Brachial Plexus Injury-Adult-Brachial Plexus Review

Brachial Plexus Review

Pdf Summary

Tendon transfers are surgical procedures used to restore function in patients with tendon injuries or paralysis. These transfers involve moving a healthy tendon from one area of the body to another to replace a damaged or non-functioning tendon. Tendon transfers are commonly performed in patients with peripheral nerve injuries, rheumatoid arthritis, and brachial plexus injuries.<br /><br />In peripheral nerve injuries, tendon transfers are used to restore function in the affected limb. The choice of tendon transfer depends on the location and severity of the nerve injury. For example, in radial nerve palsy, tendon transfers can restore thumb and finger extension by transferring tendons from the wrist flexors to the digital extensors. In median nerve palsy, tendon transfers can restore thumb and finger flexion by transferring tendons from adjacent muscles to the muscles that control thumb and finger movement. In ulnar nerve palsy, tendon transfers can restore finger abduction and power pinch by transferring tendons from the wrist and forearm muscles to the small finger extensors. In combined median and ulnar nerve palsies, tendon transfers from various muscles can restore thumb and finger function.<br /><br />In rheumatoid arthritis, tendon transfers are used to restore function in the hand and wrist affected by tendon ruptures. Tendon ruptures are common in patients with advanced rheumatoid arthritis. Tendon transfers can be done to restore function in the affected fingers and thumb by transferring tendons from neighboring muscles to the damaged tendons.<br /><br />In brachial plexus injuries, tendon transfers are used to restore function in the shoulder, elbow, wrist, and hand. Tendon transfers are performed after the extent of the nerve injury has been diagnosed and stabilized. The goal of surgery is to improve the position and control of the shoulder, restore elbow flexion, and restore pinch, grasp, and release functions of the hand.<br /><br />Overall, tendon transfers are an effective surgical option to restore function in patients with tendon injuries or paralysis. The choice of tendon transfer depends on the specific condition and severity of the injury. The success of tendon transfers relies on proper patient selection, meticulous surgical technique, and postoperative rehabilitation.

Keywords

tendon transfers

surgical procedures

function restoration

tendon injuries

paralysis

peripheral nerve injuries

rheumatoid arthritis

brachial plexus injuries

nerve injury

hand and wrist function restoration