transfers

Issues

Extremely difficult

- goals of rehab must be realistic

- limited number of donors

- static procedures more prominent

- fusions, tenodesis and capsulodeses must be used

Goals

1.  Thumb Opposition

EIP to APB and EPL 

Anatomy

Lateral compartment of leg

- run through retromalleolar groove

- pass superior and inferior to peroneal tubercle

- covered by inferior peroneal retinaculum

Peroneus longus

- origin lateral condyle of tibia and head fibula

- tendon PL superficial and inferior to brevis in retromalleolar groove

- runs in cuboid groove 

- insert plantar surface base of 1st MT and lateral aspect medial cuneiform