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Brachioradialis transfer for digital palsy.

J M Failla¹, C A Peimer, F S Sherwin

¹State University of New York, Buffalo.

Journal of Hand Surgery (Edinburgh, Scotland)

|August 1, 1990

Summary

Brachioradialis tendon transfer restored thumb and finger function in eight patients with severe arm injuries. Most patients reported improved motion, grip, and independence, enhancing daily living activities.

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Area of Science:

Orthopedic Surgery
Reconstructive Surgery
Hand Surgery

Background:

Brachioradialis tendon transfer is traditionally considered to have limited tendon excursion.
Restoring thumb and digital function is crucial for activities of daily living.

Purpose of the Study:

To evaluate the efficacy of brachioradialis tendon transfer in restoring thumb and digital function.
To assess patient satisfaction and functional outcomes after the procedure.

Main Methods:

Eight patients with conditions like Volkmann's contracture, forearm muscle avulsion, and tetraplegia underwent brachioradialis tendon transfer.
The tendon was transferred to the flexor pollicis longus, flexor digitorum profundus, or common digital extensors.

Main Results:

Seven out of eight patients reported satisfaction with improved motion, pinch, grip, and independence.
Significant improvements in daily living activities were observed in most patients.

Conclusions:

Brachioradialis tendon transfer can effectively restore active thumb and digital function in select patient populations.
Despite functional limitations, the procedure significantly enhances patient independence and quality of life.

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