Pulp-to-Pulp Pinch Reconstruction in a Tetraplegic Patient Utilizing Nerve and Tendon Transfers: A Case Report

This case report describes a surgical approach to restore hand function in a tetraplegic patient, focusing on achieving a pulp-to-pulp pinch between the thumb and index finger. The procedures involved nerve and tendon transfers to reconstruct elbow extension, finger flexion/extension, and thumb abduction, along with relieving hand clawing. The patient regained the ability to grasp small objects on a table, improving independence in daily tasks like eating.

• 1
  Nerve transfers can effectively reconstruct elbow extension and finger flexion/extension in tetraplegic patients.
• 2
  Pulp-to-pulp pinch reconstruction is possible in tetraplegia and can improve hand function for grasping small objects.
• 3
  Proximal advancement of the scaphoid tubercle with thenar muscle attachment can improve thumb abduction.