Preoperative Evaluation for Free Functional Muscle Transfer in Upper Extremity Amyoplasia: A Multicenter Report of 3 Cases

  • Mikaela H. Sullivan
  • , Simo K. Vilkki
  • , S. Raja Sabapathy
  • , Hari Venkatramani
  • , Alexander Y. Shin
  • , Nicholas Pulos*
  • *Corresponding author for this work

Research output: Contribution to journalArticleScientific

Abstract

Case:A multicenter series of 3 patients with amyoplasia of the upper extremity were indicated for gracilis free functional muscle transfer (FFMT) to restore elbow flexion and found to have an absent gracilis. A final case is discussed detailing standardized evaluation with ultrasound to confirm gracilis before surgical intervention.Conclusion:In amyoplasia, the gracilis muscle may be absent or have fatty infiltration, making this donor muscle inadequate. Preoperative ultrasound to determine the presence of the gracilis is noninvasive and recommended in patients with amyoplasia of the upper extremity being considered for FFMT.

Original languageEnglish
Article numbere24.00038
JournalJBJS case connector
Volume14
Issue number3
DOIs
Publication statusPublished - 1 Aug 2024
Publication typeB1 Journal article

Keywords

  • amyoplasia
  • free functional muscle transfer
  • gracilis
  • pediatric
  • preoperative evaluation
  • ultrasound

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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