The actions of the interossei and lumbricals are many and their loss causes significant impairment of hand function. Many procedures have been described to restore intrinsic function following ulnar nerve palsy. There are many biomechanical issues involved in tendon transfers, including choice of muscle-tendon unit, route, insertion site, tension and drag. The surgeon, therefore, should have a good understanding of biomechanical principles to ensure optimal results. In this article the principles of biomechanics are reviewed with specific reference to tendon transfers for intrinsic reconstruction in ulnar palsy, along with their practical implications.
BT - The Journal of hand surgery, European volume C1 - http://www.ncbi.nlm.nih.gov/pubmed/19592605?dopt=Abstract DA - 2010 Feb DO - 10.1177/1753193408091569 IS - 2 J2 - J Hand Surg Eur Vol LA - eng N2 -The actions of the interossei and lumbricals are many and their loss causes significant impairment of hand function. Many procedures have been described to restore intrinsic function following ulnar nerve palsy. There are many biomechanical issues involved in tendon transfers, including choice of muscle-tendon unit, route, insertion site, tension and drag. The surgeon, therefore, should have a good understanding of biomechanical principles to ensure optimal results. In this article the principles of biomechanics are reviewed with specific reference to tendon transfers for intrinsic reconstruction in ulnar palsy, along with their practical implications.
PY - 2010 SP - 94 EP - 102 T2 - The Journal of hand surgery, European volume TI - A review of the biomechanics of intrinsic replacement in ulnar palsy. VL - 35 SN - 2043-6289 ER -