Preoperative Evaluation for Free Functional Muscle Transfer in Upper Extremity Amyoplasia-Reference-Cited by-同舟云学术

Preoperative Evaluation for Free Functional Muscle Transfer in Upper Extremity Amyoplasia

Published:2024-07 Issue:3 Volume:14 Page:
ISSN:2160-3251
Container-title:JBJS Case Connector
language:en
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Author:

Sullivan Mikaela H.¹^ORCID,Vilkki Simo K.²^ORCID,Raja Sabapathy S.³,Venkatramani Hari³^ORCID,Shin Alexander Y.¹^ORCID,Pulos Nicholas¹^ORCID

Affiliation:

1. Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

2. Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland

3. Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India

Abstract

Case: A multicenter series of 3 patients with amyoplasia of the upper extremity were indicated for gracilis free functional muscle transfer (FFMT) to restore elbow flexion and found to have an absent gracilis. A final case is discussed detailing standardized evaluation with ultrasound to confirm gracilis before surgical intervention. Conclusion: In amyoplasia, the gracilis muscle may be absent or have fatty infiltration, making this donor muscle inadequate. Preoperative ultrasound to determine the presence of the gracilis is noninvasive and recommended in patients with amyoplasia of the upper extremity being considered for FFMT.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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