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8 Cards in this Set
- Front
- Back
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What is a Moberg deltoid transfer?
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Transfer of deltoid to triceps done when triceps has LESS than grade 3 power in the setting of cord injury; use posterior third of deltoid; use tibialis anterior tendon graft
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What upper limb functions does the patient with C6 quadriplegia typically have?
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Biceps flexion, triceps extension, wrist extension, pronation
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What are the goals of tendon transfers for the patient with a C6 quadriplegia?
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1) Elbow extension
2) Key pinch 3) Stronger wrist extension (BR to ECRB) |
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What is a Moberg FPL tenodesis?
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Restore pinch grip (typically for C6 quad) by tenodesing FPL and fusing IPJ; BR can extend wrist and tenodesis effect allows pinch grip.
Usually combine with "Moberg Deltoid transfer" for C6 quad |
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What are the key levels that are intact with a C7 quadriplegia?
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Biceps flexion, triceps extension, wrist extension, pronation, ED
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What are the reconstructive goals for a patient with a C7 quadriplegia?
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Finger flexion. Thumb flexion.
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What is the Zancolli Two-Stage procedure?
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2-Stage transfer of functioning wrist extensors to finger extensors and flexors to regain finger flexion in setting of C7 quad
BR transferred to --> ED + EPL for finger ext ECRL transferred to --> FDP for finger flex |
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Give a single important transfer for each level of quadriplegia: C5/6/7/8
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C5: Moberg deltoid-to-triceps
C6: Add FPL tenodesis C7: Zancolli 2-Stage (BR-to-ED/EPL and ECRL-to-FDP) C8: Zancolli FDS tenodesis |
