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The Archives of Bone and Joint Surgery، جلد ۹، شماره ۵، صفحات ۵۷۸-۵۸۴
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عنوان انگلیسی Presentation and Management Outcome of High Radial Nerve Palsy with Tendon Transfers
چکیده انگلیسی مقاله Background: This randomized clinical trial was carried out to document the clinical presentation of isolated highradial nerve palsy (high RNP) and compare the outcome of triple tendon transfers.Methods: The study included patients of all genders and ages who presented with isolated high RNP. Half of themwere randomly assigned to the flexor carpi radialis set (FCR-set) of tendon transfers (group A) and a half to theflexor carpi ulnaris (FCU-set) of tendon transfers (group B).Results: Out of 44 patients, 38 were males, and 6 were females. The age ranged from 7 years to 55 years.26(59.09%) patients had primary RNP in association with fractures of the humerus. The postoperative meandisability of arm, shoulder, and hand score (Quick DASH-11 score) for the patients in the FCR-set of transfers was34.54%% versus 41.81% for the FCU-set of transfers. 11 patients (25%) developed radial deviation deformity.Conclusion: RNP was predominantly found among males of the young age group, and the majority of the casesresulted from preventable causes. The triple tendon transfers among patients of the two groups robustly restoredthe lost extension of the wrist and digits in a matching way. The patients also subjectively reported remarkableimprovement in terms of the favorable Quick-DASH-11 scores. Radial deviation deformity occurred among half ofthe patients who underwent the FCU set of tendon transfers.Level of evidence: II
کلیدواژه‌های انگلیسی مقاله High radial nerve palsy, Flexor carpi radialis, Flexor carpi ulnaris, Quick-DASH-11 scores, Tendon transfers
نویسندگان مقاله | Muhammad Saaiq
Consultant Plastic surgeon and Head of Plastic Surgery Department, National Institute of Rehabilitation Medicine (NIRM), Islamabad, Pakistan
نشانی اینترنتی https://abjs.mums.ac.ir/article_17338.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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