Low Ulnar Nerve Palsy

Deficits

Pinch - aadductor Pollicis

            - Ist dorsal interossei

Grip - finger intrinsics


Treatment

Claw

A. Tendon Transfer


1.  RF/LF intrinsic paralysis

             EIP - 2 slips passed volar to deep transverse ligament , and passed to radial side of each

                         finger extensor finger aponeurosis

              Zancoli capsulodesis


2. Omer MCP thumb arthrodesed
 
             FDS RF 2 Slips made..
       
                                              1 slip passed across palm to fibres of adductor pollicis

                                              2nd slip further divided into 2

                                                     1  passed through lumbrical canal to radial side of extensor

                                                          aponeurosis RF

                                                     other to LF
           

           other technique

                                       Omer - Brachioradialis extended to adducor of thumb

                                       EIP radial half splitted and inserted to Ist dorsal interosseous muscle

                                     
3. Burkhalter Technique

          Brachioradialis /ECRL extended and taken to dorsum , volar to transverse metacarpal ligament

          then fixed to radial side of Proximal phalanx

4. Brown


          FDS RF deep to finger flexors

          EIP to palm through 3rd MC and across palm volar to deep transverse metacarpal ligament ,

           attach to radial side of each finger.

5.Bunnel / Brand transfer


B)  Rehabilitation


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