Hand Tendon Transfers Workup

Updated: Oct 31, 2018
  • Author: Steffen Baumeister, MD; Chief Editor: Joseph A Molnar, MD, PhD, FACS  more...
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Workup

Laboratory Studies

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  • The workup of candidates for tendon transfers consists mostly of the physical examination to determine available muscles for transfer and function to be restored.

  • The only laboratory studies needed are those that ensure the safety of the patient during surgery.

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Imaging Studies

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  • Plain radiographs of joints that are stiff may be necessary to ensure that obtaining a supple joint is possible. Severe arthritic conditions in joints involved with the function to be restored represent a relative contraindication to proceeding with the procedure.

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Other Tests

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  • When loss of function is secondary to neurologic or peripheral nerve injury, nerve conduction studies and electromyography (EMG) can help differentiate permanent injury from recovering injury. EMG denervation patterns are evident early, to be followed by evidence of reinnervation.

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