Injuries to the deep peroneal nerve result in tibialis anterior muscle paralysis and associated loss of ankle dorsiflexion. Nerve grafting injuries has led poor function; therefore, tendon transfers ankle-foot orthotics have been standard treatment for foot drop.We (1) describe an alternative surgical technique obtain dorsiflexion by partial tibial transfer motor branch muscle; (2) evaluate strength using British Medical Research Council grading after transfer; (3) qualitatively determine...

Introduction Hirayama disease (HD) is a rare, nonfamilial, monomelic amyotrophy in which patients present with muscle atrophy and weakness of the forearms hands, either unilateral or bilateral, without sensory loss. Current treatment guidelines describe role conservative treatments including cervical collars neurotropic medications, as well spinal surgery select patients. Upper extremity has not yet been incorporated into algorithm HD. The objective this study twofold: to case series HD...

Injuries to the common peroneal nerve can be functionally debilitating with few treatment options. Traditionally, tendon transfers and ankle-foot orthotics have been standard of foot drop satisfactory patient outcomes. The purpose this manuscript is describe an alternative surgical technique option obtain ankle dorsiflexion in patients using a partial transfer from tibial motor branch tibialis anterior.

The use of the free functioning, innervated gracilis muscle has evolved to become an invaluable tool in restoration elbow flexion and prehension patients undergoing reconstruction following brachial plexus injuries. Although there are many different methods harvest, most if not all harvest begin proximally. purpose this article is describe a novel distal technique myocutaneous flap for requiring or finger flexion. A method commencing with dissection either at insertion pes anserine medial...

Background: Transfer of the anterior interosseous nerve (AIN) into ulnar motor branch improves intrinsic hand function in patients with high injuries. We report our outcomes this transfer and hypothesize that any improvement is beneficial to patients. Methods: A retrospective review all AIN-to-ulnar transfers, including both supercharged end-to-side (SETS) end-to-end (ETE) from 2011 2018 performed by 2 surgeons was conducted. All adult who underwent for reason greater than 6 months’...

Parsonage Turner syndrome (PTS) is the development of severe, spontaneous pain with subsequent nerve palsy. Unfortunately, many patients never achieve full functional recovery, and have chronic pain. The use transfers in PTS has not been reported literature. We present 4 cases treated surgically primary transfer neurolysis affected following absence clinical electrodiagnostic recovery at 5 months from onset. In addition, we a cadaver dissection demonstrating an interfascicular anterior...

The goals of treatment in Kienböck disease include preservation wrist function, maintaining normal kinematics, and revascularization the necrotic lunate when if possible. A variety pedicled vascularized bone graft options exist but are not limited to grafts from volar radius, dorsal metacarpal heads or bases, pisiform. Of various options, distal radius based on fourth fifth extensor compartment arteries has been successful at our institution. Vascularized grafting is an attractive...

Background The most common neurological defect in traumatic anterior glenohumeral dislocation is isolated axillary nerve palsy. Most recover spontaneously; however, some have persistent neuropathy. An intact rotator cuff may compensate for an injury; given the high rate of pathology with advancing age, patients injury are at risk complete shoulder disability. Objective To review reconstruction to alleviate pain, augment stability, abduction and external rotation sole reliance on move...

Background: Four-corner fusion (4CF) is a common treatment for midcarpal arthritis; however, alternatives including 2-corner (2CF) and 3-corner (3CF) have been described. Limited literature suggests 2CF 3CF may improve range of motion but higher complication rates. Our objective to compare function patient-reported outcomes following 4CF, 3CF, at our institution. Methods: Adult patients undergoing from 2011 2021 who attended least one follow-up were included. compared with those underwent...

Intraneural ganglion cysts, which occur within the common peroneal nerve, are a rare cause of foot drop. The current standard treatment for intraneural cysts involving nerve involves (1) cyst decompression and (2) ligation articular branch to prevent recurrence. Nerve transfers time-dependent strategy recovering ankle dorsiflexion in cases high palsy; however, this modality has not been performed nerve. We present case palsy secondary an occurring 74-year-old female. patient presented with...

"Morton neuroma" is a common cause of forefoot pain with numbness frequently occurring in the distribution third digital nerve. After failure nonoperative measures, decompression excision neuroma practice. Residual and recurrent has been reported as consequence this treatment option. This study describes interpositional nerve grafting option for Morton neuroma. proposed technique benefit reducing pain, secondary neuromas restoring postexcision sensory deficits.A retrospective chart review...

The most common neurological defect in traumatic anterior glenohumeral dislocation is isolated axillary nerve palsy. Most recover spontaneously; however, some have persistent neuropathy. An intact rotator cuff may compensate for an injury; given the high rate of pathology with advancing age, patients injury are at risk complete shoulder disability.To review reconstruction to alleviate pain, augment stability, abduction and external rotation sole reliance on move stabilize shoulder.A...

Modern oncologic surgery aims not only to obtain tumor-free margins but also spare or reconstruct limb function and preserve quality of life. A negative tumor margin in the digit generally requires amputation; therefore, is preserved with reconstruction. We report results simultaneous ablative resection reconstruction a great toe transfer patients requiring for aggressive benign malignant thumb tumors.Between 2000 2009, three extensive soft tissue tumors distal underwent amputation wide...