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Pronator Teres Opposition Transfer Through Guyon's Canal: A Technique

Nicoson, Michael C. MD; Morrey, Mark E. MD; Abdel, Matthew P. MD; Shin, Alexander Y. MD; Bishop, Allen T. MD

Techniques in Hand & Upper Extremity Surgery: December 2014 - Volume 18 - Issue 4 - p 170–174
doi: 10.1097/BTH.0000000000000061

Restoration of thumb opposition in the setting of peripheral nerve or brachial plexus injury is critical to upper limb function. When commonly utilized opposition donors are unavailable for clinical use, the pronator teres represents a good and reliable tendon for restoration of thumb opposition. Here we describe our rational and technique for pronator teres opposition transfer using Guyon's canal as a pulley.

Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN

Conflicts of Interest and Source of Funding: A.Y.S. receives ongoing Royalties from TriMed Orthopedics. For the remaining authors none were declared.

Address correspondence and reprint requests to Allen T. Bishop, MD, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN 55905. E-mail:

© 2014 by Lippincott Williams & Wilkins