Document Detail

Midcervical tetraplegia with strong wrist extension: a two-stage synergistic reconstruction of the hand.
MedLine Citation:
PMID:  12474598     Owner:  NLM     Status:  MEDLINE    
Reconstructive surgery can restore appreciable function of the upper limb in tetraplegic patients. The magnitude of the function regained depends on several factors: (1) the level of the spinal cord lesion, (2) careful patient selection, (3) thoughtful application of the basic principles of tendon transfer, (4) absence of severe spasticity, (5) the remaining sensory function of the hand, and (6) the surgical program and the surgeon's expertise with this type of patient. Reconstructive surgery offers patients not only greater physical independence but also psychological benefits. This article refers to cases with midcervical spinal cord lesion where wrist extension is complete and strong (MRC grading 5). It describes the author's strategy and technical choices in these patients, based on an ever evolving experience of more than 30 years.
E A Zancolli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hand clinics     Volume:  18     ISSN:  0749-0712     ISO Abbreviation:  Hand Clin     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-12-11     Completed Date:  2003-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8510415     Medline TA:  Hand Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  481-95, vii     Citation Subset:  IM    
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MeSH Terms
Arthrodesis / methods
Cervical Vertebrae
Disability Evaluation
Hand / physiopathology,  surgery*
Hand Strength
Metacarpus / surgery
Middle Aged
Postoperative Care
Quadriplegia / diagnosis,  physiopathology,  surgery*
Spinal Cord Injuries / complications*
Tendon Transfer / methods*
Wrist Joint / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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