Upper Extremity Neuromuscular Disorders

Fig. 24.1

PIP fusion figures: (a) illustration of Clinical photos of a patient with rigid swan neck deformity of the small finger. (b) illustration of Intraoperative photos of figure-of-8 tension band PIP fusion technique. (c) A/P and lateral fluoroscopic X-ray images of PIP fusion using figure-of-8 tension band technique

Fig. 24.2

DIP fusion figure: Fluoroscopic X-ray images of DIP fusion using intramedullary headless compression screw

Fig. 24.3

HO figure: X-rays and cross-sectional CT scan demonstrating extent and location of heterotopic ossification about the elbow

Fig. 24.4

Lateral scapular winging figure: illustration of Clinical photo of a patient with right-sided trapezius palsy demonstrating lateral winging of the right scapula as the patient pushes against a wall

Fig. 24.5

Medial scapular winging and tendon transfer figure: Illustration of Clinical and intraoperative photos of a patient with right-sided serratus anterior palsy demonstrating medial winging of the right scapula as the patient pushes against a wall. The pectoralis major was transferred, with a tendon graft for added length, to the inferior posterior scapula

Fig. 24.6

Medial scapular winging postoperative figure: Postoperative clinical photo of same patient after recovery from surgery

Fig. 24.7

Spinal accessory to suprascapular nerve transfer figure: Illustration of intraoperative photo of a patient undergoing spinal accessory to suprascapular nerve transfer

Fig. 24.8

Steindler flexorplasty figures: (a) Preoperative photo of patient demonstrating no active elbow flexion but full passive elbow flexion. (b) Illustration of Intraoperative photos of surgical procedure. The hand is to the left and the shoulder is to the right in these photos. The flexor-pronator mass is shifted proximally on the humerus and secured with a screw. (c) Postoperative photo of patient demonstrating active elbow flexion

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