الفهرس 
RELEVANT ANATOMY OF THE RADIAL NERVEOnly 14 pages are availabe for public view
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Abstract
Radial nerve palsy creates a significant functional disability, the patient cannot extend the fingers and thumb & has great difficulty in grasping objects, perhaps more importantly, the loss of active wrist extension deprive the patient of mechanical advantage that the wrist extension provides for grasp and power grip. The debate of planning the appropriate treatment is whether to attempt late repair of nerve or to early restore lost function with tendon transfers. We present a prospective study of 20 patient with tendon transfer for radial nerve palsy with used transfer of pronator teres to extensor carpi radialis brives, flexor carpi ulnaris to to extensor digitorum comens and palmaris longus to extensor pollics longus the study was performed from February 2013 to December 2015 all patients systematically follow up for an average of 21 months ranging from 7 to 35 months. Inclusion Criteria: radial nerve palsy due to humeral shaft fracture or iatrogenic. The exclusion criterion: was radial nerve dysfunction resulting from brachial plexus injury. Surgery was done using 3 incisions. In standard FCU tendon transfer, the first incision (incision 1) is directed longitudinally over the FCU in the distal half of the forearm. The second incision (incision 2) begins 5 cm below the medial epicondyle and angles across the dorsum of the proximal forearm, moving directly toward the Lister tubercle. The third incision (incision 3) begins on the volar-radial aspect of the mid forearm, passes dorsally around the radial border of the forearm in the region of insertion of the PT muscle, and angles back on the dorsum of the distal forearm towards the Lister tubercle. All 20 patients successfully complete the study 17 males (85%) and 3 females(15%). Analysis of each case involves: 1- The relevant demographical data for each case to include, age, sex, body mass index and side. 2- Radiological examination, nerve conduction velocity and EMG. 3- Quick Dash Score (QDS) system preoperative and postoperative. The preoperative QDS was 62.67% ranging from (50%-77.5%) and postoperative (QDS) was 17% ranging from (9%-25%). We recommended to use the technique of tendon transfer in radial nerve palsy using flexor carpi ulnaris, palmaris longus and extensor digitorum comenis as a good option to manage radial nerve palsy.