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In patients with C6 spinal cord injury and tetraplegia, the posterior interosseus nerve is typically affected by a complex pattern of upper and\/or lower motoneuron lesions causing radial deviation of the wrist due to loss of ulnar deviation actuators. In this report, we illustrate severe pathomechanics that may occur even with relatively modest changes in wrist balance. These results illustrate how thorough understanding of muscle-tendon-joint interaction aids in designing tendon and nerve reconstructive surgeries to normalize wrist positions and balance in neuromuscular conditions.<\/jats:p>","DOI":"10.1177\/17531934231224737","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T19:04:33Z","timestamp":1704740673000},"page":"1047-1050","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Wrist extensor pathomechanics: implications for tendon and nerve transfer"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4270-129X","authenticated-orcid":false,"given":"Jan","family":"Frid\u00e9n","sequence":"first","affiliation":[{"name":"Department of Tetrahand Surgery and Hand Surgery (Nottwil Tetrahand), Swiss Paraplegic Centre,  Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Lieber","sequence":"additional","affiliation":[{"name":"Departments of Physical Medicine and Rehabilitation, Physiology and Biomedical Engineering, Northwestern University, Chicago, IL, USA"},{"name":"Shirley Ryan AbilityLab, Chicago, IL, USA"},{"name":"Hines V. 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