A Review of the Biomechanics of Intrinsic Replacement in Ulnar Palsy
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 mu...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2010-02, Vol.35 (2), p.94-102 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Schwarz, R.J. Brandsma, J.W. Giurintano, D.J. |
| description | 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. |
| doi_str_mv | 10.1177/1753193408091569 |
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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.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics. Biorheology</subject><subject>Diseases of the osteoarticular system</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hand - innervation</subject><subject>Hand - physiopathology</subject><subject>Hand - surgery</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Tendon Transfer - methods</subject><subject>Tissues, organs and organisms biophysics</subject><subject>Ulnar Neuropathies - physiopathology</subject><subject>Ulnar Neuropathies - surgery</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAcxYMobk7vnqQX8VTNN1mT5jjnr4GgyDyXNE1cRpvOpFX239u6oiB4evD9ft578BA6BXwJwPkV8ISCoFOcYgEJE3toTPCUxoykYh-N-3fc_0foKIQ1xkkqgB2iEYhEEIaTMbqZRS_6w-rPqDZRs9LRta0rrVbSWRX628I13rpgVcdtSql0pV0TWRe9lk766FmWYXuMDkyn-mTQCVre3S7nD_Hj0_1iPnuMFWWsiVVqMMV5nuJcaWMwAa4MSEYpUSpnwBTJp2DAUGkoFJymLBdQFIWkksucTtDFLnbj6_dWhyarbFC6LKXTdRsyTqmYMsJ5R-IdqXwdgtcm23hbSb_NAGf9ctnf5TrL2RDe5pUufg3DVB1wPgAyKFkaL52y4YcjhCfAvrvjHRfkm87Wdetdt8n_xV_VJIIb</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Schwarz, R.J.</creator><creator>Brandsma, J.W.</creator><creator>Giurintano, D.J.</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100201</creationdate><title>A Review of the Biomechanics of Intrinsic Replacement in Ulnar Palsy</title><author>Schwarz, R.J. ; Brandsma, J.W. ; Giurintano, D.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-c8f030bb80bceff0217cf1a6332ccb616c2b41f1f3af31d7386b91ddda3a7ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics. 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Psychology</topic><topic>Hand - innervation</topic><topic>Hand - physiopathology</topic><topic>Hand - surgery</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Tendon Transfer - methods</topic><topic>Tissues, organs and organisms biophysics</topic><topic>Ulnar Neuropathies - physiopathology</topic><topic>Ulnar Neuropathies - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarz, R.J.</creatorcontrib><creatorcontrib>Brandsma, J.W.</creatorcontrib><creatorcontrib>Giurintano, D.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarz, R.J.</au><au>Brandsma, J.W.</au><au>Giurintano, D.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Review of the Biomechanics of Intrinsic Replacement in Ulnar Palsy</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>35</volume><issue>2</issue><spage>94</spage><epage>102</epage><pages>94-102</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19592605</pmid><doi>10.1177/1753193408091569</doi><tpages>9</tpages></addata></record> |
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| ispartof | The Journal of hand surgery, European volume, 2010-02, Vol.35 (2), p.94-102 |
| issn | 1753-1934 2043-6289 |
| language | eng |
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| subjects | Biological and medical sciences Biomechanical Phenomena Biomechanics. Biorheology Diseases of the osteoarticular system Fundamental and applied biological sciences. Psychology Hand - innervation Hand - physiopathology Hand - surgery Humans Medical sciences Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Tendon Transfer - methods Tissues, organs and organisms biophysics Ulnar Neuropathies - physiopathology Ulnar Neuropathies - surgery |
| title | A Review of the Biomechanics of Intrinsic Replacement in Ulnar Palsy |
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