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Hand Clin. 2018 Nov;34(4):529-536. doi: 10.1016/j.hcl.2018.06.009.

Technical Pearls of Tendon Transfers for Upper Extremity Spasticity.

Author information

1
Pediatric Hand and Upper Extremity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2017, Cincinnati, OH 45229, USA.
2
Pediatric Hand and Upper Extremity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2017, Cincinnati, OH 45229, USA; University of Cincinnati School of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA. Electronic address: Kevin.Little@cchmc.org.

Abstract

Tendon transfers are an important surgical option when treating patients with muscular imbalance due to upper extremity spasticity. A successful surgical outcome requires a thorough preoperative clinical evaluation, an understanding of tendon transfer biomechanics, appropriate donor and recipient muscle selection, technical execution, and postoperative rehabilitation. This article reviews the principles, biomechanics, and techniques for commonly performed tendon transfers in patients with upper extremity spasticity.

KEYWORDS:

Cerebral palsy; Finger spasticity; Tendon transfers; Tetraplegia; Wrist deformity; Wrist spasticity

PMID:
30286967
DOI:
10.1016/j.hcl.2018.06.009

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