3.8 of 39 Ratings
A 26-year-old man presents with chronic hand weakness. The clinical appearance of his hand, and radiographs are shown in Figures A through C. Surgical exploration and decompression is performed. Besides addressing thumb interphalangeal and index distal interphalangeal joint flexion, which is the most appropriate treatment to restore thumb opposition?
Ring flexor digitorum superficialis transfer to the abductor pollicis brevis
Extensor indicis proprius transfer to the abductor pollicis brevis
Neurotization of thenar muscles
Camitz palmaris longus transfer to the abductor pollicis brevis
Thumb carpometacarpal joint arthrodesis
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A 50-year-old woman sustains an open both bone forearm fracture seen in Figure A and undergoes the treatment seen in Figure B. During surgery the posterior interosseous nerve was transected and primary repair was attempted. One year following surgery the patient continues to have no posterior interosseous nerve function. Which of the following treatments will best restore function?
Sural nerve grafting to the posterior interosseus nerve
Wrist fusion with transfer of the flexor carpi ulnaris to the finger extensors
Transfer of the flexor carpi radialis to extensor digitorum and the palmaris longus to the extensor pollicis longus
Transfer of the pronator teres to the wrist extensors and the palmaris longus to the finger extensors
Transfer of the flexor carpi ulnaris to the wrist extensors and the palmaris longus to the extensor pollicis longus