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In Norway, about 30% of men over 60 years old have the condition, while in the United States about 5% of people are affected at some point in time. [2] In the United Kingdom, about 20% of people over 65 have some form of the disease. [6] More recent and wider studies show the highest prevalence in Africa (17 percent), Asia (15 percent). [10]
The original technique was first described by Eden [4] in 1924 and verified by Lange in the 1950s. [5] [6] The rhomboid major and rhomboid minor were transferred laterally from the medial border of the scapula to the infraspinatous fossa, and the levator scapulae was transferred laterally to the spine of the scapula, near the acromion.
Although improvement was seen in most goals, a reduction was reported in 2 goals (one pertaining to dressing and the other to transfer). After tendon transfers, the total mean score statistically increased from 2.6 to 5.6 for performance (p .001) and from 1.8 to 5.7 for satisfaction (p .001). [26]
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A tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location. Tendon transfer involves redistribution of muscle power, not recreation. Tendons are transferred at the distal attachment from lesser to more important functions so that the overall function is improved.
The abductor digiti minimi is the most variable hypothenar muscle, [4] and might be joined by accessory slips from the tendon of the flexor carpi ulnaris, the flexor retinaculum, the fascia of the distal forearm, or the tendon of the palmaris longus. Occasionally, the muscle is partially inserted onto the fifth metacarpal bone. [5]
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Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. [1] Examples include reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury.