Online ISSN: 2515-8260

Keywords : Tendon transfer


Accessory Flexor Carpi Ulnaris (AFCU)

Dr. Amarjeet Kaur; Dr. Seetharama Mithanthaya; Dr. Swati Bedekar

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2725-2728

Variants of Flexor Carpi Ulnaris(FCU) are clinically important as they cause ulnar nerve
compression. The present article is documented on the anatomical variation found during
routine dissection. FCU had its normal origin and insertion while Accessory flexor carpi
ulnaris (AFCU) was found with absence of palmarislongus (PL). Awareness of variations of
FCU are helpful in reconstructive surgeries of forearm and hand.
Method:
The right upper limb of a male cadaver was dissected during routine dissection in the
Department of RachanaSharir, J.S. AyurvedMahavidyalaya, GujaratAyurved University. All
superficial flexor muscles were exposed. The humeral and ulnar heads of FCU was dissected
and AFCU was found having musculotendinous origin and central muscle belly inserting in
the pisiform bone with the absence of PL. Relevant photographs were taken for
documentation.
Result:
The FCU has its normal origin and insertion. AFCU had a fleshy-tendinous origin having two
heads, the small humeral head arising from the medial epicondyle via the commontendon
whereas the ulnar head had its origin from the medial margin of theolecranon. This common
tendon is long and continuous into the fleshy belly in the middle part of the muscle and
inserted into the pisiform bone. Ulnar vessels and nerve lied lateral to the insertion of the
AFCU. There was absence of PL.

Tendon Transfer: Radial Nerve Injury Management

Omar Makram Abd Elrahim, Abdelsalam Mohammed Hefny, Abdelsalam Eid Abdelsalam, Ahmed Mashhour Gaber

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4309-4322

Radial nerve injury may be the consequence of a complex humerus fracture, direct nerve
trauma, compressive neuropathies, neuritis, or (rarely) from malignant tumor, and considered
one of the most debilitating injury affecting function in the hand because of impairment of
grasp. These injuries are not uncommon in our society resulting in poor quality of living,
dependency & loss of livelihood.More than 70% of RNP cases will recover conservatively.
Conservative treatment consists of the patient wearing a brace and undergoing rehabilitation.
The aim of rehabilitation is to maintain the passive motion of various joints and to limit the risk
of adhesions. Tendon transfers are also an alternative method and it has been used for over a
century to restore function after radial nerve injury or paralysis with good results. Innumerous
tendon transfers have been described to treat radial nerve palsy, and all have their advocates
who have shown commendable results.