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Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      flexor tendon
      obstetric brachial plexus palsy
      Tendon transfer
      wrist extension
    • Abstract:
      Wrist extension is essential in the development of motor skills in young children. Adequate wrist extension is important for good grip function of the hand, as a slightly extended wrist results in a better and stronger grip. This retrospective study reviews the transfer of the flexor carpi ulnaris (FCU) or flexor carpi radialis (FCR) to the extensor carpi radialis brevis (ECRB) and/or longus (ERCL) to reconstruct wrist extension in 19 patients with obstetric brachial plexus palsy (OBPP). The average age at surgery was 7.2 (range 4-18) years. The mean follow-up was 3 years. Preoperatively, none of the patients had active wrist extension, with an average wrist extension-lag of 37.4 (SD 15.1) degrees. Postoperatively, average active wrist extension was 9.2 (SD 25.5) degrees. Average gain in wrist extension was 46.6 (SD 28.2) degrees, however individual gain varied substantially, i.e. between 0 and 100 degrees. Two patients were unable to reach the neutral wrist position postoperatively and in two patients wrist extension did not increase. The results of the tendon transfer to provide improvement of wrist extension in OBPP were satisfactory in most patients. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, Amsterdam, The Netherlands
      2Department of Rehabilitation Medicine, VU University Medical Center, Amsterdam, The Netherlands
      3Research Institute MOVE, Faculty of Human Movement Sciences, VU University, Amsterdam, The Netherlands
      4Department of Orthopaedic Surgery, VU University Medical Center, Amsterdam, The Netherlands
    • ISSN:
      1874-5393
    • Accession Number:
      10.3233/prm-130237
    • Accession Number:
      85985364
  • Citations
    • ABNT:
      VAN ALPHEN, N. A. et al. Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors. Journal of Pediatric Rehabilitation Medicine, [s. l.], v. 6, n. 1, p. 53–57, 2013. DOI 10.3233/prm-130237. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=85985364&custid=s8280428. Acesso em: 22 fev. 2020.
    • AMA:
      van Alphen NA, van Doorn-Loogman MH, Maas H, van der Sluijs JA, Ritt MJPF. Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors. Journal of Pediatric Rehabilitation Medicine. 2013;6(1):53-57. doi:10.3233/prm-130237.
    • APA:
      van Alphen, N. A., van Doorn-Loogman, M. H., Maas, H., van der Sluijs, J. A., & Ritt, M. J. P. F. (2013). Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors. Journal of Pediatric Rehabilitation Medicine, 6(1), 53–57. https://doi.org/10.3233/prm-130237
    • Chicago/Turabian: Author-Date:
      van Alphen, N.A., M.H. van Doorn-Loogman, H. Maas, J.A. van der Sluijs, and M.J.P.F. Ritt. 2013. “Restoring Wrist Extension in Obstetric Palsy of the Brachial Plexus by Transferring Wrist Flexors to Wrist Extensors.” Journal of Pediatric Rehabilitation Medicine 6 (1): 53–57. doi:10.3233/prm-130237.
    • Harvard:
      van Alphen, N. A. et al. (2013) ‘Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors’, Journal of Pediatric Rehabilitation Medicine, 6(1), pp. 53–57. doi: 10.3233/prm-130237.
    • Harvard: Australian:
      van Alphen, NA, van Doorn-Loogman, MH, Maas, H, van der Sluijs, JA & Ritt, MJPF 2013, ‘Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors’, Journal of Pediatric Rehabilitation Medicine, vol. 6, no. 1, pp. 53–57, viewed 22 February 2020, .
    • MLA:
      van Alphen, N. A., et al. “Restoring Wrist Extension in Obstetric Palsy of the Brachial Plexus by Transferring Wrist Flexors to Wrist Extensors.” Journal of Pediatric Rehabilitation Medicine, vol. 6, no. 1, Mar. 2013, pp. 53–57. EBSCOhost, doi:10.3233/prm-130237.
    • Chicago/Turabian: Humanities:
      van Alphen, N.A., M.H. van Doorn-Loogman, H. Maas, J.A. van der Sluijs, and M.J.P.F. Ritt. “Restoring Wrist Extension in Obstetric Palsy of the Brachial Plexus by Transferring Wrist Flexors to Wrist Extensors.” Journal of Pediatric Rehabilitation Medicine 6, no. 1 (March 2013): 53–57. doi:10.3233/prm-130237.
    • Vancouver/ICMJE:
      van Alphen NA, van Doorn-Loogman MH, Maas H, van der Sluijs JA, Ritt MJPF. Restoring wrist extension in obstetric palsy of the brachial plexus by transferring wrist flexors to wrist extensors. Journal of Pediatric Rehabilitation Medicine [Internet]. 2013 Mar [cited 2020 Feb 22];6(1):53–7. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=85985364&custid=s8280428