01396nas a2200241   4500000000100000008004100001260001300042653002200055653001100077653001200088653001700100653001400117653003200131653002000163653001600183100001500199700001400214245006900228300000900297490000700306520082700313022001401140       1985                            d  c1985 Feb10aFollow-Up Studies10aHumans10aleprosy10aMedian Nerve10aParalysis10aPostoperative Complications10aTendon Transfer10aUlnar nerve1 aBrandsma W1 aBrand P W00aMedian nerve function after tendon transfer for ulnar paralysis.  a30-20 v103 a<p>This is a long term follow-up study of the median nerves of 128 leprosy patients who originally had pure ulnar palsy for which they had tendon transfers to correct claw hand. Of the thirty-one cases in which the carpal tunnel was not used as a pathway for tendon grafts, 16% developed median palsy in the subsequent years. Of the ninety-seven cases in which tendon grafts were passed through the carpal tunnel, 7% developed a transient median nerve palsy and 11% developed permanent median palsy. None of the median nerve palsies developed during the weeks or months of post-operative re-education or observation, but were noted at follow-up visits months or years later. It is concluded that the use of the carpal tunnel did not significantly affect the status of those high-risk median nerves in cases of leprosy.</p>  a0266-7681