High median ulnar nerve type palsy

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This document describes surgical techniques for treating high median ulnar nerve palsy, including transferring the brachioradialis tendon to the flexor pollicis longus tendon using a Pulvertaft weave to restore thumb flexion. It also details an opponensplasty procedure using a palmaris longus graft to lengthen the extensor indicis proprius muscle and rerouting it around the ulnar side to restore thumb opposition.

Health & Medicine

High Median Ulnar
Nerve type Palsy
EIP Opponensplasty and BR to FPL Transfer

v
http://www.melissaecory.com/?portfolio=surgical-illustration-the-pulvertaft-weave
Cut BR Weaved into FPL with appropriate tension using tenodesis assessment

Rerouted subcut around ulnar side to volar
http://emedicine.medscape.com/article/1245758-overview

PL graft with Pulvertaft weave to extend EIP

EIP PL Complex split
ABP Tendon EIP Anchored to ABP Tendon in
abduction and flexion tension

Radial slip of EIP sutured to Adductor
Pollicis under pronated thumb tension

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