Median to Radial Nerve Tendon Transfers: PT to ECRB, FCR to EDC, PL to EPL

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Median to Radial Nerve Tendon Transfers: PT to ECRB, FCR to EDC, PL to EPL

By Washington University School of Medicine - Peripheral Nerve Surgery FEATURING Andrew Yee

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February 24, 2012

High Definition Standard Version - https://vimeo.com/33404056
High Definition Extended Version - https://vimeo.com/33349081

Education Website - http://nervesurgery.wustl.edu
Video Library - https://vimeo.com/user6062882

Median to Radial Nerve Tendon Transfers: PT to ECRB, FCR to EDC, PL to EPL
Standard Version (111202.111025)

Tendon transfers are an available option for reconstructing wrist and finger/thumb extension following radial nerve injury when nerve transfers are contra-indicated. The donor median-innervated tendons are used to reconstruct the recipient radial-innervated tendons. This tutorial describes the following tendon transfers: (1) pronator teres (PT) to extensor carpi radialis brevis (ECRB), (2) flexor carpi radialis (FCR) to extensor digitorum communis (EDC), and (3) palmaris longus (PL) to extensor pollicis longus (EPL). In this specific case, the patient had a left humeral fracture and lost complete radial nerve function. He consulted with our institution six months following the injury. While he was within the time limitation of nerve transfers, he elected for tendon transfers for radial nerve palsy.

Table of Contents
00:50 Anterior Incision / Exposure and Identifying the Plane between the Brachioradialis and FCR
02:37 Incising and Releasing the PT Tendon from the Radius
04:07 Identifying the FCR and PL
04:36 Posterior Incision
05:07 Identifying the EDC
06:07 Identifying the EPL
07:00 Proximal Transection and Release of EPL Tendon
07:26 Identifying the ECRB
08:01 Distal Transection and Release of FCR and PL Tendons
08:37 PT to ECRB Tendon Transfer
09:27 FCR to EDC Tendon Transfer
11:27 PL to EPL Tendon Transfer

Narration: Susan E. Mackinnon
Videography: Andrew Yee

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