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Symptomatic Ulnar Nerve Compression After Biceps-to-Triceps Tendon Transfer for Elbow Extension Reconstruction in Tetraplegia: A Case Report.
Spinal Cord Ser Cases
December 2024
Division of Plastic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, QC, Canada.
Introduction: Medially routed biceps-to-triceps tendon transfer for elbow extension reconstruction in spinal cord injury (SCI) has proven to be a reliable procedure. This technique classically places the tendon transfer superficial to a paralyzed ulnar nerve, with a theoretical risk of compression neuropathy.
Case Presentation: A 21-year-old male with a C5 American Spinal Injury Association Impairment Scale (AIS) grade B SCI who underwent bilateral biceps-to-triceps tendon transfers presented with new-onset paresthesias in the ring and small fingers 10.
Exploration of the triceps surae muscle in ambulatory children with cerebral palsy using instrumented measurements of stiffness and diffusion tensor magnetic resonance imaging for muscle architecture.
BMC Musculoskelet Disord
October 2024
Division of Paediatric Neurology, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Article Synopsis
- Musculoskeletal issues in children with cerebral palsy (CP) often lead to reduced ankle joint motion, and understanding factors like joint resistance and muscle structure can help address this problem.
- This study involved 14 children with spastic CP and 14 typically developing (TD) children, measuring ankle dorsiflexion, joint resistance, and muscle architecture using advanced techniques like goniometry and diffusion tensor MRI.
- Results showed that children with CP had significantly less passive dorsiflexion and greater joint stiffness compared to TD children, with negative correlations between stiffness, dorsiflexion, and muscle architecture properties.
Function and strength declines in a client with radiation-induced brachial plexopathy: a case report.
Physiother Theory Pract
September 2024
Occupational Therapist, St. Paul's Hospital, Providence Health Care, Vancouver, British Columbia, Canada.
Article Synopsis
- Radiation-induced brachial plexopathy (RIBP) is a debilitating condition that can occur after radiotherapy for cancer, and this report focuses on a 72-year-old woman with late-onset RIBP following breast cancer treatment.
- At age 72, neurological exams revealed significant impairments in her right arm, including decreased reflexes and major drops in grip and pinch strength, indicating deterioration over time.
- Unfortunately, there are currently no effective treatments to restore muscle strength in RIBP, and the woman's hand strength has progressively declined over three years.
Clinical Reasoning: A 32-Year-Old Man With Painless Bilateral Shoulder Girdle Weakness and Atrophy.
Neurology
November 2024
From the Departments of Neurology (N.B.G., J.K., D.K.), Neurosurgery (K.K.D.), and Radiology (Z.N.), Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Article Synopsis
- A 32-year-old man has experienced progressive weakness in his upper limbs for 14 months, along with gynecomastia and muscle wasting.
- On examination, he showed weakness in key shoulder and arm muscles and sensory loss in certain nerve areas, with altered reflexes in his upper and lower limbs.
- The report examines the clinical evaluation, possible diagnoses, tests needed, and treatment strategies for this specific condition of arm weakness.
[Analysis of the effect of all-inside endoscopic procedure through two portals combined with double-hemisection Achilles tendon lengthening for Achilles tendon contracture].
Zhonghua Wai Ke Za Zhi
August 2024
Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou 221009, China.
To examine the feasibility and clinical effect of all-inside endoscopic procedure through two portals combined with double-hemisection Achilles tendon lengthening for Achilles tendon contracture. This is a retrospective case series study. From February 2021 to February 2023, the clinical data of 24 patients (30 feet) with Achilles tendon contracture treated with all-inside endoscopic procedure through two portals combined with double-hemisection Achilles tendon lengthening were analyzed retrospectively.
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