Journal
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
Volume 39, Issue 7, Pages 1358-1362Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jhsa.2014.04.013
Keywords
Intrinsic function; median nerve; nerve transfer; ulnar nerve
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A distal median to ulnar nerve transfer for timely restoration of critical intrinsic muscle function is possible in isolated ulnar nerve injuries but not for combined ulnar and median nerve injuries. We used a distal nerve transfer to restore ulnar intrinsic function in the case of a proximal combined median and ulnar nerve injury. Transfer of the nonessential radial nerve branches to the abductor pollicis longus, extensor pollicis brevis, and extensor indicis proprius to the motor branch of the ulnar nerve was performed in a direct end-to-end fashion via an interosseous tunnel. This method safely and effectively restored intrinsic function before terminal muscle degeneration. Copyright (C) 2014 by the American Society for Surgery of the Hand. All rights reserved.
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