1. Rehabilitative Operation for Motor Neuron Disease: Tendon Transfer for Segmental Muscular Atrophy of the Upper Extremities 
MEHRSHEED SINAKI, M.D. 
Mayo Clinic Proceedings 
Volume 59, Issue 5, Pages (May 1984)
DOI: /S (12)61430-X
Copyright © 1984 Mayo Foundation for Medical Education and Research Terms and Conditions

2. Fig. 1
Preoperative photographs. A, Patient attempting to grasp with her right hand. B, Patient demonstrating maximal wrist and finger extension of right upper extremity.
Mayo Clinic Proceedings  , DOI: ( /S (12)61430-X)
Copyright © 1984 Mayo Foundation for Medical Education and Research Terms and Conditions

3. Fig. 2
A, Diagram of dorsoulnar aspect of right upper extremity. Note the following tendon transfers: split triceps around humerus to biceps, flexor carpi radialis (FCR) around radial border of forearm to extensor carpi radialis longus (ECRL), and flexor digitorum superficialis III (FDS III) and IV (FDS IV) through interosseous membrane to extensor pollicis longus (EPL) and extensor digitorum communis (EDC), respectively. B, Diagram of dorsal aspect of right hand and wrist. Note the following tendon transfers: extensor carpi ulnaris (ECU) to extensor carpi radialis brevis (ECRB), flexor carpi radialis (FCR) around radial border of forearm to extensor carpi radialis longus (ECRL), and flexor digitorum superficialis III (FDS III) and IV (FDS IV) through interosseous membrane to extensor pollicis longus (EPL) and extensor digitorum communis (EDC), respectively.
Mayo Clinic Proceedings  , DOI: ( /S (12)61430-X)
Copyright © 1984 Mayo Foundation for Medical Education and Research Terms and Conditions

4. Fig. 3
Postoperative photographs. A, Double-exposure showing finger range of motion. B, Double-exposure showing wrist range of motion. C, Patient showing ability to write.
Mayo Clinic Proceedings  , DOI: ( /S (12)61430-X)
Copyright © 1984 Mayo Foundation for Medical Education and Research Terms and Conditions

5. Fig. 4
Nuclear magnetic resonance scan of brain and cervical cord in sagittal section is normal and shows no evidence of syrinx, intra-axial lesion, or mass at foramen magnum.
Mayo Clinic Proceedings  , DOI: ( /S (12)61430-X)
Copyright © 1984 Mayo Foundation for Medical Education and Research Terms and Conditions