CRITICAL POINTS ▪ Extensor tendons in all zones except digital I and II and thumb TI and TII tolerate controlled active tension by the third post-operative day with precise orthotic…
CRITICAL POINTS ▪ Potential donors for transfer are those muscles with 1 Adequate power to motor the recipient tendon 2 Similar tendon excursion to the recipient 3 Function synergistic or…
CRITICAL POINTS ▪ All edema is not the same. ▪ Stimulation of the lymphatic system is necessary to decrease subacute and chronic edema. ▪ The proteins associated with subacute and…
CRITICAL POINTS ▪ After a peripheral nerve lesion, muscle denervation and sensory loss contribute to upper extremity prehensile limitations, leading to incoordination and maladaptive strategies. ▪ The key to successful…
CRITICAL POINTS ▪ A team approach is critical to effectively address preoperative issues and enhance postoperative success. ▪ Preoperative factors considered by the team include (1) psychosocial issues, (2) status…
CRITICAL POINTS Donor Nerve ▪ Near target muscle ▪ Expendable ▪ Pure motor fibers ▪ As large a number of motor axons as possible ▪ Synergistic to target muscle Transfer…
CRITICAL POINTS Evaluation Evaluation techniques should be reproducible and standardized. Simple Lymphatic Massage ▪ Start and end proximally. ▪ Use minimal pressure needed to traction the skin. ▪ Pressure will…
CRITICAL POINTS ▪ There are two major types for the therapist to consider, compressive and entrapment. ▪ Appropriate therapist classification of patients into one of two types is imperative to…
CRITICAL POINTS ▪ The ulnar nerve is subject to compression as it pierces the medial intermuscular septum (MIS); at the arcade of Struthers; within the cubital tunnel; and between the…
Critical Points ▪ A healthy lymphatic system is generally able to prevent or decrease the amount of acute edema. Under normal conditions, the transport capacity of the lymphatic system is…
