{"id":"https://openalex.org/W4411589852","doi":"https://doi.org/10.1016/j.jposna.2025.100226","title":"Long Head of the Triceps Transfer to the Proximal Ulna for Active Elbow Flexion in Arthrogryposis","display_name":"Long Head of the Triceps Transfer to the Proximal Ulna for Active Elbow Flexion in Arthrogryposis","publication_year":2025,"publication_date":"2025-06-24","ids":{"openalex":"https://openalex.org/W4411589852","doi":"https://doi.org/10.1016/j.jposna.2025.100226","pmid":"https://pubmed.ncbi.nlm.nih.gov/40747008"},"language":"en","primary_location":{"id":"doi:10.1016/j.jposna.2025.100226","doi":"https://doi.org/10.1016/j.jposna.2025.100226","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2025.100226","pdf_url":null,"source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jposna.2025.100226","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5118603328","display_name":"Stephanie Nulty","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138006243","display_name":"University of Arizona","ror":"https://ror.org/03m2x1q45","country_code":"US","type":"education","lineage":["https://openalex.org/I138006243"]},{"id":"https://openalex.org/I154057602","display_name":"Henry Ford Health","ror":"https://ror.org/02kwnkm68","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I154057602"]},{"id":"https://openalex.org/I2803043754","display_name":"Henry Ford Hospital","ror":"https://ror.org/0193sb042","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I154057602","https://openalex.org/I2803043754"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephanie A. Nulty","raw_affiliation_strings":["Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI, USA","Department of Orthopaedic Surgery, University of Arizona-Phoenix, Phoenix, AZ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI, USA","institution_ids":["https://openalex.org/I154057602","https://openalex.org/I2803043754"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, University of Arizona-Phoenix, Phoenix, AZ, USA","institution_ids":["https://openalex.org/I138006243"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000085242","display_name":"Ann E. Van Heest","orcid":"https://orcid.org/0000-0002-8064-5508","observed_orcids":["https://orcid.org/0000-0002-8064-5508"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]},{"id":"https://openalex.org/I4210100804","display_name":"Gillette Children's Specialty Healthcare","ror":"https://ror.org/0142es516","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210100804"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ann Van Heest","raw_affiliation_strings":["Department of Orthopaedic Surgery, Gillette Children's Hospital, St. Paul, MN, USA","Department of Orthopedics, University of Minnesota, Minneapolis, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Gillette Children's Hospital, St. Paul, MN, USA","institution_ids":["https://openalex.org/I4210100804"]},{"raw_affiliation_string":"Department of Orthopedics, University of Minnesota, Minneapolis, MN, USA","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055334155","display_name":"Andrew G. Georgiadis","orcid":"https://orcid.org/0000-0002-3624-8273","observed_orcids":["https://orcid.org/0000-0002-3624-8273"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]},{"id":"https://openalex.org/I4210100804","display_name":"Gillette Children's Specialty Healthcare","ror":"https://ror.org/0142es516","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210100804"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Andrew G. Georgiadis","raw_affiliation_strings":["Department of Orthopaedic Surgery, Gillette Children's Hospital, St. Paul, MN, USA","Department of Orthopedics, University of Minnesota, Minneapolis, MN, USA"],"raw_orcid":"https://orcid.org/0000-0002-3624-8273","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Gillette Children's Hospital, St. Paul, MN, USA","institution_ids":["https://openalex.org/I4210100804"]},{"raw_affiliation_string":"Department of Orthopedics, University of Minnesota, Minneapolis, MN, USA","institution_ids":["https://openalex.org/I130238516"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5055334155"],"corresponding_institution_ids":["https://openalex.org/I130238516","https://openalex.org/I4210100804"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":{"value":1500,"currency":"USD","value_usd":1500},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16239892,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":null,"first_page":"100226","last_page":"100226"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13107","display_name":"Congenital limb and hand anomalies","score":0.9297000169754028,"subfield":{"id":"https://openalex.org/subfields/1309","display_name":"Developmental Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T13107","display_name":"Congenital limb and hand anomalies","score":0.9297000169754028,"subfield":{"id":"https://openalex.org/subfields/1309","display_name":"Developmental Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11427","display_name":"Elbow and Forearm Trauma Treatment","score":0.04399999976158142,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12459","display_name":"Nerve Injury and Rehabilitation","score":0.017500000074505806,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/arthrogryposis","display_name":"arthrogryposis","score":0.9190000295639038},{"id":"https://openalex.org/keywords/amyoplasia","display_name":"amyoplasia","score":0.7639999985694885},{"id":"https://openalex.org/keywords/elbow-flexion","display_name":"elbow flexion","score":0.7609999775886536},{"id":"https://openalex.org/keywords/proximal-ulna","display_name":"proximal ulna","score":0.8040000200271606},{"id":"https://openalex.org/keywords/elbow-contracture","display_name":"elbow contracture","score":0.5450000166893005},{"id":"https://openalex.org/keywords/radial-nerve","display_name":"radial nerve","score":0.5109999775886536},{"id":"https://openalex.org/keywords/neurovascular-pedicle","display_name":"neurovascular pedicle","score":0.722000002861023},{"id":"https://openalex.org/keywords/pediatric-surgery","display_name":"pediatric surgery","score":0.47699999809265137}],"concepts":[{"id":"https://openalex.org/C2781111119","wikidata":"https://www.wikidata.org/wiki/Q708165","display_name":"Arthrogryposis","level":2,"score":0.8992109894752502},{"id":"https://openalex.org/C2781184374","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow","level":2,"score":0.7333677411079407},{"id":"https://openalex.org/C3020798354","wikidata":"https://www.wikidata.org/wiki/Q3331828","display_name":"Radial head","level":3,"score":0.6495742797851562},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.6311523914337158},{"id":"https://openalex.org/C3019131375","wikidata":"https://www.wikidata.org/wiki/Q42586","display_name":"Elbow flexion","level":3,"score":0.5833377838134766},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5368633270263672},{"id":"https://openalex.org/C2780312720","wikidata":"https://www.wikidata.org/wiki/Q5689100","display_name":"Head (geology)","level":2,"score":0.531568706035614},{"id":"https://openalex.org/C2777695862","wikidata":"https://www.wikidata.org/wiki/Q199507","display_name":"Ulna","level":2,"score":0.5100765824317932},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.3563530445098877},{"id":"https://openalex.org/C127313418","wikidata":"https://www.wikidata.org/wiki/Q1069","display_name":"Geology","level":0,"score":0.1885109543800354},{"id":"https://openalex.org/C114793014","wikidata":"https://www.wikidata.org/wiki/Q52109","display_name":"Geomorphology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jposna.2025.100226","doi":"https://doi.org/10.1016/j.jposna.2025.100226","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2025.100226","pdf_url":null,"source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},{"id":"pmid:40747008","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40747008","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:11123208","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12310442","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12310442","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12310442","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Pediatr Soc North Am","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1016/j.jposna.2025.100226","doi":"https://doi.org/10.1016/j.jposna.2025.100226","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jposna.2025.100226","pdf_url":null,"source":{"id":"https://openalex.org/S4220651931","display_name":"Journal of the Pediatric Orthopaedic Society of North America","issn_l":"2768-2765","issn":["2768-2765"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/I4405266784","host_organization_name":"Pediatric Orthopaedic Society of North America","host_organization_lineage":["https://openalex.org/I4405266784"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the Pediatric Orthopaedic Society of North America","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9476000070571899}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger","score":0.41999998688697815}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W636395623","https://openalex.org/W2039867251","https://openalex.org/W2128292087","https://openalex.org/W2142289251","https://openalex.org/W2262187859","https://openalex.org/W2276065616","https://openalex.org/W2412595213","https://openalex.org/W2414293676","https://openalex.org/W2475144906","https://openalex.org/W2800784907"],"related_works":["https://openalex.org/W2162887879","https://openalex.org/W2416211911","https://openalex.org/W1520515928","https://openalex.org/W3199471593","https://openalex.org/W4229922065","https://openalex.org/W2315233966","https://openalex.org/W2367247333","https://openalex.org/W3651472","https://openalex.org/W3134381753","https://openalex.org/W2281271426"],"abstract_inverted_index":{"Children":[0],"with":[1,82,95,113,153,189],"amyoplastic":[2,154],"arthrogryposis":[3,190],"may":[4],"have":[5,191],"absent":[6,98],"myotomes":[7],"(e.g.,":[8],"biceps":[9],"brachii,":[10],"brachialis),":[11],"leading":[12],"to":[13,40,118,207],"a":[14,83,102],"lack":[15],"of":[16,30,59,67,105,148,156,158,161,180,200,204,219,227,250,256,259,263,272,276],"active":[17,47,99,125],"elbow":[18,21,50,126,165,171,186,210,223],"flexion":[19,100,127,141,166],"and/or":[20],"extension":[22,172],"contractures.":[23],"In":[24],"these":[25],"cases,":[26],"the":[27,31,41,60,68,106,162,175,181,201,205,209,214,220,228,232,246,251,257,260,264,273,277],"long":[28,61,103,146,202,225,274],"head":[29,104,147,160,203,226,275],"triceps":[32,107,149,163,182,206,221,229,265],"can":[33,142,196],"be":[34,143],"transferred":[35],"through":[36,145],"an":[37,88],"extensile":[38],"approach":[39],"proximal":[42,240],"volar":[43],"ulna,":[44],"improving":[45],"both":[46],"and":[48,70,73,87,97,124,132,167,177,216,234,254],"passive":[49],"flexion.":[51],"Key":[52,138],"technical":[53,80,121],"considerations":[54],"include":[55],"patient":[56,94],"selection,":[57],"preservation":[58],"head's":[62],"neurovascular":[63],"pedicle,":[64],"precise":[65],"dissection":[66,243,253],"radial":[69,237],"ulnar":[71],"nerves,":[72],"safe":[74],"tendon":[75],"rerouting.":[76],"This":[77],"paper":[78],"highlights":[79],"details":[81],"representative":[84],"case":[85],"example":[86],"accompanying":[89],"technique":[90],"video.":[91],"A":[92],"6-year-old":[93],"amyoplasia":[96],"underwent":[101],"transfer.":[108],"The":[109],"procedure":[110],"was":[111,133],"documented":[112],"surgeon":[114],"point-of-view":[115],"high-definition":[116],"footage":[117],"emphasize":[119],"crucial":[120],"steps.":[122],"Passive":[123],"improved":[128,144],"at":[129,135],"short-term":[130],"follow-up":[131],"sustained":[134],"2":[136],"years.":[137],"Concepts:":[139],"(1)Elbow":[140],"transfer":[150,271],"in":[151],"children":[152,188],"type":[155],"arthrogryposis.(2)Use":[157],"one":[159],"adds":[164],"does":[168],"not":[169],"sacrifice":[170],"function":[173],"as":[174,185],"medial":[176,215],"lateral":[178,217],"heads":[179,218,249,262],"are":[183],"preserved":[184],"extensors.(3)Most":[187],"demonstrated":[192],"clinically":[193],"that":[194],"they":[195],"achieve":[197],"selective":[198],"control":[199],"flex":[208],"post-operatively,":[211],"while":[212],"relaxing":[213],"for":[222,268],"extension.(4)The":[224],"originates":[230],"from":[231,245],"scapula":[233],"has":[235],"separate":[236],"nerve":[238],"branch":[239],"innervation":[241],"allowing":[242],"away":[244],"other":[247],"two":[248],"triceps.(5)Careful":[252],"understanding":[255],"anatomy":[258],"three":[261],"is":[266],"needed":[267],"successful":[269],"surgical":[270],"triceps.":[278]},"counts_by_year":[],"updated_date":"2026-10-07T09:51:55.459714","created_date":"2025-06-25T00:00:00"}