eMedicine Specialties > Plastic Surgery > Hand

Hand, Tendon Transfers: Multimedia

Author: Steffen Baumeister, MD, Consulting Staff, Department of Plastic Surgery, Breast Center, Behandlungszentrum Vogtareuth, Bavaria, Germany
Contributor Information and Disclosures

Updated: Oct 3, 2008

Multimedia

Assist devices used in upper limb paralysis.
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Media file 1: Assist devices used in upper limb paralysis.
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Assist devices used in upper limb paralysis.

Assist devices used in upper limb paralysis.

Natural tenodesis is demonstrated by flexing and ...
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Media file 2: Natural tenodesis is demonstrated by flexing and extending the wrist with the hand relaxed. The effect shows extension of the fingers when the wrist is flexed and flexion of the fingers when the wrist is extended. If the tendons are not intact, this effect is lost.
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Natural tenodesis is demonstrated by flexing and ...

Natural tenodesis is demonstrated by flexing and extending the wrist with the hand relaxed. The effect shows extension of the fingers when the wrist is flexed and flexion of the fingers when the wrist is extended. If the tendons are not intact, this effect is lost.

Tendons ruptured secondary to rheumatoid arthriti...
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Media file 3: Tendons ruptured secondary to rheumatoid arthritis. Repair by transfer of long extensor digitorum communis (EDC) to the ring EDC and the index EDC to the little EDC. The fourth dorsal compartment has been opened to allow inspection of the compartment and repair of any problem causing the ruptures.
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Tendons ruptured secondary to rheumatoid arthriti...

Tendons ruptured secondary to rheumatoid arthritis. Repair by transfer of long extensor digitorum communis (EDC) to the ring EDC and the index EDC to the little EDC. The fourth dorsal compartment has been opened to allow inspection of the compartment and repair of any problem causing the ruptures.

Ulnar clawing produced by loss of intrinsics to t...
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Media file 4: Ulnar clawing produced by loss of intrinsics to the little and ring fingers, characterized by hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints.
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Ulnar clawing produced by loss of intrinsics to t...

Ulnar clawing produced by loss of intrinsics to the little and ring fingers, characterized by hyperextension of the metacarpophalangeal joints and flexion of the interphalangeal joints.

Zancolli-type lasso of A-1 pulley by the superfic...
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Media file 5: Zancolli-type lasso of A-1 pulley by the superficialis.
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Zancolli-type lasso of A-1 pulley by the superfic...

Zancolli-type lasso of A-1 pulley by the superficialis.

Extensor indicis proprius transfer to the extenso...
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Media file 6: Extensor indicis proprius transfer to the extensor pollicis longus.
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Extensor indicis proprius transfer to the extenso...

Extensor indicis proprius transfer to the extensor pollicis longus.

Side-by-side adjustments of the profundus or exte...
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Media file 7: Side-by-side adjustments of the profundus or extensor tendons for extrinsic balance.
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Side-by-side adjustments of the profundus or exte...

Side-by-side adjustments of the profundus or extensor tendons for extrinsic balance.

Split flexor pollicis longus transfer for stabili...
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Media file 8: Split flexor pollicis longus transfer for stabilization of the interphalangeal joint.
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Split flexor pollicis longus transfer for stabili...

Split flexor pollicis longus transfer for stabilization of the interphalangeal joint.

The neuromuscular stimulator is useful for intrao...
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Media file 9: The neuromuscular stimulator is useful for intraoperative evaluation of tendon excursion and transfer function.
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The neuromuscular stimulator is useful for intrao...

The neuromuscular stimulator is useful for intraoperative evaluation of tendon excursion and transfer function.

Pulvertaft weave used to connect tendon grafts.
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Media file 10: Pulvertaft weave used to connect tendon grafts.
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Pulvertaft weave used to connect tendon grafts.

Pulvertaft weave used to connect tendon grafts.

Test excursion and transfer function using a neur...
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Media file 11: Test excursion and transfer function using a neuromuscular stimulator.
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Test excursion and transfer function using a neur...

Test excursion and transfer function using a neuromuscular stimulator.

Opponensplasty using the extensor indicis propriu...
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Media file 12: Opponensplasty using the extensor indicis proprius for treatment of low median nerve palsy.
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Opponensplasty using the extensor indicis propriu...

Opponensplasty using the extensor indicis proprius for treatment of low median nerve palsy.

Flexor reconstruction in brachial plexus injury u...
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Media file 13: Flexor reconstruction in brachial plexus injury using a brachioradialis to flexor digitorum profundus transfer and a pronator teres to flexor pollicis longus transfer along with extensor tenodesis for release.
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Flexor reconstruction in brachial plexus injury u...

Flexor reconstruction in brachial plexus injury using a brachioradialis to flexor digitorum profundus transfer and a pronator teres to flexor pollicis longus transfer along with extensor tenodesis for release.

Flexor reconstruction in a tetraplegic patient us...
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Media file 14: Flexor reconstruction in a tetraplegic patient using a extensor carpi radialis longus to flexor digitorum profundus transfer and a pronator teres to flexor pollicis longus transfer along with a split flexor pollicis longus transfer to stabilize the interphalangeal joint.
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Flexor reconstruction in a tetraplegic patient us...

Flexor reconstruction in a tetraplegic patient using a extensor carpi radialis longus to flexor digitorum profundus transfer and a pronator teres to flexor pollicis longus transfer along with a split flexor pollicis longus transfer to stabilize the interphalangeal joint.

More on Hand, Tendon Transfers

Overview: Hand, Tendon Transfers
Workup: Hand, Tendon Transfers
Treatment: Hand, Tendon Transfers
Follow-up: Hand, Tendon Transfers
Multimedia: Hand, Tendon Transfers
References
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References

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  37. Van Heest A, Hanson D, Lee J, et al. Split flexor pollicus longus tendon transfer for stabilization of the thumb interphalangeal joint: a cadaveric and clinical study. J Hand Surg [Am]. Nov 1999;24(6):1303-10. [Medline].

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Further Reading

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Keywords

tendon transfer, muscle transfers, hand paralysis, upper extremity paralysis, wrist tendon paralysis, activities of daily living, ADLs, muscle-tendon units, upper extremity reconstruction, obstetric brachioplexus palsy, brachial plexus palsy, tendon repair, hand reconstruction, hand function, polio, paralysis, hand surgery, EPL, extensor pollicis longus, BR, brachioradialis, ECRL, extensor carpi radialis longus, ECRB, extensor carpi radialis brevis, FCU, flexor carpi ulnaris, EDC, extensor digitorum communis, EMG, electromyography, FDS, Flexor digitorum superficialis, EIP, extensor indicis proprius, PT, pronator teres, FDP, flexor digitorum profundus

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Contributor Information and Disclosures

Author

Steffen Baumeister, MD, Consulting Staff, Department of Plastic Surgery, Breast Center, Behandlungszentrum Vogtareuth, Bavaria, Germany
Disclosure: Nothing to disclose.

Medical Editor

Anthony E Sudekum, MD, Consulting Staff, Department of Plastic Surgery, St John's Mercy Health Center of Saint Louis
Anthony E Sudekum, MD is a member of the following medical societies: American College of Surgeons, American Society for Surgery of the Hand, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Subhas Gupta, MD, PhD, CM, FRCS(C), FACS, Professor of Surgery, Chair, Department of Plastic Surgery, Director of Plastic Surgery Residency, Director of Comprehensive Wound Service, Department of Plastic Surgery, Loma Linda University School of Medicine
Subhas Gupta, MD, PhD, CM, FRCS(C), FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Phlebology, American College of Surgeons, American Medical Association, American Medical Informatics Association, American Society of Plastic Surgeons, California Society of Plastic Surgeons, Canadian Medical Association, Canadian Society of Plastic Surgeons, Canadian Society of Plastic Surgeons, College of Physicians and Surgeons of Ontario, Plastic Surgery Research Council, Quebec Medical Association, Royal College of Physicians and Surgeons of Canada, and Wound Healing Society
Disclosure: Nothing to disclose.

 
 
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