Surgical Technique: Posterior Deltoid-to-Triceps Transfer in Tetraplegic Patients

Netscher, David T.; Sandvall, Brinkley K.

doi:10.1016/j.jhsa.2011.01.027

Cited by 12 publications

(3 citation statements)

References 13 publications

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“…Table S1, which is available online, summarizes common tendon transfers for nerve palsies. [89][90][91][92][93][94][95][96] Ultrasound can also be used to localize the new pathway of nerves if they have been transposed. This can be helpful when performing nerve conduction studies as altered anatomy can affect distance measurements and result in erroneous calculations.…”

Section: Assessment Of Surgical Alterationsmentioning

confidence: 99%

“…It is also useful to be familiar with common tendon transfers to anticipate the new location of the tendon and intended muscle function. Supporting Information Table S1, which is available online, summarizes common tendon transfers for nerve palsies 89‐96 . Ultrasound can also be used to localize the new pathway of nerves if they have been transposed.…”

Section: Systematic Approach To Musculoskeletal Ultrasound Before Andmentioning

confidence: 99%

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Musculoskeletal ultrasound for traumatic and torsional alterations

Strakowski

Chiou‐Tan

2020

Muscle and Nerve

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The sonographic appearance of soft tissue can be altered by trauma and positional change with torsional stress. This creates challenges for ultrasonographic interpretation, because most descriptive literature and standard instructional references are displayed in anatomically neutral or other conventional positions. Knowledge of anatomic alteration and changes in sonographic appearance with torsional stress is essential for accurately assessing soft tissue abnormalities in conditions of spasticity, traumatic and post-surgical changes, and other conditions that distort musculoskeletal relationships. A systematic scanning approach to these alterations is needed for accurate diagnostic interpretation, optimizing electrode placement for electrodiagnostic techniques, effective needle placement for therapeutic ultrasound-guided procedures, and even planning for restorative surgery. This review describes expected positional changes of normal structures with torsional alteration, as well as sonographic recognition of scars, burns, hematomas, fat layer fracture, Morel-Lavallee lesions, abscesses, foreign bodies, myotendinous lesions, muscle injury and denervation, and traumatic peripheral nerve injury.

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Section: Assessment Of Surgical Alterationsmentioning

confidence: 99%

Section: Systematic Approach To Musculoskeletal Ultrasound Before Andmentioning

confidence: 99%

Musculoskeletal ultrasound for traumatic and torsional alterations

Strakowski

Chiou‐Tan

2020

Muscle and Nerve

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“…For active elbow extension reconstruction, either the biceps ( FIGURE 2 ) or the posterior part of the deltoid muscle ( FIGURE 3 ) can be transferred to the triceps. 16 30 36) After posterior deltoid transfer, shoulder abduction is preserved by the anterior part of the deltoid. Biceps transfer may compromise elbow flexion and supination.…”

Section: What Kind Of Tendon Transfer Surgery Can Be Done?mentioning

confidence: 99%

Upper Limb Reconstruction in Tetraplegic Patients: A Primer for Spinal Cord Injury Specialists

Liew

Shim

Gong

2020

Korean J Neurotrauma

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Cervical spinal cord injury (SCI) often causes debilitating loss of function of the upper limb. Upper extremity reconstruction surgery can restore some of the upper limb function in tetraplegic patients with SCI. The procedures are typically muscle-tendon unit transfer surgeries, which redistribute the remaining functional muscles to restore active elbow extension, key grip, and finger grasping. In addition to the tendon transfer surgeries, nerve transfers have emerged recently and are showing promising results. However, despite more than half of the tetraplegic patients can benefit from upper limb surgery, only a few of them receive the procedures. This missed opportunity may be due to the lack of communication between SCI specialists and hand surgeons, or the lack of awareness of such options among the specialists and patients. In this review, we provide a basic overview of upper limb reconstruction in tetraplegic patients with target audience of SCI specialists for their better understanding of the basic concept of surgery and information for patient consultation before referring to hand surgeons.

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Paralytic Hand

Calandruccio¹,

Jobe²

2013

Campbell's Operative Orthopaedics

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Surgical Technique: Posterior Deltoid-to-Triceps Transfer in Tetraplegic Patients

Cited by 12 publications

References 13 publications

Musculoskeletal ultrasound for traumatic and torsional alterations

Musculoskeletal ultrasound for traumatic and torsional alterations

Upper Limb Reconstruction in Tetraplegic Patients: A Primer for Spinal Cord Injury Specialists

Paralytic Hand

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