Journal of Hand Surgery
Volume 35, Issue 8 , Pages 1310-1316 , August 2010

Efficacy of Median Nerve Recurrent Branch Neurectomy as an Adjunct to Ulnar Motor Nerve Neurectomy and Wrist Arthrodesis at the Time of Superficialis to Profundus Transfer in Prevention of Intrinsic Spastic Thumb-in-Palm Deformity

  • Nick Pappas, MD

      Affiliations

    • Corresponding Author InformationCorresponding author: Nick Pappas, MD, Department of Orthopaedic Surgery, University of Pennsylvania, 3400 Spruce Street; 2 Silverstein, Philadelphia, PA 19104
    • ,
  • Keith Baldwin, MD
    • ,
  • Mary Ann Keenan, MD

Received 2 December 2009 ,Accepted 10 May 2010.

References 

  1. Keenan MAE. Upper extremity dysfunction after stroke or brain injury. In:  Green DP,  Hotchkiss RN,  Pederson WC,  Wolfe SW editor. Green's operative hand surgery. 5th ed.. Philadelphia: Elsevier; 2005;p. 1235–1270
  2. Keenan MAE. Management of the spastic upper extremity in the neurologically impaired adult. Clin Orthop Relat Res. 1988;233:116–125
  3. Pinzur MS. Flexor origin release and functional prehension in adult spastic hand deformity. J Hand Surg. 1991;16B:133–136
  4. Keenan MAE, Korchek JI, Botte MJ, Garland DE. Results of transfer of the flexor digitorum superficialis tendons to flexor digitorum profundus tendons in adults with acquired spasticity of the hand. J Bone Joint Surg. 1987;69A:1127–1132
  5. Braun RM, Vise GT, Roper B. Preliminary experience with a superficialis-to-profundus transfer in the hemiplegic upper extremity. J Bone Joint Surg. 1974;56A:466–472
  6. Botte MJ, Keenan MA, Korchek JI. Modified technique for the superficialis-to-profundus transfer in the treatment of adults with clenched fist deformity. J Hand Surg. 1987;12A:639–640
  7. Pomerance JF, Keenan MA. Correction of severe spastic flexion vontractures in the nonfunctional hand. J Hand Surg. 1996;21A:828–833
  8. Jebson PJ, Adams BD. Wrist arthrodesis: review of current techniques. J Am Acad Orthop Surg. 2001;9:53–60
  9. Smeulders M, Coester A, Kreulen M. Surgical treatment for thumb-in-palm deformity in patients with cerebral palsy. Cochrane Database Syst Rev. 2005;4:CD004093
  10. Keenan MA, Todderud R, Henderson ER, Botte MJ. Management of intrinsic spasticity in the hand with phenol injection or neurectomy of the motor branch of the ulnar nerve. J Hand Surg. 1987;12A:734–739
  11. Botte MJ, Keenan MA, Gellman H, Garland DE, Waters RL. Surgical management of spastic thumb-in-palm deformity in adults with brain injury. J Hand Surg. 1989;14A:174–182
  12. Matev I. Surgery of the spastic thumb-in-palm deformity. J Hand Surg. 1991;16B:127–132
  13. Matev I. Surgical treatment of spastic thumb-in-palm deformity. J Bone Joint Surg. 1963;45B:703–708

 No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(10)00564-2

doi: 10.1016/j.jhsa.2010.05.007

Journal of Hand Surgery
Volume 35, Issue 8 , Pages 1310-1316 , August 2010

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