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Related Experiment Video

Updated: Jan 24, 2026

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals
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Tendon Transfers for Peripheral Nerve Palsies.

Scott N Loewenstein1, Joshua M Adkinson1

  • 1Division of Plastic Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall, Suite 232, Indianapolis, IN 46202, USA.

Clinics in Plastic Surgery
|May 20, 2019
PubMed
Summary

Tendon transfers can restore function after upper extremity peripheral nerve injuries when recovery is poor. The decision for early transfer depends on individual patient factors and surgical strategy, aiming for improved function with minimal side effects.

Keywords:
Median neuropathyPeripheral nerveRadial neuropathyTendon transferUlnar neuropathy

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Reconstructive Surgery

Background:

  • Upper extremity peripheral nerve injuries often result in significant functional deficits.
  • Functional recovery is variable and influenced by numerous factors.
  • In cases of inadequate recovery, tendon transfers are a potential reconstructive option.

Purpose of the Study:

  • To discuss the indications and considerations for tendon transfers in patients with poor functional recovery after upper extremity peripheral nerve injury.
  • To highlight the decision-making process for early tendon transfer versus awaiting reinnervation.
  • To outline the factors influencing the choice of specific tendon transfer procedures.

Main Methods:

  • Review of current literature and clinical practice regarding tendon transfers for peripheral nerve injuries.
  • Case-by-case analysis of patient factors influencing surgical decision-making.
  • Discussion of various tendon transfer techniques and their applicability.

Main Results:

  • Tendon transfers can significantly improve upper extremity function in select patients.
  • Early tendon transfer may be beneficial in specific scenarios, determined individually.
  • The selection of tendon transfer options is guided by remaining motor function, specific nerve deficits, and surgeon expertise.

Conclusions:

  • A strategic approach to tendon transfer reconstruction can yield substantial functional gains.
  • Careful planning and execution minimize donor site morbidity.
  • Tendon transfers represent a valuable tool in managing challenging upper extremity nerve injuries.