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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Muscles of the Forearm that Move the Hand and Fingers01:17

Muscles of the Forearm that Move the Hand and Fingers

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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
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Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

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The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
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Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel
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Wrist fusion in peripheral paralysis.

D Le Nen1, N Kerfant2, A Dellestable1

  • 1Service de Chirurgie de la Main et du Membre Supérieur, CHU, Hôpital de la Cavale Blanche, Boulevard Tanguy Prigent, 29200 Brest, France.

Hand Surgery & Rehabilitation
|September 6, 2021
PubMed
Summary

Wrist fusion surgery offers a valuable solution for upper limb paralysis when tendon transfers are limited. This procedure is especially beneficial for brachial plexus injuries and radial nerve paralysis, improving hand function.

Keywords:
Arthrodèse du poignetBrachial plexus injuryParalysieParalysie du plexus brachialParalysisTendon transferTransfert tendineuxWrist arthrodesis

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Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery

Background:

  • Upper limb paralysis presents significant functional deficits.
  • Limited options exist for restoring finger function and wrist extension in severe cases.
  • Brachial plexus lesions and radial nerve palsy are common causes of upper limb paralysis.

Purpose of the Study:

  • To evaluate the efficacy of wrist fusion in managing upper limb paralysis.
  • To highlight specific indications for wrist fusion, including brachial plexus injuries and radial nerve palsy.
  • To review the impact of modern surgical techniques on wrist fusion outcomes.

Main Methods:

  • Review of existing literature on wrist fusion techniques.
  • Analysis of outcomes in patients with upper limb paralysis undergoing wrist fusion.
  • Comparison of traditional methods with modern techniques, such as anatomical plates.

Main Results:

  • Wrist fusion is effective in selected cases of upper limb paralysis, particularly when tendon transfers are not feasible.
  • The procedure is beneficial for sequelae of brachial plexus lesions and radial nerve paralysis with preserved wrist flexors.
  • The use of anatomical plates has significantly reduced non-union and complication rates.

Conclusions:

  • Wrist fusion is a viable surgical option for specific indications of upper limb paralysis.
  • Modern techniques, including anatomical plates, have improved the safety and efficacy of wrist fusion.
  • Associated benefits, like pronation-supination locking in brachial plexus cases, enhance functional recovery.