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Related Experiment Video

Updated: Mar 18, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
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Radial Nerve Tendon Transfers.

Andre Eu-Jin Cheah1, Jennifer Etcheson2, Jeffrey Yao2

  • 1Department of Orthopaedic Surgery, Robert A. Chase Hand & Upper Limb Center, Stanford University Medical Center, 450 Broadway Street, Redwood City, CA 94063, USA; Department of Hand & Reconstructive Microsurgery, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore 119228, Singapore.

Hand Clinics
|July 9, 2016
PubMed
Summary
This summary is machine-generated.

Radial nerve palsy causes loss of wrist and finger extension. Tendon transfer surgery, using common donor tendons, reconstructs motor function with good outcomes for these positional procedures.

Keywords:
Radial nerve palsySurgical techniqueTendon transfer

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Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Reconstructive Surgery

Background:

  • Radial nerve palsy results from trauma or iatrogenic injury, causing significant loss of hand and wrist function.
  • Key functional deficits include loss of wrist extension, finger extension, thumb extension, and reduced grip strength.
  • In cases of nerve recovery failure, tendon transfer surgery is the primary reconstructive method.

Purpose of the Study:

  • To review the common donor tendons used in radial nerve palsy reconstruction.
  • To discuss the classification of tendon transfers based on the extensor digitorum communis donor.
  • To summarize the reported outcomes of various radial nerve tendon transfer techniques.

Main Methods:

  • Review of common donor tendons: pronator teres, wrist flexors, and finger flexors.
  • Classification of tendon transfers based on the donor for the extensor digitorum communis.
  • Analysis of reported outcomes for different radial nerve tendon transfer methods.

Main Results:

  • Common donor tendons for reconstruction include pronator teres, wrist flexors, and finger flexors.
  • Tendon transfer types are categorized by the donor used for the extensor digitorum communis.
  • Most radial nerve tendon transfers demonstrate good outcomes, particularly positional transfers.

Conclusions:

  • Tendon transfer surgery is an effective reconstructive option for radial nerve palsy when nerve recovery is absent.
  • The choice of donor tendon and transfer technique influences functional restoration.
  • Positional tendon transfers, not requiring substantial power, generally yield favorable results.