tendon transfer

Epidemiology

Nearly 2/3 cervical level injury survivors have C6 root level function

- biceps and wrist extension function

Requirements

1. Transfer / Triceps

2. Object manipulation

- grip 

- key grip / self catheterisation 

Timing

Consider > 18/12

Allows

- serial evaluation

Definition

Pure Cavus Deformity characterised by 

- dorsiflexion of Calcaneus 

- plantarflexion of Forefoot

Aetiology

Weakness of Tendoachilles

Usually neuromuscular

- Polio (Most common worldwide) 

- Spina bifida

- CP (can be due to overcorrection of T Ach)

- Spinocerebellar Degen (Friedreich's Ataxia)