Tetraplegia functional groups

TETRAPLEGIA FUNCTIONAL GROUPS
(remaining function - spinal level)

1 Brachioradialis - C5
2 1 + ECRL - C6
3 2 + ECRB - C6
4 3 + Pronator Teres ("strong C6 ")
5 4 + FCR - C7
6 5 + EDC - C7
7 6 + EPL - C7
8 Partial digital flexion - C8
9 Lacks only intrinsics
X Exceptions

House protocol

1 BR C5--------- BR to ECRB +/- KEY PINCH

2 +ECRL C6--------- 1-STAGE KEY PINCH/RELEASE

3 +ECRB

4 + PT strong C6-2-STAGE KEY PINCH/RELEASE

5 + FCR

6 + EDC C7--------- 1-STAGE GRASP/PINCH

7 + EPL

8 Partial digital flexion C8--------- ADDUCTION/OPPONENSPLASTY

9 Lacks only intrinsics + INTRINSIC RECONSTRUCT

X Exceptions

1-Stage key pinch & release

CMC arthrodesis
EPL tenodesis
FPL tenodesis or transfer

2-Stage pinch/release

1: EDC, EPL, APL tenodesis; intrinsic tenodesis
2: ECRL to FDP, PT to FDS(R) to add/opp, BR to FPL
(or: switch PT to FPL, CMC arthrodesis, BR to EDC+EPL)

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