title: A Comprehensive Guide on Restoring Grasp Using Tendon Transfer Procedures for Ulnar Nerve Palsy.
abstract: Ulnar nerve paralysis results in classic stigmata, including weakness of grasp and pinch, poorly coordinated flexion, and clawing of digits. Restoration of grasp is a key portion of the reconstructive efforts after loss of ulnar nerve function. Improving flexion at the metacarpophalangeal joint can be done by static and dynamic means, although only the latter can improve interphalangeal extension. Deformity and digital posture are more predictably corrected with surgical intervention. Loss of strength from intrinsic muscle paralysis cannot be fully restored with tendon transfer procedures. Preoperative patient education is paramount to success if realistic expectations are to be met.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, Allegheny General Hospital, Allegheny Health Network, 320 East North Avenue, Suite 401, Pittsburgh, PA 15212, USA; University of Pittsburgh School of Medicine, Pittsburgh, PA 15260, USA. Electronic address: rjdiazgarcia@gmail.com.
authors.forename: Rafael J
authors.initials: RJ
authors.lastname: Diaz-Garcia
authors.affiliation: Section of Plastic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Chung
mesh_terms: D018737:Hand Strength; D006801:Humans; D008488:Medical Illustration; D008662:Metacarpophalangeal Joint / Q000502:physiology; D010781:Photography; D020127:Recovery of Function; D013709:Tendon Transfer / Q000379:methods*; D014459:Ulnar Nerve / Q000502:physiology; D020424:Ulnar Neuropathies / Q000534:rehabilitation / Q000601:surgery*
keywords: Grasp; Nerve; Tendon; Transfer; Ulnar