STRATEGY and INDICATIONS

Group 8

 

 

       

SITUATION

(see table)

 

Remaining functions
  • active flexion and extension of the elbow
  • active pronation and supination of the forearm
  • active and strong extension and flexion of the wrist
  • active extension of fingers MP joints
  • active abduction and retropulsion of the thumb
  • active flexion of ulnar fingers (FDP4 and 5)
 
Paralysed functions
  • active flexion of the fingers
  • active flexion of the thumb
  • intrinsic functions of the fingers
  • intrinsic functions of the thumb
 
Muscles available for transfers
  • BR
  • ECRL
  • (ECRI)
  • PT
  • ECU
  • EDM
  • EIP
 
       
       
       

SUGGESTED

SURGICAL PROGRAM

Only one surgical stage Postoperative immobilization : 4 weeks (elbow in flexion at 90, wrist in flexion, fingers MP joints in flexion, thumb in antepulsion and abduction)