Brachioradialis to flexor pollicis longus tendon transfer for active lateral pinch in the tetraplegic

Waters, Robert L.; Moore, Kevin R.; Graboff, Steven R.; Paris, Karen

doi:10.1016/s0363-5023(85)80040-x

Cited by 62 publications

(26 citation statements)

References 9 publications

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“…Some authors state that the patients with O7 sensibility should not be submitted to hand surgery 22 and the majority include in their criteria for surgery a two-point discrimination test in thumb and index lower than 10 mm, 20 or 15 mm. 23 This was clear in our study as 90% of the patients with Cu7 sensibility achieved good or excellent results, while in the group of O7 sensibility only 25% achieved good results. Authors such as House 15 and Vanden Berghe 24 obtained satisfactory functional results in patients with O7 sensibility.…”

Section: Discussionsupporting

confidence: 47%

The role of upper limb surgery in tetraplegia

et al. 2003

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Study design: A retrospective follow-up study. Objectives: To assess the value of surgery on the tetraplegic hand to improve its function. Setting: Spinal unit. Hospital La Fe. Valencia (Spain). Method: We reviewed the functional results obtained in 15 patients (10 males and 5 females) operated on at our hospital between 1988 and 1997. We performed 66 surgical procedures on 20 upper limbs. After a year or more the patients were evaluated by two independent examiners not related with the surgeons, using the questionnaire of Lamb and Chan modi®ed by Mohammed, taking into account the change in the performance of activities of daily living (ADL), the patient's satisfaction, and the ful®lment of their expectations. Results: A good or excellent result was obtained in 71.4% of our patients, 85.7% were satis®ed with the operation and 57.2% said that the surgery did not meet their expectations. The bad results occurred in patients with previous joint rigidity, ocular sensibility, pain, and lack of motivation. Conclusion: Hand surgery improved the function of tetraplegics and should be performed more frequently. The hands should be cared for from the very beginning to keep them supple. The information given to the patients should be realistic. Spinal Cord (2003) 41, 90 ± 96.

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Section: Discussionsupporting

confidence: 47%

The role of upper limb surgery in tetraplegia

et al. 2003

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“…32,33,[41][42][43] Tendon and muscle releases and/or lengthenings, and other surgical soft tissue reconstructions such as the tenodesis procedure, improves arm/hand function. 43,44 Osteotomies with or without rotation and/or arthrodesis have been performed to position the extremity for function. For example, an internal rotation contracture of the shoulder and/or a supination contracture of the forearm are managed with de-rotational osteotomies to position the arm and forearm for function, respectively.…”

Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

“…The most common joints that are fused are in the thumb. 43,46 FES systems have been implanted in the upper extremity to provide arm and/or hand movement with voluntarily controlled electrical stimulation. 28,[47][48][49] Other upper extremity/hand reconstructive surgery procedures include nerve transfer and other surgeries aimed at restoring arm and/or hand function.…”

Section: International Spinal Cord Injury Upper Exremity Basic Data Setmentioning

confidence: 99%

International Spinal Cord Injury Upper Extremity Basic Data Set

et al. 2014

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“…Extensor tenodeses were performed secondarily if natural tenodesis was insuf ficient to prevent a flexion deformity of the fingers. Waters et al (1985) reported transfer of BR into FPL in Group 2 or better limbs. The thumb IP joint was fixed with a specially designed Moberg screw (threaded pin) and thumb extensor tendons were tenodesed to the dorsum of the metacarpal.…”

Section: Other Patternsmentioning

confidence: 99%

A review of surgical rehabilitation of the upper limb in quadriplegia

1988

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SummaryThe options for surgical reconstruction of the quadriplegic upper limb are clarified by a new international classification of each limb independently, based upon· the lowest functioning key muscle and residual sensation. Surgical restoration of active elbow extension, of pinch, and of grasp is now an accepted part of rehabilitation. This additional function may be achieved by transfer of a non-essential muscle, by tenodesis, or occasionally by arthrodesis. The techniques available for each group of the new international classification are described.

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Brachioradialis to flexor pollicis longus tendon transfer for active lateral pinch in the tetraplegic

Cited by 62 publications

References 9 publications

The role of upper limb surgery in tetraplegia

The role of upper limb surgery in tetraplegia

International Spinal Cord Injury Upper Extremity Basic Data Set

A review of surgical rehabilitation of the upper limb in quadriplegia

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