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Tendon transfers to restore elbow flexion
A Cambon-Binder1, M Chammas2, B Coulet2
1Service d'orthopédie et de chirurgie du membre supérieur, Hôpital Saint-Antoine, 184, rue du Faubourg Saint-Antoine, 75012 Paris, France.
Hand Surgery & Rehabilitation
|June 19, 2021
Summary
Restoring elbow flexion involves nerve surgery or tendon transfers for brachial plexus palsy. Muscle transfers, strong or weak, are options, with free reinnervated transfers for severe cases.
Area of Science:
- Orthopedics
- Neurosurgery
- Reconstructive Surgery
Background:
- Elbow flexion paralysis significantly impacts upper limb function.
- It often results from brachial plexus palsy or nerve trunk lesions.
Purpose of the Study:
- To outline surgical strategies for restoring elbow flexion.
- To detail indications for nerve surgery versus tendon transfers.
Main Methods:
- Discusses early nerve surgery and palliative transfers.
- Details regional pedicled muscle transfers (strong and weak donors).
- Considers free reinnervated muscle transfer when donor muscles are unavailable.
Main Results:
- Tendon transfers are indicated for long-standing palsies or inadequate nerve surgery outcomes.
- Strong donor transfers include pectoralis major, triceps, and latissimus dorsi.
- Weak transfers (e.g., pectoralis minor, Steindler) are for incomplete recovery.
Conclusions:
- A comprehensive treatment plan is essential for elbow flexion restoration.
- Surgical options range from nerve procedures to various muscle transfers based on patient condition.
Keywords:
Brachial plexusElbow flexion paralysisFree vascularized muscle transferLatissimus dorsi transferParalysie de la flexion du coudePectoralis major and minor transferPlexus brachialSteindlerTendon transferTransfert du latissimus dorsiTransfert du pectoralis major et minorTransfert libre musculaire réinnervéTransfert tendineuxRelated Concept Videos
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