on prehension
Relevant anatomy and patient assessment
SURGICAL TECHNIQUE
Preoperative Planning
How good is the patient's wrist motion?
How important is flexor carpi ulnaris function to the patient?
Does the patient have a palmaris longus?
How important is independent thumb extension or abduction to the patient?
Making the choice of tendon transfers
Surgical Approach
SURGICAL PROCEDURE
Step One: Dissection of the Donor Tendons
Step Two: Preparation of the Recipient Tendons
Step Three: Routing the Donor Tendons to the Recipient Tendons
Ensure that the transfers are not compressing the cutaneous nerves
Paths that the donor tendons may take
Step Four: Weaving the Donor Tendon to the Recipient Tendon
Location of weaves
Type of weaves
Step Five: Tensioning the Transfer
The Blix curve and optimal muscle tension
Order of tensioning
Wrist transfer first
Wrist transfer last
Immediate Postoperative Care
Rehabilitation and Recovery
Rehabilitation program
Scar management
Clinical Results and Literature Review
Case series and outcomes
Complications
Donor deficit
SUMMARY
ACKNOWLEDGMENTS
REFERENCES
High Median Nerve Injuries
Key points
INTRODUCTION
NATURE OF THE PROBLEM
ANATOMY
SURGICAL TECHNIQUE
Preoperative Planning
Preparation and Patient Positioning
SURGICAL APPROACH
SURGICAL PROCEDURE
IMMEDIATE POSTOPERATIVE CARE
CLINICAL RESULTS
SUMMARY
REFERENCES
Low Median Nerve Transfers (Opponensplasty)
Key points
DEFINING OPPOSITION
ANATOMY AND BIOMECHANICS
ETIOLOGY
PHYSICAL EXAMINATION
SURGICAL PROCEDURES
Extensor Indicis Proprius
Flexor Digitorum Superficialis
Palmaris Longus (Camitz)
Abductor Digiti Minimi
Others
SUMMARY
REFERENCES
A Comprehensive Guide on Restoring Grasp Using Tendon Transfer Procedures for Ulnar Nerve Palsy
Key points
INTRODUCTION
Biomechanics of Grasp
Pathophysiology of Deficit
SURGICAL TECHNIQUE
Simple Claw Hand Reconstructions
Metacarpophalangeal Capsulodesis
Flexor Digitorum Superficialis Lasso
Complex Claw Hand Reconstructions
Stiles-Bunnell Flexor Digitorum Superficialis Transfer
Wrist Extensor-to-Intrinsic Transfer
Flexor Digitorum Profundus Side-to-Side Transfer for High Ulnar Nerve
REHABILITATION AND RECOVERY
CLINICAL RESULTS IN THE LITERATURE
SUMMARY
ACKNOWLEDGMENTS
REFERENCES
Ulnar Nerve Tendon Transfers for Pinch
Key points
INTRODUCTION
Anatomy
Etiology of Ulnar Nerve Neuropathy
Pathoanatomy
Treatment
SURGICAL TECHNIQUES
Restoration of Thumb Adduction
SURGICAL TECHNIQUE
Extensor Carpi Radialis Brevis to Adductor Pollicis Muscle Tendon Transfer
Flexor Digitorum Superficialis III or IV to Adductor Pollicis Muscle Tendon Transfer
Restoration of Index Finger Abduction
SURGICAL TECHNIQUE
Abductor Pollicis Longus to First Dorsal Interosseous Muscle Tendon Transfer
Thumb Metacarpal Phalangeal and Interphalangeal Joint Stabilization
SURGICAL TECHNIQUE
Split Flexor Pollicis Longus to Extensor Pollicis Longus Transfer
SUMMARY
REFERENCES
Tendon Transfers for Combined Peripheral Nerve Injuries
Key points
INTRODUCTION
LOW MEDIAN-ULNAR NERVE PALSY
Key Pinch
Thumb Opposition
Clawing and Synchronized Flexion
HIGH MEDIAN-ULNAR NERVE PALSY
Thumb Function
Simple Grip and Clawing
HIGH ULNAR-RADIAL NERVE PALSY
Wrist Extension
Thumb and Finger Extension
Thumb Adduction
Finger Flexion
HIGH MEDIAN-RADIAL NERVE PALSY
Thumb Opposition
Thumb and Finger Extension
Thumb and Finger Flexion
REHABILITATION AND RECOVERY
CLINICAL RESULTS IN THE LITERATURE
SUMMARY
ACKNOWLEDGMENTS
REFERENCES
Tendon Transfers for Tetraplegia
Key points
CERVICAL SPINE INJURY AND CLASSIFICATION
PATIENT EVALUATION
TREATMENT PRINCIPLES
SURGICAL MANAGEMENT
ELBOW EXTENSION RECONSTRUCTION
HAND RECONSTRUCTION
HAND INTRINSIC BALANCING
LONG-TERM OUTCOMES
SUMMARY
REFERENCES
Free Flap Functional Muscle Transfers
Key points
INTRODUCTION
PATIENT SELECTION
HIERARCHY OF FUNCTIONAL RESTORATION
RECIPIENT SITE
DONOR MOTOR NERVES
DONOR MUSCLE
SURGICAL TECHNIQUE FOR GRACILIS MUSCLE HARVEST
SURGICAL TECHNIQUE FOR FREE FUNCTIONAL MUSCLE TRANSFER FOR ELBOW FLEXION
SURGICAL TECHNIQUE FOR FREE FUNCTIONAL MUSCLE TRANSFER FOR DIGIT FLEXION
REPORTED OUTCOMES
SUMMARY
REFERENCES
Tendon Transfers in the Rheumatoid Hand for Reconstruction
Key points
INTRODUCTION
DIAGNOSIS
TENDON GRAFTING VERSUS TENDON TRANSFER
EXTENSOR TENDON RUPTURES
Extensor Pollicis Longus Ruptures
PROCEDURE: EXTENSOR INDICIS PROPRIUS TO EXTENSOR POLLICIS LONGUS TENDON TRANSFER
Preoperative Planning and Patient Positioning
Postoperative Management
Isolated Tendon Ruptures
PROCEDURE: END-TO-SIDE TENDON TRANSFER
Multiple Tendon Ruptures
PROCEDURE: MIDDLE AND RING FLEXOR DIGITORUM SUPERFICIALIS TO INDEX THROUGH SMALL EXTENSOR DIGITORUM COMMUNIS TENDON TRANSFER
FLEXOR TENDONS
SUMMARY
REFERENCES
Tendon Transfers for the Hypoplastic Thumb
Key points
BACKGROUND
SURGICAL TECHNIQUES
Huber Opposition Transfer
Flexor Digitorum Superficialis Opposition Transfer
General Technical Considerations
OUTCOMES
REFERENCES
Cerebral Palsy Tendon Transfers
Key points
INTRODUCTION: NATURE OF THE PROBLEM
PREOPERATIVE PLANNING-FLEXOR CARPI ULNARIS TO EXTENSOR CARPI RADIALIS BREVIS TENDON TRANSFER
Patient Selection
Type of Cerebral Palsy
Age
Cognition and Motivation
Preoperative Function (Strength, Voluntary Control, Phasic Contraction)
Sensibility
PREOPERATIVE PLANNING-EXTENSOR POLLICIS LONGUS REROUTING AND THENAR RELEASE
Patient Selection
Age
SURGICAL TECHNIQUE-FLEXOR CARPI ULNARIS TO EXTENSOR CARPI RADIALIS BREVIS TENDON TRANSFER
Preparation and Patient Positioning
Surgical Approach
Surgical Procedure
Immediate Postoperative Care
REHABILITATION AND RECOVERY
SURGICAL TECHNIQUE-EXTENSOR POLLICIS LONGUS RE-REROUTING AND ABDUCTOR POLLICUS LONGUS RELEASE
Surgical Approach
Surgical Procedure
REHABILITATION AND RECOVERY-EXTENSOR POLLICIS LONGUS REROUTING AND THENAR RELEASE
CLINICAL RESULTS
Flexor Carpi Ulnaris to Extensor Carpi Radialis Brevis Transfer
Extensor Pollicis Longus Rerouting and Thenar Release
SUMMARY
REFERENCES
Index

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