Bibliography: p. -90.
|Statement||[by] J. M. Ramselaar.|
|LC Classifications||RD776 .R33|
|The Physical Object|
|Pagination||viii, 90 p. with illus.|
|Number of Pages||90|
|LC Control Number||79125542|
Get this from a library! Tendon transfers to restore opposition of the thumb. [J M Ramselaar]. Read "Tendon Transfers to Restore Opposition of the Thumb" by J.M. Ramselaar available from Rakuten Kobo. In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great f Brand: Springer Netherlands. Get this from a library! Tendon Transfers to Restore Opposition of the Thumb. [J M Ramselaar] -- In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great freedom of movement of the first metacarpal and a highly developed and. There are two commonly utilized tendon transfers to augment thumb function and strength in opposition, the Huber opposition transfer () and the flexor digitorum superficialis (FDS) opposition transfer (). Both techniques are effective in improving thumb function and each has specific advantages.
Background. There is paucity of literature on early tendon transfer in surgical rehabilitation of hands with median nerve injuries. Since the single most important functional deficit in median nerve palsy is the loss of thumb opposition, we evaluated the results of early tendon transfer in restoration of thumb opposition. Although the use of the palmaris longus (PL) for restoring thumb opposition was first described by Bunnell, it was popularized by Camitz. 23 Although the PL transfer effectively restores palmar abduction, the pronation and flexion components of opposition are not re-established. The primary indication for performing a Camitz transfer is to. A tendon transfer is a surgery that moves a working muscle and tendon to replace a non-working muscle and tendon. For example, after a broken wrist, the tendon to the thumb (EPL tendon) that allows you to make a “thumbs-up” can break. Often, the two ends of the tendon are very damaged and cannot be sewn back together. Methods and material To effectively study the concept of tendon transfers to restore thumb opposition, three interrelated experiments were performed: (1) anatomic study of the mechanical function of thumb muscles, (2) quantitative measurement of hand and forearm muscle volume, mean fiber length, and cross-sectional area, and (3.
For a useful grasp function of the hand it must be possible for the thumb to be placed opposite the middle finger with an abduction distance (page 15) of at least cm. In about 30 per cent of the isolated lesions of the median nerve this position is not reached, and an opposition reconstruction should be considered (Kirklin and Thomas, ). Many tendon transfers have been shown to restore opposition to the thumb and provide thumb and finger flexion. In order to have optimal results the individual needs to follow the following principles of tendon transfer: normal tissue equilibrium, movable joints, and a scar-free bed. Doctors perform tendon repair surgery to fix a tendon injury. Tendons are tough, stretchy tissues that join muscles to bone. Their job is to allow the body to move and to transfer . restore thumb opposition.1,2 In term of longevity, it is the longest performed opposition tendon transfer. The primary indication for the procedure is congenital absence of the thenar muscles because in addition to restoring opposition, it adds bulk to the thenar eminence, thereby improving the aesthetic appearance of the.