Upper limb surgery for tetraplegia: a 10-year re-review of hand function

The Journal of Hand Surgery
A G RothwellStewart W Sinclair

Abstract

To perform a 10-year re-review of hand function outcome for 24 tetraplegic persons who had received bilateral tendon transfers and tenodeses. The Lamb and Chan questionnaire with additional questions, the Quadriplegic Index of Function (QIF), the Swanson sphygmomanometer technique for hook grip, the Preston Pinch Meter (PP) for key pinch, and a digital analyzer (DA) for both hook and key pinch were the test instruments used. The QIF and DA had not been used previously. Levels of functional independence and expectations were maintained. Mean hook grip values were maintained for the right hand but increased significantly for the left to reach right hand values. Mean pinch grip values decreased significantly. DA measurements confirmed similar hook grip values for both hands but key pinch values were significantly higher than the PP values. Active transfers averaged approximately twice the strength of tenodeses. Hand function improvements gained from tendon transfers and tenodeses are maintained over time.

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Citations

Apr 18, 2013·Disability and Rehabilitation·Johanna WangdellJan Fridén
Oct 20, 2012·Disability and Rehabilitation·Jennifer A DunnSally Keeling
Sep 23, 2014·The Journal of Spinal Cord Medicine·Hanne GregersenFin Biering-Sørensen
Aug 9, 2005·Archives of Physical Medicine and Rehabilitation·Govert J SnoekGerrit Zilvold
May 20, 2014·Hand : Official Journal of the American Association for Hand Surgery·Mukul MohindraAnkit Thora
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Johanna JahnJack R Engsberg
Jul 20, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Michael S Bednar, Julie C Woodside
Oct 8, 2017·Acta orthopaedica et traumatologica turcica·Mukul MohindraZile Singh Kundu
Sep 4, 2012·Physiotherapy Canada. Physiothérapie Canada·Sukhvinder Kalsi-Ryan, Mary C Verrier
Mar 13, 2021·Journal of Hand and Microsurgery·Sandeep C PatelKhalid D Mohammed

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