+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Tendon transfers in tetraplegic patients: the Cleveland experience

, : Tendon transfers in tetraplegic patients: the Cleveland experience. Spinal Cord 36(5): 315-319

The author has taken care of patients with spinal cord injury for over 30 years. A major part of these years was spent doing tendon transfers on the patients with tetraplegia. Thirteen were not better, but not worse out of the 285 patients who had an operation. All of the patients have had a period of rehabilitation, waited 1 year following spinal injury, and had a stable neurological examination. The goals of the surgery were wrist extension, elbow extension, thumb pinch, and finger grasp. This was based on the author's classification of the characteristic muscle strengths that are present in the completely paralysed tetraplegic patient. One group of patients had weak or no wrist extension. These patients needed a transfer of the brachioradialis to the extensor carpi radialis brevis. Some of these patients required a posterior deltoid transfer to act as an obstacle to the brachioradialis. The next group of patients had no elbow extension, but had brachioradialis and two radial wrist extensors. They required a posterior deltoid transfer, and an opponens transfer and a transfer to give finger flexion. The next group had elbow extension, brachioradialis, two radial wrist extensors and a pronator teres, and needed an opponens transfer, and a transfer to give finger flexion. The last group of patients had poor or no opposition, and required an opponens transfer.


PMID: 9601110

Other references

Borchard, F.; Meier-Ruge, W.; Wiebecke, B.; Briner, J.; Müntefering, H.; Födisch, H.F.; Holschneider, A.M.; Schmidt, A.; Enck, P.; Stolte, M., 1991: Disorders of the innervation of the large intestine--classification and diagnosis. Results of a consensus conference of the Society of Gastroenteropathology 1 December 1990 in Frankfurt/Main. Der Pathologe 12(3): 171-174

McConnell, D.; McCance, T.; Melby, V., 2015: Exploring person-centredness in emergency departments: A literature review. Person-centred approaches to care delivery have been increasingly promoted in international policy and strategy, but despite this there is evidence of failings within healthcare systems that negatively impact on the care experience for patients an...

Anonymous, 1983: Pathogenesis, diagnosis and therapy of ulcer disease. Therapy. 4: Pharmacological basis and therapy with H2 antagonist. Die Medizinische Welt 34(49): 20, 22-20, 22

Heinemeyer, C., 2012: Franz Müntefering attempts answers for the demographic change. Social democratic principles disturb a little. Münte discovers nursing. Pflege Zeitschrift 64(11): 643-643

Emery, P.W.; Bosagh Zadeh, A.R.; Wasylyk, A., 1999: The effect of malnutrition on the metabolic response to surgery. The effect of previous malnutrition on the metabolic response to surgical hysterectomy was investigated in adult female Sprague-Dawley rats. Malnutrition was achieved by feeding a 20 g protein/kg diet and restricting food intake to 50% of normal....

Todd, T.; Besser, M.; Gudgin, E.; Crawley, C.; Craig, J.I.O.; Follows, G.; Marcus, R.E.; Enoch, D.A.; Cargill, J.S.; Ludlam, H.A.; Min, S.Young.; Sartori, P., 2007: Invasive fungal sinusitis in patients treated with fludarabine. In this study, potential cases of invasive fungal sinusitis (IFS) were retrospectively identified from histopathology, microbiology, radiology and discharge coding databases of a local hospital for the period 1 January 2003-30 September2006 [UK]....

Funderburk, J.A.; McCormick, B.P.; Austin, J.K., 2007: Does attitude toward epilepsy mediate the relationship between perceived stigma and mental health outcomes in children with epilepsy?. The purpose of this study was to examine the extent to which children's attitude toward epilepsy mediates the relationship between perceived stigma and the mental health outcomes of self-concept, behavioral problems, and social competence. Su...

Tronchet, J., 1953: Some observations on the nutation of the young stems of Cuscuta. Ann Scient Univ Besancon on Bot 2nd Ser (1): 28-32

Bachmair, F.; Hoffmann, R.; Daxenbichler, G.; Langer, T., 2000: Studies on structure-activity relationships of retinoic acid receptor ligands by means of molecular modeling. Vitamin A and its biologically active derivatives, retinal and retinoic acid, play an important role in vision, are required for reproduction, act as morphogenic agents during embryonic development, and regulate the growth and differentiation of a...

Verdonck-de Leeuw, I.M.; Eerenstein, S.E.; Van der Linden, M.H.; Kuik, D.J.; de Bree, R.; Leemans, C.Rene., 2007: Distress in spouses and patients after treatment for head and neck cancer. The objective of this study is to obtain insight into distress in spouses and patients treated for head and neck cancer. Forty-one patient-spouse pairs completed the Hospital Anxiety and Depression Scale (HADS). Inclusion criteria included curativ...