Secondary procedures about the elbow, forearm, wrist, and hand

Abstract

Secondary procedures about the elbow, forearm, wrist, and hand following brachial plexus injury are commonplace. Unbalanced and/or inadequate recovery leads to impairment about these joints. Each respective joint has importance during the performance of activities of daily living and promoting independent function. In addition, each joint has unique challenges during formulation of a reconstructive treatment plan. The mainstays of management are tendon transfer, osteotomy, and arthrodesis. This chapter will discuss the particulars of managing impairment about the elbow, forearm, wrist, and hand. The indications for treatment and the variety of surgical options will be discussed in detail. Author’s preferred techniques will be highlighted as good judgment comes from experience and experience comes from bad judgment.