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33803

Evaluation of Different Modalities of Tendon Transfer in Ulnar Nerve Palsy

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Last updated: 03 Jan 2025

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Abstract

Background: Tendon transfer surgery is a type of hand surgery that is performed in order to improve lost hand function. A functioning tendon is shifted from its original attachment to a new one to restore the action that has been lost. Aim of the study: the present study was performed to evaluate the different modalities of tendon transfer in management of clawing of little and ring fingers in ulnar nerve palsy. Patients and Methods: Correction of clawing of ring and little fingers was done in 20 patients (with ulnar palsy whether high or low; age range: 5-60 years). Different techniques of tendon transfer were used including Zancolli-lasso procedure using flexor digitorum superficialis (FDS), Stiles Bunnel procedure using FDS and Brand procedure Results: Anti-claw procedures were performed in 20 cases, 10 patients showed excellent results, 6 patients showed good results, 3 patients showed fair results, while 1 patient showed poor result according to MRC grading system. Conclusion: It could be concluded that among many techniques of tendon transfer procedures prescribed for treatment of claw hand in ulnar nerve palsy, FDS transfer is the best reconstructive tendon transfer procedure for correction of ulnar claw hand especially in low ulnar palsy. In case of high ulnar palsy when FDS isn't available ECRL transfer is the next choice.

DOI

10.21608/ejhm.2019.33803

Keywords

Tendon Transfer, ulnar nerve palsy, claw hand

Authors

First Name

Magdy A.

Last Name

Abd Elmoktader

MiddleName

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Affiliation

Department of Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Orcid

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First Name

Moustafa

Last Name

Mekky

MiddleName

-

Affiliation

Department of Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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City

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Orcid

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First Name

Khallad

Last Name

Sholkamy

MiddleName

-

Affiliation

Department of Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Mohamed

Last Name

Nageh

MiddleName

-

Affiliation

Department of Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

nagih318@gmail.com

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-

Orcid

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Volume

75

Article Issue

6

Related Issue

5648

Issue Date

2019-04-01

Receive Date

2019-06-02

Publish Date

2019-04-01

Page Start

3,000

Page End

3,005

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_33803.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=33803

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Different Modalities of Tendon Transfer in Ulnar Nerve Palsy

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Article

Created At

22 Jan 2023