Tendon Transfers Around Wrist in Cases of Obstetric Brachial Plexus Injury
Bibliographic record
Abstract
Background: Wrist extension is essential in the develop-ment of motor skills in young children. Adequate wrist extension is important for good grip function of the hand, as a slightly extended wrist results in a better and stronger grip.Material and Methods: This prospective series reports on 32 patients with sequlae obstetric brachial plexus injury who underwent tendon transfer around wrist. The mean age at time of transfer was 9.9 years. FCU tendon was utilized in 25 cases, PT in 3 cases, BR in 2 cases, PL in 1 case and FDS in 1 case. The recipient tendon was ECRB in 14 cases, EDC in 12 cases, ECRL in 2 cases EPL in 2 cases, and FPL in 2 cases. Raimondi score, Toronto scale, Medical research council muscle grading system, Range of motion and hand grip strength were used to evaluate results. Good results (MRC grading of 4) were obtained in 24 cases (75%).Conclusion: Tendon transfers around wrist are considered good operative option in cases of sequlae of obstetric brachial plexus injury for restoration of hand function with or without other procedures tailored to the need of every case.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.003 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.002 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".