Tendon transfers in hand patients are a commonly performed procedure after extensor tendon rupture. However, the standard side to side technique is not applicable in every patient. We present a case of a musician with unique demands to demonstrate the option to customize surgical technique and therapy regimen to the unique needs of each patient. An extensor indicis proprius to extensor digit...

Spontaneous flexor tendon ruptures are rare. Thirteen patients who had spontaneous intratendinous rupture of the flexor digitorum profundus tendon are described. Twelve of the ruptures occurred in zone III at the level of the lumbrical origin, and one occurred in zone II distal to the A2 pulley. All patients were involved in an activity that required flexion against resistance. Time from injury...

OBJECTIVE The objectives of this work were to investigate how wheelchair transfers influence acute changes in ultrasound markers for biceps and supraspinatus tendon degeneration and to determine how such changes correlate with transfer technique and demographic characteristics. DESIGN Participants underwent quantitative ultrasound examinations for markers of biceps and supraspinatus tendon de...

The interosseous route remains popular for tibialis posterior tendon transfer for drop-foot. It leaves a smaller range of movement than the circumtibial route, but lengthening the calcaneal tendon may improve this. The results of this present series indicate that, in order to predict a good functional result, the ankle must be held in at least 20 degrees of dorsiflexion at the time of tendon tr...

Introduction: Posterior tibial tendon reconstruction frequently involves transfer of the flexor digitorum longus (FDL) tendon to the navicular and debridement of the diseased portion of the posterior tibial tendon as well as a calcaneal osteotomy and possibly a lateral column lengthening. If the posterior tibial tendon muscle appears to have some contractile property then it is anastamosed to t...

Tendon surgery is unique because it should ensure tendon gliding after surgery. Tendon surgery now can be performed under local anesthesia without tourniquet, by injecting epinephrine mixed with lidocaine, to achieve vasoconstriction in the area of surgery. This method allows the tendon to move actively during surgery to test tendon function intraoperatively and to ensure the tendon is properly...

A 15-year-old pitcher on a boys' Little League baseball team suffered spontaneous rupture of the extensor pollicis brevis (EPB) tendon. Since the EPB tendon was, at surgery, found hypoplastic and non-functional, transfer of the extensor indicis proprius (EIP) tendon was carried out. After a 6-month period of rehabilitation and follow-up, the patient was able to resume playing baseball. Although...

Reconstruction following excision of tumors of the Achilles tendon poses a challenge to the treating surgeon. Described techniques for restoration of plantarflexion in the setting of an unrepairable tendon include the use allograft, autograft, tendon transfer, and free flap. In tumor surgery, options may be limited as total tendon resection may be necessary leaving little or no residual tendon ...

Tendon transfer techniques in the foot and ankle are used for tendon ruptures, deformities, and instabilities. This fresh cadaver study compares the tendon fixation strength in 10 paired specimens by performing a tendon to tendon fixation technique or using 7 x 20-25 mm bioabsorbable interference-fit screw tendon fixation technique. Load at failure of the tendon to tendon fixation method averag...

Seventy four patients, who underwent tibialis posterior transfer between 1960 and 1970 at the Schieffelin Leprosy Research & Training Centre, were reviewed more than 10 years follow up. Sixty four patients (86.5%) improved from a high stepping gait to a heel toe gait. The foot at rest position and the range of movement which were seen after surgery were retained. Postoperative complications wer...