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Median Nerve Function After Tendon Transfer For Ulnar Paralysis

from Addis Ababa, Ethiopia

P. W. BRAND

from Carville, Louisiana

This is a long term follow-up study of the median nerves of 128 leprosy patients who originally had pure ulnar palsy for which they had tendon transfers to correct claw hand.

Of the thirty-one cases in which the carpal tunnel was not used as a pathway for tendon grafts, 16% developed median palsy in the subsequent years.

Of the ninety-seven cases in which tendon grafts were passed through the carpal tunnel, 7% developed a transient median nerve palsy and 11% developed permanent median palsy. None of the median nerve palsies developed during the weeks or months of post-operative re-education or observation, but were noted at follow-up visits months or years later.

It is concluded that the use of the carpal tunnel did not significantly affect the status of those high-risk median nerves in cases of leprosy.

Journal of Hand Surgery (British and European Volume), Vol. 10, No. 1, 30-32 (1985)
DOI: 10.1016/S0266-7681(85)80010-3


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