A new tendon transfer for ulnar clawhand: use of the palmaris longus
extended with the palmar aponeurosis. Ochiai N. Nagano A. Mikami Y. Nakagawa T. Yamamoto S. Journal of Hand Surgery - St Louis. [JC:ia9] 17(5):813-5, 1992 Sep. A new tendon transfer for ulnar paralytic clawhand, in which the palmaris longus with distal extensions of the palmar aponeurosis is passed under the transverse carpal ligament and fixed to the A-1 pulley of the small and ring fingers, is described. Advantages of the procedure are that there is no loss of function and free tendon grafts are not needed.
Original Text by Clifford R. Wheeless, III, MD.
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