1. Management of Upper Extremities in Tetraplegia: Current Concepts
- Author
-
Michael S. Bednar and Julie C Woodside
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Activities of daily living ,Arthrodesis ,medicine.medical_treatment ,Tendon Transfer ,Tenodesis ,Quadriplegia ,Upper Extremity ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Tendon transfer ,Activities of Daily Living ,medicine ,Functional electrical stimulation ,Humans ,Orthopedics and Sports Medicine ,Tetraplegia ,030222 orthopedics ,business.industry ,Upper extremity surgery ,Hand surgery ,musculoskeletal system ,medicine.disease ,Hand ,Tendon ,medicine.anatomical_structure ,Surgery ,business ,030217 neurology & neurosurgery - Abstract
Individuals with tetraplegia face many obstacles with activities of daily living. Although approximately 65% to 75% of individuals with tetraplegia would benefit from upper extremity surgery that could make many of their activities of daily living more spontaneous, only 14% of patients who are surgical candidates undergo tendon transfer procedures. A good surgical candidate has an injury at one of the cervical spine levels and an International Classification for Surgery of the Hand in Tetraplegia group of 1 or better, has functional goals, and is committed to the postoperative rehabilitation process. Surgery primarily consists of tendon transfers, tenodesis, and arthrodesis to restore elbow extension and hand pinch, grasp, and release. Nerve transfers and functional electrical stimulation are also options for treatment.
- Published
- 2018