Combined High Median and Ulnar Nerve
Anaesthesia over entire hand on palmar surfaace
Clawing of hand
Tr
Availability of Donor tendons for treatment
Brachioradialis
ECRL , ECRB, ECU , EIP
Omer
1. Thumb arthrodesis
2. Fingers - Zancoli capuslodesis - MCP joint of all fingers
3. Release tendon sheath of flexor tendons
4. ECRL to FDP (on radial border )
5. Bachilradialis to FPL
6. ECU to EPB on Ulnar side
7. Amputate IF and fold radiallyinnervated dorsal flap into palm for sensation.
Clawing of hand
Tr
Availability of Donor tendons for treatment
Brachioradialis
ECRL , ECRB, ECU , EIP
Omer
1. Thumb arthrodesis
2. Fingers - Zancoli capuslodesis - MCP joint of all fingers
3. Release tendon sheath of flexor tendons
4. ECRL to FDP (on radial border )
5. Bachilradialis to FPL
6. ECU to EPB on Ulnar side
7. Amputate IF and fold radiallyinnervated dorsal flap into palm for sensation.
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