STRATEGY and INDICATIONS

Group 9

 

 

       

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 fingers and thumb
 
Paralysed functions
  • 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
  • intrinsic palliative of the fingers
  • restoration of antepulsion and adduction of the thumb