Restoration of strong grasp and lateral pinch in tetraplegia: A comparison of two methods of thumb control in each patient

James H. House, Mary Ann Shannon

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

Six patients with spinal cord injury who ranged in age from 25 to 42 years were selected for surgery that used a tendon transfer for opposition-adduction of one thumb and arthrodesis of the carpometacarpal joint of the other in each patient. At follow-up 2 to 6 years later, the hands with the opponens-adductorplasty had a slightly stronger lateral pinch (3.75 kg versus 3.31 kg), but the hands with the carpometacarpal arthrodesis had a somewhat stronger grasp (7.42 kg versus 6.86 kg). The patients did not exhibit a consistent preference for either method, but rather, were particularly pleased that their hands had been reconstructed differently, thereby allowing each to be somewhat “specialized” for certain activities.

Original languageEnglish (US)
Pages (from-to)22-29
Number of pages8
JournalJournal of Hand Surgery
Volume10
Issue number1
DOIs
StatePublished - Jan 1 1985

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