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Tendon Transfers to Restore Opposition of the Thumb

Tendon Transfers to Restore Opposition of the Thumb PDF Author: J.M. Ramselaar
Publisher: Springer Science & Business Media
ISBN: 940116780X
Category : Medical
Languages : en
Pages : 95

Book Description
In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great freedom of movement of the first metacarpal and a highly developed and differentiated thumb musculature. The grasp function of the hand is dependent on the oppositional capacity and adductive power of the thumb, and is severely limited by a paralysis or dysfunction of the intrinsic thumb muscles. Whereas loss of the function of the adductor pollicis can be partially compensated for by the adductive action of the extensor pollicis longus, in paralysis or dysfunction of the radial thenar muscles compensation can only be provided by surgery. Since 1918, many methods of tendon transfer have been described for the restoration of thumb opposition, all of which bring about an improvement of the grasp function, albeit to different degrees. These methods vary in the selection of the motor, the direction of pull of the tendon, the use of a fulcrum, and the mode of insertion. The highly effective method of Bunnell (1938) is often used as the standard procedure. With this method, the flexor superficialis tendon of the ring finger is looped around the tendon of the flexor carpi ulnaris and passed subcutaneously across the thenar eminence, after which it is fixed on the thumb at the level of the metacarpo-phalangeal joint.

Tendon Transfers to Restore Opposition of the Thumb

Tendon Transfers to Restore Opposition of the Thumb PDF Author: J.M. Ramselaar
Publisher: Springer Science & Business Media
ISBN: 940116780X
Category : Medical
Languages : en
Pages : 95

Book Description
In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great freedom of movement of the first metacarpal and a highly developed and differentiated thumb musculature. The grasp function of the hand is dependent on the oppositional capacity and adductive power of the thumb, and is severely limited by a paralysis or dysfunction of the intrinsic thumb muscles. Whereas loss of the function of the adductor pollicis can be partially compensated for by the adductive action of the extensor pollicis longus, in paralysis or dysfunction of the radial thenar muscles compensation can only be provided by surgery. Since 1918, many methods of tendon transfer have been described for the restoration of thumb opposition, all of which bring about an improvement of the grasp function, albeit to different degrees. These methods vary in the selection of the motor, the direction of pull of the tendon, the use of a fulcrum, and the mode of insertion. The highly effective method of Bunnell (1938) is often used as the standard procedure. With this method, the flexor superficialis tendon of the ring finger is looped around the tendon of the flexor carpi ulnaris and passed subcutaneously across the thenar eminence, after which it is fixed on the thumb at the level of the metacarpo-phalangeal joint.

Tendon Transfers in the Upper Limb, An Issue of Hand Clinics, E-Book

Tendon Transfers in the Upper Limb, An Issue of Hand Clinics, E-Book PDF Author: Glenn Gaston
Publisher: Elsevier Health Sciences
ISBN: 0323459684
Category : Medical
Languages : en
Pages : 169

Book Description
This issue of Hand Clinics will include articles on tendon transfers in the upper limb such as: Principles of Tendon Transfers, Biomechanics of tendon transfers, Restoration of Shoulder Function, Restoration of Elbow Flexion, Radial Nerve Tendon Transfers, High Median Nerve Tendon Transfers, Low Median Nerve Transfers (Opponensplasty), Ulnar Nerve Tendon Tendon Transfers for Grasp (Intrinsics), and many more!

Tendon Transfers of the Hand and Forearm

Tendon Transfers of the Hand and Forearm PDF Author: Richard Jay Smith
Publisher: Little, Brown Medical Division
ISBN:
Category : Medical
Languages : en
Pages : 376

Book Description


Practical Procedures in Elective Orthopedic Surgery

Practical Procedures in Elective Orthopedic Surgery PDF Author: Peter V. Giannoudis
Publisher: Springer Science & Business Media
ISBN: 0857298208
Category : Medical
Languages : en
Pages : 239

Book Description
With the time available to surgeons-in-training ever dwindling, there is great emphasis placed on practical learning tools. Mirroring his earlier book on practical procedures in trauma surgery, Prof Giannoudis has produced a reference in more elective techniques. In most medical schools, most emphasis is placed on orthopaedic trauma surgery, with elective techniques often delayed until much later in a surgeon’s training.

Nerve Surgery

Nerve Surgery PDF Author: Susan E. Mackinnon
Publisher: Georg Thieme Verlag
ISBN: 1638530130
Category : Medical
Languages : en
Pages : 1465

Book Description
Representing the treatment and management philosophy of Dr. Susan Mackinnon, Nerve Surgery provides extensive coverage of innovative surgical options as well as guidance on the management of complicated compression neuropathies. In addition to detailed information on tried-and-true as well as cutting-edge surgical techniques, it contains chapters on the basic principles of nerve surgery, such as "Anatomy and Physiology for the Peripheral Nerve Surgeon" and "Evaluation of the Patient with Nerve Injury or Nerve Compression." Key Features: More than 850 compelling full-color figures and photographs demonstrate key concepts Videos narrated by Dr. Mackinnon are available online Coverage of important conditions that can be treated non-operatively, such as neurogenic thoracic outlet syndrome and multilevel compression neuropathy Strategies and secondary procedures for failed nerve surgeries Dr. Mackinnon provides tips on how she manages complicated pain problems This book is a core reference for all plastic surgeons, neurosurgeons, orthopedic surgeons, hand surgeons, residents, and allied health specialists treating patients with nerve injuries.

Rehabilitation of the Hand and Upper Extremity

Rehabilitation of the Hand and Upper Extremity PDF Author: Terri M. Skirven
Publisher:
ISBN: 9780323056021
Category : Arm
Languages : en
Pages : 999

Book Description
With the combined expertise of leading hand surgeons and therapists, Rehabilitation of the Hand and Upper Extremity, 6th Edition, by Drs. Skirven, Osterman, Fedorczyk and Amadio, helps you apply the best practices in the rehabilitation of hand, wrist, elbow, arm and shoulder problems, so you can help your patients achieve the highest level of function possible. This popular, unparalleled text has been updated with 30 new chapters that include the latest information on arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management. An expanded editorial team and an even more geographically diverse set of contributors provide you with a fresh, authoritative, and truly global perspective while new full-color images and photos provide unmatched visual guidance. Access the complete contents online at www.expertconsult.com along with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and more. The 6th Edition of this classic text combines the expertise of hand surgeons and hand therapists to detail the pathophysiology, diagnosis, and management of hand and upper extremity disorders. This comprehensive resource covers the entire upper extremity, with increased coverage of wrist, elbow and shoulder problems.

Postgraduate Orthopaedics

Postgraduate Orthopaedics PDF Author: Paul A. Banaszkiewicz
Publisher: Cambridge University Press
ISBN: 1107627362
Category : Medical
Languages : en
Pages : 301

Book Description
The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).

Tendon Transfers to Restore Opposition of the Thumb

Tendon Transfers to Restore Opposition of the Thumb PDF Author: J.M. Ramselaar
Publisher: Springer
ISBN:
Category : Medical
Languages : en
Pages : 114

Book Description
In man and some of the apes, the thumb has the function of a contra finger. This function is made possible by a great freedom of movement of the first metacarpal and a highly developed and differentiated thumb musculature. The grasp function of the hand is dependent on the oppositional capacity and adductive power of the thumb, and is severely limited by a paralysis or dysfunction of the intrinsic thumb muscles. Whereas loss of the function of the adductor pollicis can be partially compensated for by the adductive action of the extensor pollicis longus, in paralysis or dysfunction of the radial thenar muscles compensation can only be provided by surgery. Since 1918, many methods of tendon transfer have been described for the restoration of thumb opposition, all of which bring about an improvement of the grasp function, albeit to different degrees. These methods vary in the selection of the motor, the direction of pull of the tendon, the use of a fulcrum, and the mode of insertion. The highly effective method of Bunnell (1938) is often used as the standard procedure. With this method, the flexor superficialis tendon of the ring finger is looped around the tendon of the flexor carpi ulnaris and passed subcutaneously across the thenar eminence, after which it is fixed on the thumb at the level of the metacarpo-phalangeal joint.

The Thumb

The Thumb PDF Author: Sang Hyun Woo
Publisher: Springer
ISBN: 9811044007
Category : Medical
Languages : en
Pages : 390

Book Description
In this book, globally renowned orthopedic, plastic, and hand surgeons provide the knowledge required in order to understand and resolve the full range of problems associated with diseases, anomalies, deformities, and trauma of the thumb. The opening section describes the history of “making a thumb” and covers the fundamentals of anatomy, embryology, and functional dynamics. After careful presentation of the surgical procedures for various developmental anomalies of the thumb, subsequent sections focus on the treatment of bone and joint, tendon, and nerve problems encountered in patients with different diseases and injuries. All aspects of the surgical management of benign and malignant tumors of the thumb are then described. The final section is devoted to current and emerging treatments for trauma, including amputation and microsurgical and non-microsurgical reconstruction. The text is supported by superb clinical photographs as well as high-quality schematic drawings and video clips. The book will be of value not only to practicing surgeons but also to residents and medical students.

Tips and Tricks in Plastic Surgery

Tips and Tricks in Plastic Surgery PDF Author: Seth R. Thaller
Publisher: Springer Nature
ISBN: 3030780287
Category : Medical
Languages : en
Pages : 818

Book Description
The book covers the most innovative, contemporary, and common plastic surgery procedures, and aims to improve both reconstructive and aesthetic surgical results while decreasing the incidence of complications. In doing so, patient satisfaction, quality of care, and safety are enhanced. The text provides a wealth of knowledge seeking to enhance results, reduce morbidity, and ensure patient satisfaction. The book consists of five parts, running the gamut of Aesthetic Surgery, Reconstructive Procedures, Pediatric and Craniomaxillofacial Surgery, Adjunctive Procedures, and finally Hand and Upper Extremity. Written by experts in the field, each chapter describes tips and tricks through clear technical details, medical illustrations and, in some chapters, detailed videos. Tips and Tricks in Plastic Surgery serves as a valuable resource for clinicians, professionals and practitioners, as well as medical students on rotation.