Transferencias tendinosas en hombro. Técnica quirúrgica y revisión de la literatura / Tendon transfers in shoulder. Surgical technique and literature review

En lesiones con criterios de irreparabilidad del manguito rotador en pacientes jóvenes y activos se considera realizar transferencia tendinosa como una opción de tratamiento; transferencia del trapecio inferior en lesiones irreparables posterosuperiores del manguito rotador; transferencia del dorsal ancho vía anterior en lesiones irreparables de supraespinoso y transferencia de dorsal ancho en lesiones irreparables del subescapular. En este trabajo realizamos una revisión narrativa de la técnica quirúrgica. Además, se puede observar el video de la experiencia anatómica de cada técnica descripta

In rotator cuff injuries with irreparable criteria in active and young patients, tendon transfer is considered as a treatment option. We describe our experience in performing lower trapezius transfer in irreparable posterosuperior rotator cuff injuries, anterior latissimus dorsi transfer in supraspinatus injuries, and latissimus dorsi transfer in subscapularis injuries. We carry out a narrative review of the surgical technique with the subsequent video of the anatomical experience of each technique described

[Oscar Vulpius and tendon transfer in the hand]. / Oscar Vulpius und die Sehnentranspositionen an der Hand.

Oscar Vulpius dealt extensively with the problem of tendon transfer for motoric deficits. An analysis of his works shows that the knowledge of tendon healing, aftercare and operative techniques was already very widely advanced at the beginning of the last century.

Harvey Cushing: early use of tendon transfers for repair of foot deformity. A historical case report.

We describe 4 cases of tendon transfers for correction of foot deformities, which were performed by Harvey Cushing in 1898.

Tendon transfers: part I. Principles of transfer and transfers for radial nerve palsy.

LEARNING OBJECTIVES: After reading this article (part I of II), the participant should be able to: 1. Describe the history of tendon transfer procedures. 2. List and understand the principles and biomechanics of tendon transfers. 3. Describe the anatomy and function of the radial nerve in the forearm and hand. 4. Describe the indications, benefits, and drawbacks for various tendon transfer procedures performed for radial nerve palsy. SUMMARY: This article reviews the history of tendon transfer procedures, and describes the principles and biomechanics behind them. It also discusses the anatomy and clinical findings of radial nerve palsy and the tendon transfer procedures used to treat it.

Hyphenated history: the Sever-L'Episcopo procedure.

This article offers historical highlights regarding the 2 men from whom the Sever-L'Episcopo procedure takes its name. James W. Sever and Joseph B. L'Episcopo were both orthopaedic surgeons who were dedicated to improving the care of patients experiencing the ill effects of neonatal brachial plexus palsy. They developed techniques aimed at enhancing shoulder function compromised by paralytic contracture and, as a consequence, became linked in orthopaedic hyphenated history. The Sever-L'Episcopo procedure (along with its variations) has been an important part of the treatment of children with neonatal brachial plexus palsy for nearly 90 years.

[History of surgery of the anterior cruciate ligament]. / Geschichte der Chirurgie des vorderen Kreuzbandes.

Early comments on the anterior cruciate ligament were found in ancient literature, and the first scientific reports were published in the nineteenth century. The first surgical treatment of a ruptured anterior cruciate ligament was carried out in 1895 by Robson performing a primary suture of the torn ligament. In 1903 F. Lange suggested a complete replacement of the injured ligament using silk ligaments and in 1914 Grekow was probably the first who recommended autogenous transplants by using a fascia lata strip. In 1917 Hey-Groves presented his surgical technique that was the fundament for reconstruction surgery in the following years. Today, the autogenous transplant is accepted to be the golden standard for replacement of the injured anterior cruciate ligament. The bone-tendon-bone transplant of the patellar ligament and the semitendinosus or gracilis tendon are recommended by most surgeons. In the history of anterior cruciate ligament surgery, the surgical technique of the operative procedures has also changed. The evolution started with open arthrotomy followed by mini-arthrotomy and led to arthroscopically assisted replacement of the anterior cruciate ligament.

[Development of the techniques of tendon transfers for radial paralysis]. / L'évolution des techniques de transferts tendineux pour paralysie radiale.

The techniques of tendon transfer for radial palsy are continually evolving. The technique of R. Merle d'Aubigné partly inspired by that of Robert Jones clearly represented an advance, but a study of the results has shown several imperfections. The techniques of Brand, Tsuge, or Boyes more recently, have also brought improvements, but are not entirely satisfactory. A study of all the elements of tendon transfers schemes leads us to describe two basic schemes for tendon transfers either using F.C.U. or not, which can be adapted to the patient's particular needs. The essential point for success is the centralization of extensor carpi radialis longus at its insertion.

A history of tendon operations.

The pendulum of arguments and popular operations swings back and forth, anchored to the problem of tendon healing and adhesions. The following passage, commenting on tendon repairs done by a famous 17th century surgeon, from the Course of Chirurgical Operations by Dionis in 1710, has relevance for history and the future of tendon operations. . . . When M. Bienaise, one of the most famous Chirurgeons of Paris, began the Performance of this Operation about fifty years past, it pass'd for his Invention; of which he reap'd all the Honor and it all the Charms of Novelty; but on Examination it appearing that it had been talk'd about two thousand years before he hit on it, it was consequently discover'd he only reviv'd an Ancient Practice of the Greeks, and that Guido and several others had practised it. 'Tis indeed true, twas grown obsolete, he brought it into use again, and we are oblig'd to him for having try'd it on his Dogs, after that employ'd on Men, and then encouraging us to the performance of an Operation which prevents the laming of a great many wounded patients.

Management of the upper extremity in traumatic tetraplegia.

The management of the upper extremity in traumatic tetraplegia is complex and extremely important for the rehabilitation of the patient. The evolution of present management is reviewed. The evaluation and classification of the tetraplegic patient is discussed with general recommendations for treatment.