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© 1976 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
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- Restoration of strong grasp and lateral pinch in tetraplegia due to cervical spinal cord injuryJournal of Hand SurgeryVol. 1Issue 2
- PreviewPatients with tetraplegia who have “strong” sixth cervical neurologic (C-6) function often can be given active grasp and strong lateral pinch by tendon transfers and tenodeses. Wrist control can be retained by the extensor carpi radialis brevis and flexor carpi radialis and can permit transfer of the extensor carpi radialis longus to provide finger flexion. Either the brachioradialis or pronator teres then is available for transfer to restore adduction-opposition of the thumb with an in situ tendon graft of a paralyzed flexor superficialis rerouted to the thumb through a palmar fascial pulley.