TENDON TRANSFER IN THE HAND: CADAVERIC COURSE

DAY TWO: TENDON TRANSFERS IN THE HAND

 

 

 

 

Course Organiser: Donald Sammut

 

Venue: The Vesalius Clinical Training Centre, Southwell Street, Bristol (University of Bristol)

 

 

Faculty: 
Wee Lam, Hand Surgeon, Edinburgh
Donald Sammut, Hand Surgeon, Bath and London

 

 

1. Specialist Trainees in Orthopaedic and Plastic Surgery

2. Hand Therapists

3. Consultant Hand Surgeons

 

Maximum 20 participants

 

 

 

The day consists of five sessions of prosection conducted by Faculty with a maximum of 10 participants seated around the table. Participants will perform no dissection but will be free to assist, to question, request repeat and discuss. The course will start with a video presentation of the material to be covered that day, with live commentary.

 

 

1. General introduction to biomechanics and principles of tendon transfer

 

2. Lecture on Median Nerve anatomy and paralysis

 

3. Dissection session on Tendon transfer for Median Nerve paralysis

a. The 4 main opposition plasties

b. Surgery for high median palsy

 

4. Lecture on Ulnar Nerve anatomy and paralysis

 

5. Dissection session on Tendon Transfer for Ulnar nerve paralysis

a. Correction of the Intrinsic minus hand

b. Adductorplasty of the thumb

c. Adductorplasty of the little finger

d. Supplementary techniques (tenodesis, stabilisation etc.)

 

6. Lecture on Radial Nerve Palsy anatomy and paralysis

 

7. Dissection session on Tendon transfer for Radial nerve paralysis

a. Restoration of Thumb extension

b. Restoration of Wrist extension

c. Restoration of long digit extension

 

8. Miscellaneous dissection e.g. Swan neck correction