Post Operative Physiotherapy for Pronator Teres Tendon Transfer: Difference between revisions
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== Introduction == | == Introduction == | ||
Proximal radial nerve injuries are seen mainly in patients with humeral shaft fractures<ref>Ekholm R, Ponzer S, Törnkvist H, Adami J, Tidermark J. [https://journals.lww.com/jorthotrauma/abstract/2008/11000/the_holstein_lewis_humeral_shaft_fracture__aspects.4.aspx The Holstein-Lewis humeral shaft fracture: aspects of radial nerve injury, primary treatment, and outcome.] Journal of orthopaedic trauma. 2008 Nov 1;22(10):693-7.</ref>. [1] Tendon and nerve transfers are utilized if the Functional recovery is not observed after primary nerve repair. This surgical option is available for reconstruction of the wrist, thumb, and finger extension. The motor branch of the flexor digitorum superficialis (FDS) is used for the motor branch of the extensor carpi radialis brevis (ECRB). It is mainly used for a synergistic effect. The FDS function gets affected if the only branch of the FDS nerve is cut off. In such case scenarios, pronator teres (PT) nerve transfer to the extensor carpi radialis longus (ECRL) nerve is preferred to achieve and restore wrist extension. [4]. For wrist extension reconstruction, the ECRB muscle is preferred over the ECRL due to ECRB muscle’s central location. That provides better-balanced radio-ulnar deviation during wrist extension. [5–7) Outcomes of tendon transfer are considered favorable when patients achieve good wrist extension, finger extension, thumb extension, and hand grip. 3. | Proximal radial nerve injuries are seen mainly in patients with humeral shaft fractures<ref>Ekholm R, Ponzer S, Törnkvist H, Adami J, Tidermark J. [https://journals.lww.com/jorthotrauma/abstract/2008/11000/the_holstein_lewis_humeral_shaft_fracture__aspects.4.aspx The Holstein-Lewis humeral shaft fracture: aspects of radial nerve injury, primary treatment, and outcome.] Journal of orthopaedic trauma. 2008 Nov 1;22(10):693-7.</ref>. [1] Tendon and nerve transfers are utilized if the Functional recovery is not observed after primary nerve repair. This surgical option is available for reconstruction of the wrist, thumb, and finger extension. The motor branch of the flexor digitorum superficialis (FDS) is used for the motor branch of the extensor carpi radialis brevis (ECRB). It is mainly used for a synergistic effect. The FDS function gets affected if the only branch of the FDS nerve is cut off. In such case scenarios, pronator teres (PT) nerve transfer to the extensor carpi radialis longus (ECRL) nerve is preferred to achieve and restore wrist extension<ref>García-López A, Navarro R, Martinez F, Rojas A. [https://www.sciencedirect.com/science/article/abs/pii/S0363502313014482 Nerve transfers from branches to the flexor carpi radialis and pronator teres to reconstruct the radial nerve.] The Journal of Hand Surgery. 2014 Jan 1;39(1):50-6.</ref>. [4]. For wrist extension reconstruction, the ECRB muscle is preferred over the ECRL due to ECRB muscle’s central location. That provides better-balanced radio-ulnar deviation during wrist extension. [5–7) Outcomes of tendon transfer are considered favorable when patients achieve good wrist extension, finger extension, thumb extension, and hand grip. 3. | ||
== Sub Heading 2 == | == Sub Heading 2 == | ||
Revision as of 19:12, 23 November 2023
Original Editor - Tanvi Korba
Top Contributors - Tanvi Korba and Kim Jackson
Introduction[edit | edit source]
Proximal radial nerve injuries are seen mainly in patients with humeral shaft fractures[1]. [1] Tendon and nerve transfers are utilized if the Functional recovery is not observed after primary nerve repair. This surgical option is available for reconstruction of the wrist, thumb, and finger extension. The motor branch of the flexor digitorum superficialis (FDS) is used for the motor branch of the extensor carpi radialis brevis (ECRB). It is mainly used for a synergistic effect. The FDS function gets affected if the only branch of the FDS nerve is cut off. In such case scenarios, pronator teres (PT) nerve transfer to the extensor carpi radialis longus (ECRL) nerve is preferred to achieve and restore wrist extension[2]. [4]. For wrist extension reconstruction, the ECRB muscle is preferred over the ECRL due to ECRB muscle’s central location. That provides better-balanced radio-ulnar deviation during wrist extension. [5–7) Outcomes of tendon transfer are considered favorable when patients achieve good wrist extension, finger extension, thumb extension, and hand grip. 3.
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References[edit | edit source]
- ↑ Ekholm R, Ponzer S, Törnkvist H, Adami J, Tidermark J. The Holstein-Lewis humeral shaft fracture: aspects of radial nerve injury, primary treatment, and outcome. Journal of orthopaedic trauma. 2008 Nov 1;22(10):693-7.
- ↑ García-López A, Navarro R, Martinez F, Rojas A. Nerve transfers from branches to the flexor carpi radialis and pronator teres to reconstruct the radial nerve. The Journal of Hand Surgery. 2014 Jan 1;39(1):50-6.
