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Case Series
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Drop hand treated with modified jones transfer | ||||||
Meirizal1, Sudaryanto1, Rahadyan Magetsari1 | ||||||
1Department of Orthopedics and Traumatology, Sardjito General Hospital, Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia
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How to cite this article |
Meirizal, Sudaryanto, Magetsari R. Drop hand treated with modified jones transfer. Int J Case Rep Images 2018;9:100925Z01M2018. |
ABSTRACT
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Introduction: The radial nerve is the most frequently injured nerve caused by fractures of the humeral shaft. Loss of hand function secondary to radial nerve injury can dramatically impair the person’s ability to perform normal activities of daily living. When nerve repair is not possible or the window of opportunity for nerve repair is missed, tendon transfers can be done to restore lost functions. Case Series: There were 2 cases of drop hand, the first patient was male, 30-year-old with close fracture of middle third of the right humerus with radial nerve palsy due to motorcycle accident. From electroneuromyography (ENMG) examination the nerve lesion was said to be a neurotmesis. The patient underwent open reduction followed with plating of the humeral fracture, and nerve repair. After six months, the drop hand still remain and then the patient underwent tendon transfer (Jones procedure); palmaris longus (PL) transferred to extensor policis longus (EPL), pronator teres (PT) transferred to extensor carpi radialis brevis (ECRB), flexor carpi radialis (FCR) transferred to extensor digitorumcomunis (EDC). Second patient was male 28-year-old with close fracture of middle third of the right humerus with neurotmesis of radial nerve due to motorcycle accident. The patient underwent open reduction, plating of humeral fracture, and nerve repair. After five months follow up drop hand still remain then underwent tendon transfer (modified Jones procedure); PL transferred to EPL, FCR transferred to EDC and ECRL. There was good result after operation of the patient with tendon transfers. Both patients can extend wrist, extend the finger and extend the thumb. Conclusion: Both patients with Radial nerve palsy treated with tendon transfers showed good clinical results and improvement of the hand function. Keywords: Jones transfer, Radial nerve palsy, Tendon transfers |
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Author Contributions
Meirizal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sudaryanto – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Rahadyan Magetsari – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
Guarantor of Submission
The corresponding author is the guarantor of submission. |
Source of Support
None |
Consent Statement
Written informed consent was obtained from the patient for publication of this case series. |
Conflict of Interest
Author declares no conflict of interest. |
Copyright
© 2018 Meirizal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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