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Muscles of the Forearm that Move the Hand and Fingers01:16

Muscles of the Forearm that Move the Hand and Fingers

The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi radialis,...

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Polytetrafluoroethylene (PTFE) as a Suture Material in Tendon Surgery
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[Tendon transposition to restore muscle function in the hand].

A Gohritz1, J Fridén, C Herold

  • 1Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30625, Hannover, Deutschland. andreas_gohritz@yahoo.com

Der Unfallchirurg
|September 6, 2007
PubMed
Summary
This summary is machine-generated.

Microsurgical nerve repair is key for upper extremity injuries. Tendon transfers offer functional restoration for nerve damage, especially in tetraplegia, improving hand function and independence.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Plastic Surgery

Context:

  • Upper extremity nerve injuries cause significant disability.
  • Microsurgical techniques have advanced nerve repair outcomes.
  • Proximal nerve lesions, like high radial nerve palsy, present challenges.

Purpose:

  • To review common procedures for restoring hand function in peripheral nerve injuries and tetraplegia.
  • To provide a systematic approach for decision-making in surgical reconstruction.
  • To highlight the benefits of tendon transfers for functional restoration.

Summary:

  • Nerve repair is prioritized before tendon transfers when prognosis is favorable.
  • Tendon transfers are secondary procedures to restore function after motor loss evaluation.
  • Numerous transfer procedures exist, with outcomes depending on injury extent, trauma effects, and muscle characteristics.

Impact:

  • Tendon transfers offer a valuable functional benefit, often being the only option to restore hand function.
  • These procedures improve upper extremity function in over 70% of patients with cervical spinal cord injury.
  • Restoration of key hand functions enhances mobility and independence for tetraplegic individuals.