Tendon transfers to restore opposition of the thumb (Book, 1970) [WorldCat.org]
skip to content
Tendon transfers to restore opposition of the thumb Preview this item
ClosePreview this item
Checking...

Tendon transfers to restore opposition of the thumb

Author: J M Ramselaar
Publisher: Erasmus University Rotterdam 1970-05-08
Edition/Format: Book Book : English
Summary:
textabstractIn man and some of the apes, the thumb has the function of a contrafinger.This function is made possible by a great freedom of movementof the first metacarpal and a highly developed and differentiatedthumb musculature. The grasp function of the hand is dependent onthe oppositional capacity and adductive power of the thumb, and isseverely limited by a paralysis or dysfunction of the intrinsic  Read more...
Rating:

(not yet rated) 0 with reviews - Be the first.

Find a copy online

Links to this item

Find a copy in the library

We were unable to get information about libraries that hold this item.

Details

Document Type: Book
All Authors / Contributors: J M Ramselaar
ISBN: 978-90-207-0010-7
Language Note: English
Unique Identifier: 6892884848
Awards:

Abstract:

textabstractIn man and some of the apes, the thumb has the function of a contrafinger.This function is made possible by a great freedom of movementof the first metacarpal and a highly developed and differentiatedthumb musculature. The grasp function of the hand is dependent onthe oppositional capacity and adductive power of the thumb, and isseverely limited by a paralysis or dysfunction of the intrinsic thumbmuscles. Whereas loss of the function of the adductor pollicis can bepartially compensated for by the adductive action of the extensorpollicis longus, in paralysis or dysfunction of the radial thenarmuscles compensation can only be provided by surgery.Since 1918, many methods of tendon transfer have been describedfor the restoration of thumb opposition, all of which bring about animprovement of the grasp function, albeit to different degrees. Thesemethods vary in the selection of the motor, the direction of pull ofthe tendon, the use of a fulcrum, and the mode of insertion. Thehighly effective method of Bunnell (1938) is often used as the standardprocedure. With this method, the flexor superficialis tendon of thering finger is looped around the tendon of the flexor carpi ulnarisand passed subcutaneously across the thenar eminence, after whichit is fixed on the thumb at the level of the metacarpo-phalangeal joint.In the reconstruction of the thumb opposition, however, a standardprocedure often cannot be applied, because the muscle-tendon unitusually used for this purpose has been damaged or because thetransfer route is blocked by scar tissue.

Reviews

User-contributed reviews
Retrieving GoodReads reviews...
Retrieving DOGObooks reviews...

Tags

Be the first.
Confirm this request

You may have already requested this item. Please select Ok if you would like to proceed with this request anyway.

Close Window

Please sign in to WorldCat 

Don't have an account? You can easily create a free account.