Is A New Combination of Tendon Transfers For Radial Nerve Palsy (RNP) Needed?
- Author:
IMA Ramdhan
;
SA Nawfar
;
M Paiman
- Publication Type:Case Reports
- Keywords:
Tendons transfer;
radial nerve palsy
- MeSH:
Radial Nerve
- From:Malaysian Orthopaedic Journal
2014;8(1):75-78
- CountryMalaysia
- Language:English
-
Abstract:
Radial nerve palsy following traumatic humeral diaphyseal
fractures occurs uncommonly. Most recover with good
outcome. However the cases with poor outcome or recovery
will have tendon transfers to regain the lost functions.
Various tendon transfer methods and choices are available in
literatures citing acceptable to good results. We report a case
of radial nerve transection secondary to a closed traumatic
diaphyseal fracture of the humerus which did not improve
despite the repair. As many conventional technique produce
asynergistic muscle action with secondary post-transfer
deformity, thus we had resorted to tendon transfer procedure
using an unconventional donor and recipient tendons
yielding good results. This new combination of tendon
transfers was invented involves better dynamic correlation of
synergistic muscles action and produces good outcome and
hand function.
- Full text:P020150525360627798739.pdf