20240216 Tendon Transfers Dr Li Wen

Mdm A, a 65 years old lady, presented with numbness at right radial 3 digits, weak index and middle finger flexion, and inability to oppose thumb to little finger. What is the most appropriate treatment?

• Carpal tunnel release

• Carpal tunnel release & EIP opponenplasty

• Carpal tunnel release & Camitz opponenplasty

• Physiotherapy

• Carpal tunnel release & FDS opponenplasty

Mr B, a 27 years old gentleman with history of right humerus fracture, presented with weakness of wrist and finger extension for 1 year. On examination, range of motion of wrist and fingers on passive manipulation was not acceptable. What is the next step of management?

• Brand tendon transfer

• Contracture release & tendon transfer at the same setting

• Refer physiotherapy for ROM exercise

• Wrist joint fusion

• Nerve transfer

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. 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

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

Which of the following can be done during carpal tunnel release with the same incision?

• Huber opponenplasty

• Camitz opponenplasty

• EIP opponenplasty

• ECU opponenplasty

• FDS opponenplasty