Symptomatic Ulnar Nerve Compression After Biceps-to-Triceps Tendon Transfer for Elbow Extension Reconstruction in Tetraplegia: A Case Report.

ABSTRACT:

Introduction

Medially routed biceps-to-triceps tendon transfer for elbow extension reconstruction in spinal cord injury (SCI) has proven to be a reliable procedure. This technique classically places the tendon transfer superficial to a paralyzed ulnar nerve, with a theoretical risk of compression neuropathy.

Case presentation

A 21-year-old male with a C5 American Spinal Injury Association Impairment Scale (AIS) grade B SCI who underwent bilateral biceps-to-triceps tendon transfers presented with new-onset paresthesias in the ring and small fingers 10.5 years following initial reconstructive surgery. These symptoms were accompanied by triggered upper extremity spasticity following repeated elbow flexion exercises. Clinical exam findings and ultrasound imaging were consistent

SUBMITTER: Oiknine N 

PROVIDER: S-EPMC11628619 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature