Tendon Transfers in Reconstructive Hand Surgery by Jan Friden

By Jan Friden

Lower than the auspices of the Federation of ecu Societies for surgical procedure of the Hand, Dr Friden has the following assembled a set of foreign specialists to aspect the sensible and surgical implications of tendon transfers in a few varied scientific eventualities.

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J Hand Surg 1980; 5A: 396–401 Huber E. Hilfsoperation bei Median Uhlahmung. Dtsch Arch Klin Med 1921; 136: 271 Smith RJ. Extensor carpi radialis brevis tendon transfer for thumb adduction – a study of power pinch. J Hand Surg 1983; 8 (1): 4–15 Smith RJ, Hastings HI. Principles of tendon transfers to the hand. AAOS Instruc Course Lect 1980; 29: 129 Smith RJ. Tendon transfers to restore wrist and digit extension. In Smith RJ, ed. Tendon Transfers of the Hand and Forearm. Boston: Little, Brown and Company, 1987: 35–56 Riordan DC.

C) Cross-sectional area versus fiber length: scatter plot of fiber lengths versus physiological cross-sectional area of selected upperextremity muscles. Adapted from reference 1. 0 Muscle Figure 2 Architectural features of intrinsic muscles of the hand. (a) Intrinsic muscle lengths. (b) Intrinsic muscle fiber length. (c) Intrinsic muscle mass. (d) Intrinsic muscle cross-sectional area. (e) Intrinsic muscle fiber length/muscle ratios. Adapted from reference 17. Bars represent mean + standard deviation.

Skeletal muscle recovery after tenotomy and 7-day delayed muscle length restoration. Muscle Nerve 2000; 23: 707–14 3 Basic principles in tendon transfer surgery Michael J Botte, Lorenzo L Pacelli BIOMECHANICS AND APPLIED ANATOMY OVERVIEW A tendon transfer is the operative relocation of a (donor) muscle, along with its neurovascular structures, to a different (recipient) anatomical site in order to achieve or augment a lost function. The procedure involves detaching the tendon insertion, mobilizing the muscle and reattaching the distal tendon into a recipient tendon or bone insertion site.

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