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[The results of tendon transfer in irreparable radial nerve palsy].
Acta Orthop Traumatol Turc. 2008 Nov-Dec; 42(5):350-7.AO

Abstract

OBJECTIVES

The purpose of this study was to evaluate the results of tendon transfers in patients with irreparable radial nerve palsy.

METHODS

The study included 29 patients (5 females, 24 males; mean age 29 years; range 9 to 51 years) who underwent tendon transfers for radial nerve palsy. Four patients had low- and 25 patients had high-level radial nerve palsy. The mean duration of tendon transfer after injury (paralysis time) was 19.7 months (range 1 day to 180 months). Clinical evaluations included joint range of motion and muscle strengths. Functional evaluation was made using the Tajima criteria. The mean follow-up was 56.9 months (range 5 to 90 months).

RESULTS

Muscle strengths were measured as follows: 3 (n=3), 4 (n=10), and 5 (n=12) for the wrist extensor muscle; 3 (n=7), 4 (n=10), and 5 (n=12) for the finger extensor muscle; and 3 (n=6), 4 (n=13), and 5 (n=10) for the thumb extensor muscle. The mean wrist range of motion was 67.4 degrees , extension was 48.3 degrees (10 degrees to 70 degrees), and flexion was 21.5 degrees (10 degrees to 55 degrees). The mean metacarpophalangeal joint extension was 1.7 degrees (0 degrees to 12 degrees), thumb abduction was 45.6 degrees (34 degrees to 56 degrees), and thumb interphalangeal joint extension was 18 degrees (0 degrees to 30 degrees). According to the Tajima criteria, the results were excellent in 15 patients (51.7%), good in nine patients (31%), and moderate in five patients (17.2%). Eight patients (27.6%) had radial deviation deformity and four patients (13.8%) had 1-level weaker finger extensor muscle strength compared to the other fingers. The flexor carpi ulnaris (FCU) was used in the transfer of patients who developed radial deviation deformity.

CONCLUSION

Treatment of irreparable radial nerve palsy with tendon transfers yields successful results. Radial deviation deformity mostly occurs in patients receiving FCU transfer for finger extension.

Authors+Show Affiliations

Department of Orthopedics and Traumatology, Hand and Upper Extremity Surgery (Ortopedi ve Travmatoloji Bölümü, El ve Ust Ekstremite Cerrahisi Servisi), Acibadem Kadiköy Hospital, Istanbul, Turkey. drufukn@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

tur

PubMed ID

19158456

Citation

Nalbantoğlu, Ufuk, et al. "[The Results of Tendon Transfer in Irreparable Radial Nerve Palsy]." Acta Orthopaedica Et Traumatologica Turcica, vol. 42, no. 5, 2008, pp. 350-7.
Nalbantoğlu U, Ozkan T, Türkmen IM. [The results of tendon transfer in irreparable radial nerve palsy]. Acta Orthop Traumatol Turc. 2008;42(5):350-7.
Nalbantoğlu, U., Ozkan, T., & Türkmen, I. M. (2008). [The results of tendon transfer in irreparable radial nerve palsy]. Acta Orthopaedica Et Traumatologica Turcica, 42(5), 350-7.
Nalbantoğlu U, Ozkan T, Türkmen IM. [The Results of Tendon Transfer in Irreparable Radial Nerve Palsy]. Acta Orthop Traumatol Turc. 2008 Nov-Dec;42(5):350-7. PubMed PMID: 19158456.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The results of tendon transfer in irreparable radial nerve palsy]. AU - Nalbantoğlu,Ufuk, AU - Ozkan,Türker, AU - Türkmen,I Metin, PY - 2009/1/23/entrez PY - 2009/1/23/pubmed PY - 2009/5/27/medline SP - 350 EP - 7 JF - Acta orthopaedica et traumatologica turcica JO - Acta Orthop Traumatol Turc VL - 42 IS - 5 N2 - OBJECTIVES: The purpose of this study was to evaluate the results of tendon transfers in patients with irreparable radial nerve palsy. METHODS: The study included 29 patients (5 females, 24 males; mean age 29 years; range 9 to 51 years) who underwent tendon transfers for radial nerve palsy. Four patients had low- and 25 patients had high-level radial nerve palsy. The mean duration of tendon transfer after injury (paralysis time) was 19.7 months (range 1 day to 180 months). Clinical evaluations included joint range of motion and muscle strengths. Functional evaluation was made using the Tajima criteria. The mean follow-up was 56.9 months (range 5 to 90 months). RESULTS: Muscle strengths were measured as follows: 3 (n=3), 4 (n=10), and 5 (n=12) for the wrist extensor muscle; 3 (n=7), 4 (n=10), and 5 (n=12) for the finger extensor muscle; and 3 (n=6), 4 (n=13), and 5 (n=10) for the thumb extensor muscle. The mean wrist range of motion was 67.4 degrees , extension was 48.3 degrees (10 degrees to 70 degrees), and flexion was 21.5 degrees (10 degrees to 55 degrees). The mean metacarpophalangeal joint extension was 1.7 degrees (0 degrees to 12 degrees), thumb abduction was 45.6 degrees (34 degrees to 56 degrees), and thumb interphalangeal joint extension was 18 degrees (0 degrees to 30 degrees). According to the Tajima criteria, the results were excellent in 15 patients (51.7%), good in nine patients (31%), and moderate in five patients (17.2%). Eight patients (27.6%) had radial deviation deformity and four patients (13.8%) had 1-level weaker finger extensor muscle strength compared to the other fingers. The flexor carpi ulnaris (FCU) was used in the transfer of patients who developed radial deviation deformity. CONCLUSION: Treatment of irreparable radial nerve palsy with tendon transfers yields successful results. Radial deviation deformity mostly occurs in patients receiving FCU transfer for finger extension. SN - 1017-995X UR - https://www.unboundmedicine.com/medline/citation/19158456/[The_results_of_tendon_transfer_in_irreparable_radial_nerve_palsy]_ L2 - http://www.aott.org.tr/index.php/aott/article/view/3517/1044 DB - PRIME DP - Unbound Medicine ER -