Upper Limb Summary Table 12 Pinch and Grip Studies

Author

N

Intervention

Main Outcome(s)

Meiners et al. 2002

22 patients
(23 hands)
FCR to FDP
ECRL to FDP
+ve lateral and cylindrical grip
+ve satisfaction with surgery
+ve ADL and functional use

Kelly et al. 1985

24 patients
(57 procedures)
7/24 also had PD to Triceps Opponensplasty- FDS to APB Flexor tendon transfers: BR (also used PT, FCR, ECRL, FCU, PL) to FDP; 22/35 Flexor tendon transfer BR to FDP (also used PT, FCR, ECRL) +ve satisfaction with surgery
+ve ADL functional use
+ve key-pinch, palmar pinch and grip strength

Rieser & Waters 1986

9 patients
(10 procedures)
Tenodesis of FPL, thumb IP joint stabilization
6/9 MP joint tenodesis of extensor tendons of thumb
2/9 BR to wrist extensor
7/9 tenodesis of EPL and EPB
-ve result, bowstringing of FPL across MP joint
-ve grasp and lateral pinch strength

Lo et al. 1998

8 patients
(12 procedures)
ERCL to FDP and BR to FPL +ve satisfaction with surgery
+ve key-pinch and grip strength
+ve ADL functional use

Colyer & Kappleman 1981

6 patients
(8 hands)
FPL tenodesis
2 also had ECRL to FDP
+ve improved pinch strength
-ve finger flexion
+ve ADL and functional use

Failla et al. 1990

8 patients
(9 hands)
BR to FDP or FPL
BR or ECRL to FPL
+ve key-pinch and grip strength
+ve ADL and functional use

Forner-Cordero et al. 2003

15 patients
(20 limbs)
PD to Triceps
BR to ECRB
Tenodesis of FPL
APL to CMC joint or arthrodesis of CMC joint
BR or ECRL or PT to EDC and EPL or tenodesis of extensor tendons
BR or ECRL or ECRB to FPL
PT or ECRL or BR to FDP
+ve key-pinch strength
+ve grip strength
=ADL and functional use
+ve patient satisfaction
-ve patient expectation

Gansel et al. 1990

11 patients 11/11 PT to FDP
10/11 BR to FPL
1/11 BR to FDS
+ve finger flexion
+ve key-pinch strength
+ve ADL functional use

+ positive outcome; = no difference; – negative outcome

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