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- Hook test (false negative in partial tear, intact lacertus fibrosis)
- Reverse popeye
- Weakness is mainly in supination (40%); less so in flexion and grip.
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- Patient factors - age, function, sport that uses supination e.g. racquet sports, swimming
- Injury factors - understand natural history that only supination will be lost
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- Longitudinal incision at the radial tuberosity, essentially a proximal henry's approach between BR// Pronator teres.
- Watch for LABCN
- BR // Pronator Teres (henry’s)
- Supinate to expose tuberosity and to protect PIN
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262245/#:~:text=In%20a%20single%2Dincision%20exposure,exposure%20to%20the%20radial%20tuberosity.
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- Transverse incision at flexor crease ➔ retrieve tendon
- Posterolateral incision between ECU// EDC (note kocher is aconeus//ecu; Kaplan is EDC//ECRB