Comparison between Flexor Carpi Radialis and Flexor Carpi Ulnaris Tendon Transfer for Fingers’ Extension in High Radial Nerve Palsy

Authors

  • Sumon Kumar Sen Lieutent Colonel, Dhaka CMH, Bangladesh
  • Nakul Kumar Datta Department of Orthopaedics, BSMMU, Dhaka, Bangladesh
  • Dipendra Misra Resident, Department of Orthopaedics, BSMMU, Dhaka, Bangladesh
  • Zahidul Hak Khan Resident, Department of Orthopaedics, BSMMU, Dhaka, Bangladesh
  • Jahidul Islam Resident, Department of Orthopaedics, BSMMU, Dhaka, Bangladesh
  • Susmita Sen Assistant Professor, Neonatology Department, BSMMU, Dhaka, Bangladesh
  • Rumpa Mani Chowdhury Assistant Professor, Neonatology Department, BSMMU, Dhaka, Bangladesh
  • Krishna Priya Das Professor, Hand and Recons- tructive surgery, Department of Orthopaedics, BSMMU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bmj.v48i3.51791

Keywords:

Flexor carpi radialis, flexor carpi ulnaris, fingers’ extension and radial nerve palsy

Abstract

The hand grip is severely impaired following high radial nerve palsy due to loss of extension of the wrist, metacarpo- phalangeal joint of fingers and thumb. If radial nerve does not show neural recovery following conservative or surgical repair during the optimum time, tendon transfer is considered the standard treatment. To evaluate and compare the clinical outcome between flexor carpi radialis and flexor carpiulnaris tendon transfer for fingers’ extension in high radial nerve palsy. This randomized controlled trial study was carried out in the Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka over a period of two years from January 2013 to December 2014. A total of 30 patients with high radial nerve palsy were recruited, 15 patients were gone through Flexor Carpi Radialis tendon transfer procedure (FCR group) and the rest 15 patients were gone through Flexor Carpi Ulnaris tendon transfer procedure(FCU group). The patients were followed up for 12 weeks after surgical intervention. Out of all patients, 86.7% male were encountered in each group. The mean age was found 31.07±9.14 years in FCR group and 33.60±10.79 years in FCU group. Humerus fracture was remained a major cause of radial nerve palsy in both FCR and FCU groups (26.7% vs. 33.3%). In final follow-up at 12th week, no extension deficit was observed at MCP joint (93.3% vs. 80.0%, p>0.05).The end result of surgical intervention was found satisfactory equally in both the groups (86.7%). In case of high radial nerve palsy, both FCR and FCU tendon transfer procedures are effective forfingers’ extension at MCP joint.

Bangladesh Med J. 2019 Sep; 48 (3): 9-15

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Published

2021-02-02

How to Cite

Sen, S. K., Datta, N. K., Misra, D., Khan, Z. H., Islam, J., Sen, S., Chowdhury, R. M., & Das, K. P. (2021). Comparison between Flexor Carpi Radialis and Flexor Carpi Ulnaris Tendon Transfer for Fingers’ Extension in High Radial Nerve Palsy. Bangladesh Medical Journal, 48(3), 9–15. https://doi.org/10.3329/bmj.v48i3.51791

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Original Articles