Even though Charcot-Marie-Tooth (CMT) disease is seen frequently, rela
tively little has been written about the successful treatment of upper
limb involvement using tendon transfers. It appears that there are se
veral types of CMT disease and there is extreme variability in the cli
nical symptoms. The results of treatment were assessed by looking at f
our specific areas of hand function: decreased conduction velocity of
the nerves, lack of opposition, weak pinch, and clawing of the fingers
. A plan has been developed for tendon transfers that has worked well
in clinical practice.