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Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
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Tendon transfer for tardive ulnar nerve palsy.
1Abteilung für Hand-, Plastische und Wiederherstellungschirurgie, Malteser-Krankenhaus Bonn, Germany.
Der Orthopade
|March 2, 2017
Summary
Ulnar nerve damage causes hand paralysis and loss of function. Tendon transfers are crucial for restoring grasp functions like thumb adduction and correcting claw hand deformities.
Area of Science:
- Orthopedics
- Neurosurgery
- Hand Surgery
Background:
- Ulnar nerve damage leads to intrinsic muscle paralysis, significantly reducing hand function by approximately 50%.
- Impairment affects critical grasp functions, impacting daily activities and quality of life.
Purpose of the Study:
- To outline indications for tendon transfers in cases of irreparable ulnar nerve motor function damage.
- To discuss various tendon transfer procedures and transposition techniques.
- To present the author's preferred methods for restoring hand function.
Main Methods:
- Review of clinical cases and surgical outcomes related to ulnar nerve palsy.
- Detailed description of surgical techniques for tendon transfers.
- Analysis of functional recovery following different procedures.
Main Results:
- Tendon transfers are indicated for specific functional deficits including claw hand, impaired thumb adduction, index MP joint instability, and little finger adduction weakness.
- Various surgical techniques can be employed to address these deficits.
- The author's preferred methods aim to optimize functional restoration.
Conclusions:
- Tendon transfers are an effective surgical solution for significant functional loss due to ulnar nerve damage.
- Careful patient selection and appropriate technique are essential for successful outcomes.
- Restoration of intrinsic muscle function improves overall hand capacity.
