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Outcome of tendon transfer for radial nerve paralysis: Comparison of three methods.
Indian J Orthop. 2011 Nov; 45(6):558-62.IJ

Abstract

BACKGROUND

Tendon transfer for radial nerve paralysis has a 100 years history and any set of tendons that can be considered to be useful has been utilized for the purpose. The pronator tress is used for restoration of wrist dorsiflexion, while the flexor carpi radialis, flexor carpiulnaris, and flexor digitorum superficialis are variably used in each for fingers and thumb movements. The present study was a retrospective analysis, designed to compare three methods of tendon transfer for radial nerve palsy.

MATERIALS AND METHODS

41 patients with irreversible radial nerve paralysis, who had underwent three different types of tendon transfers (using different tendons for transfer) between March 2005 and September 2009, included in the study. The pronator teres was transferred for wrist extention. Flexor carpi ulnaris (group 1, n=18), flexor carpi radialis (group 2, n=10) and flexor digitorum superficialis (group 3, n=13) was used to achieve finger extention. Palmaris longus was used to achieve thumb extention and abduction. At the final examination, related ranges of motions were recorded and the patients were asked about their overall satisfaction with the operation, their ability, and time of return to their previous jobs, and in addition, disabilities of the arm, shoulder and hand (DASH) Score was measured and recorded for each patient.

RESULTS

The difference between the groups with regard to DASH score, ability, and time of return to job, satisfaction with the operation, and range of motions was not statistically significant (P>0.05). All of the patients had experienced functional improvement and overall satisfaction rate was 95%. No complication directly attributable to the operation was noted, except for proximal interphalangeal joint flexion contracture in three patents.

CONCLUSION

The tendon transfer for irreversible radial nerve palsy is very successful and probably the success is not related to type of tendon used for transfer.

Authors+Show Affiliations

Kerman Neuroscience Research Center, Kerman University of Medical Sciences, Tehran, Iran.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22144751

Citation

Moussavi, Alia Ayatollahi, et al. "Outcome of Tendon Transfer for Radial Nerve Paralysis: Comparison of Three Methods." Indian Journal of Orthopaedics, vol. 45, no. 6, 2011, pp. 558-62.
Moussavi AA, Saied A, Karbalaeikhani A. Outcome of tendon transfer for radial nerve paralysis: Comparison of three methods. Indian journal of orthopaedics. 2011;45(6):558-62.
Moussavi, A. A., Saied, A., & Karbalaeikhani, A. (2011). Outcome of tendon transfer for radial nerve paralysis: Comparison of three methods. Indian Journal of Orthopaedics, 45(6), 558-62. https://doi.org/10.4103/0019-5413.87133
Moussavi AA, Saied A, Karbalaeikhani A. Outcome of Tendon Transfer for Radial Nerve Paralysis: Comparison of Three Methods. Indian journal of orthopaedics. 2011;45(6):558-62. PubMed PMID: 22144751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of tendon transfer for radial nerve paralysis: Comparison of three methods. AU - Moussavi,Alia Ayatollahi, AU - Saied,Alireza, AU - Karbalaeikhani,Ali, PY - 2011/12/7/entrez PY - 2011/12/7/pubmed PY - 2011/12/7/medline KW - DASH score KW - radial nerve palsy KW - tendon transfer SP - 558 EP - 62 JF - Indian journal of orthopaedics VL - 45 IS - 6 N2 - BACKGROUND: Tendon transfer for radial nerve paralysis has a 100 years history and any set of tendons that can be considered to be useful has been utilized for the purpose. The pronator tress is used for restoration of wrist dorsiflexion, while the flexor carpi radialis, flexor carpiulnaris, and flexor digitorum superficialis are variably used in each for fingers and thumb movements. The present study was a retrospective analysis, designed to compare three methods of tendon transfer for radial nerve palsy. MATERIALS AND METHODS: 41 patients with irreversible radial nerve paralysis, who had underwent three different types of tendon transfers (using different tendons for transfer) between March 2005 and September 2009, included in the study. The pronator teres was transferred for wrist extention. Flexor carpi ulnaris (group 1, n=18), flexor carpi radialis (group 2, n=10) and flexor digitorum superficialis (group 3, n=13) was used to achieve finger extention. Palmaris longus was used to achieve thumb extention and abduction. At the final examination, related ranges of motions were recorded and the patients were asked about their overall satisfaction with the operation, their ability, and time of return to their previous jobs, and in addition, disabilities of the arm, shoulder and hand (DASH) Score was measured and recorded for each patient. RESULTS: The difference between the groups with regard to DASH score, ability, and time of return to job, satisfaction with the operation, and range of motions was not statistically significant (P>0.05). All of the patients had experienced functional improvement and overall satisfaction rate was 95%. No complication directly attributable to the operation was noted, except for proximal interphalangeal joint flexion contracture in three patents. CONCLUSION: The tendon transfer for irreversible radial nerve palsy is very successful and probably the success is not related to type of tendon used for transfer. SN - 1998-3727 UR - https://www.unboundmedicine.com/medline/citation/22144751/Outcome_of_tendon_transfer_for_radial_nerve_paralysis:_Comparison_of_three_methods_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22144751/ DB - PRIME DP - Unbound Medicine ER -
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