The sturdy cord that connects a muscle to a bone at either end is called a tendon. Your joints can move because of the muscles in your tendon. There are more than forty different muscles in the hand and forearm. A large number of these muscles have complementary roles. Some of your muscles might not move correctly after an injury. A tendon transfer is a surgical procedure in which a non-functioning muscle and tendon are replaced with a functioning muscle and tendon. The EPL tendon, for instance, which connects the thumb to the hand and permits a "thumbs-up," may break following a break to the wrist. The tendon's two ends are frequently severely damaged and cannot be repaired by sewing. The index finger has two tendons that it can use to extend, though it can get by with just one. To restore your ability to give a "thumbs-up," a hand surgeon can transfer a tendon from your index finger to your thumb.
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