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...

The transfer of part of the ulnar nerve to the musculocutaneous nerve, first described by Oberlin, can restore flexion of the elbow following brachial plexus injury. In this study we evaluated the additional benefits and effectiveness of quantitative electrodiagnosis to select a donor fascicle. Eight patients who had undergone transfer of a simple fascicle of the ulnar nerve to the motor branch...

PURPOSE To quantify the gain in muscle mobility with progressive release of surrounding connective-tissue structures and to compare this property with the known architecture of each muscle. METHODS Each of 5 different muscle tendon units (extensor carpi radialis brevis, extensor carpi radialis longus, flexor carpi ulnaris, flexor digitorum superficialis, pronator teres) was released from its ...

A case of olecranon fracture treated with tension band wiring presented to us symptoms ulnar nerve injury. The was explored and injury identified between two heads flexor carpi ulnaris (FCU) distal the level cubital tunnel. injured repaired using sural grafts patient improved as witnessed on regular follow-up.

Contraction time, time to peak rate of tension development, half-relaxation time and maximum twitch tension of partially denervated flexor carpi ulnaris muscle were measured in children with brachial plexus birth palsy. The extent of weakness of the affected muscle was assessed by expressing its maximum twitch tension as a percentage of the tension of the contralateral normal muscle. Contractio...

During blocks of the ulnar nerve induced by inflating a sphygmomanometer cuff round the arm, the strengths of the movements of ulnar deviation of the individual fingers and adduction of the thumb were measured by means of a pressure transducer. No statistically significant differences were found between the times at which failure of these movements occurred, and there was no evidence of the occ...

The reconstruction of the upper limb often requires functioning muscle units to be transferred. In severe injuries such as crushed forearms, Volkmann's ischaemia, brachial plexus lesions and tetraplegia, there is often a paucity of available muscle units for reconstruction. One avenue, which is relatively unexplored, is the use of split pedicled muscle transfers. The prerequisite for a split mu...

Ulnar nerve compression at the elbow can occur at any of five sites that begin proximally at the arcade of Struthers and end distally where the nerve exits the flexor carpi ulnaris muscle in the forearm. Compression occurs most commonly at two sites-the epicondylar groove and the point where the nerve passes between the two heads of the flexor carpi ulnaris muscle (i.e., the true cubital tunnel...

This study reports an objective assessment of postoperative function of 11 triple transfers for high radial palsies, using pronator teres for wrist extension, flexor carpi ulnaris for finger extension and palmaris longus for thumb extension. The mean follow-up was 3.3 years. Assessment was done by recording the active ranges of wrist motion, grip strength, wrist and finger strength and work sim...