ABSTRACT
TRANSFERS IN MEDIAN NERVE PALSY 5. You see a 20-year-old patient with poor recovery following a median nerve division
at the wrist 2 years earlier. She asks about potential reconstructive options. Which one of the following tendon transfers could be used to address thenar muscle denervation? A. An EIP transfer around the radial border of the wrist B. A ring finger FDP transfer through a flexor retinaculum window C. An abductor digiti minimi transfer across the palm D. A palmaris longus plus fascial strip transfer around an FCU pulley E. An FDS ring transfer around an FCR pulley
TRANSFERS IN ULNAR NERVE PALSY 6. A patient presents with full FCU (MRC grade V) and incomplete FDP (MRC grade IV)
recovery but persistent clawing 18 months after an ulnar nerve repair at the elbow. Which one of the following is contraindicated in this case? A. An MP joint hyperextension-blocking splint for the long term B. A ring finger FDS tendon transfer to the lateral bands to correct the clawing C. An FCR transfer with PL grafts to the A1/A2 pulleys to correct the clawing D. Postponement of tendon transfers until passive joint range improves, if clawing is not
passively correctable E. An ECRB transfer with PL graft aid thumb adduction
TENDON TRANSFERS IN RADIAL NERVE PALSY 7. You are considering tendon transfers for a young, healthy man 4 months after repair
of a radial nerve injury at the elbow. Which one of the following statements is correct? A. Recovery of some wrist extension would be expected by this stage. B. If there is no sign of EPL recovery by now, a tendon transfer will be needed. C. An EMG is unlikely to be helpful this long after injury. D. Recovery of strong digital extension would be expected by this stage. E. If motor recovery is seen, but is slower than expected, rerepair of the nerve may be
required.
