Srijit Das I read with great interest the article entitled 'Anatomical variation of radial wrist extensor muscles: a study in cadavers' by Nayak et al., which was published in the 2008;63(1) issue of Clinics. 1 The article had meticulous descriptions of some of the variations in the extensor muscles. The authors highlighted the clinical importance of the anomalous muscle in tendon transfer. It ...

Inability to actively supinate the forearm makes common activities of daily living and certain vocational activities awkward or impossible to perform. A total of 11 patients with deficient supination of the arm underwent transfer of the tendon of flexor carpi ulnaris to the split tendon of brachioradialis with its bony insertion into the radial styloid left intact. Active supination beyond neut...

Irreparable tears of the subscapularis (SS) tendon are difficult to manage and represent a challenge for surgeon, especially in young active patients. They associated with horizontal imbalance shoulder, causing pain limitation internal rotation. Historically, alternative these patients has been transfer pectoralis major, all its variations, total or partial, up under conjoint tendon. However, t...

Stiff-knee gait is a troublesome movement disorder among children with cerebral palsy (CP), where peak swing phase knee flexion is diminished due to over-activity of the rectus femoris muscle. A common treatment for stiff-knee gait, rectus femoris transfer surgery, moves the muscle's distal tendon from the patella to the sartorius insertion on the tibia. As a biarticular muscle, rectus femoris ...

BACKGROUND Non-traumatic radial nerve palsy (RNP) caused by local tumors is a rare and uncommon entity. METHODS A 62-year-old female presented with a left non-traumatic RNP, initially starting with weakness only. It was caused by a benign giant lipoma at the proximal forearm that was misdiagnosed over a period of 2 years. The slowly growth of the tumor led to an irreparable overstretching-rel...

Purpose: To investigate the long-term functional and clinical outcomes of a tendon transfer to restore extension of the thumb using extensor carpi radialis brevis Methods and materials: From Jun 2005 to Sep 2012, 8 patients with rupture or division of extensor pollicis longus (6 males, 2 females; aged 16-52 years, mean age 30 years) underwent a tendon transfer using the extensor carpi radialis ...

PURPOSE The purpose of this study was to measure the extent and timing of elbow extension torque recovery after posterior deltoid-to-triceps tendon transfer. METHODS Elbow extension moment was measured in 40 limbs from 23 patients who underwent surgical restoration using the posterior deltoid-to-triceps tendon transfer at times ranging from 8 weeks to 1 year after surgery. For comparison purp...

Functional electrical stimulation of the triceps is a method of restoring elbow extension to individuals with paralyzed triceps. Eleven arms of individuals with cervical-level spinal cord injuries (SCIs) received a triceps electrode as an addition to a hand-grasp neuroprosthesis. Stimulation was controlled either as part of a preprogrammed pattern or via a switch or an accelerometer that was co...