Median to Radial Nerve Transfer to Restore Wrist and Finger Extension: Technical Nuances

被引：34
作者：
Brown, Justin M. [1 ,2 ]
Tung, Thomas H. H. [2 ]
Mackinnon, Susan E. [2 ]
机构：
[1] Washington Univ, Sch Med, Med Ctr, Dept Neurol Surg, St Louis, MO 63110 USA
[2] Washington Univ, Sch Med, Div Plast & Reconstruct Surg, St Louis, MO 63110 USA
来源：
NEUROSURGERY | 2010年 / 66卷 / 03期
关键词：
Nerve repair; Nerve transfer; Peripheral nerve surgery; radial nerve palsy; Reconstructive neurosurgery; Wrist drop; HUMERAL SHAFT; FRACTURES; PALSY; PARALYSIS; COMPRESSION; INJURIES; LESIONS; MUSCLE; HAND;
D O I：
10.1227/01.NEU.0000354364.13224.C8
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
BACKGROUND: Traditional methods for restoring finger and wrist extension following radial nerve palsy include interposition nerve grafting or tendon transfers. We have described the utilization of distal nerve transfers for the restoration of radial nerve function in the forearm. OBJECTIVE: We review the neuroanatomy of the forearm and outline the steps required for the implementation of this transfer. METHODS AND RESULTS: We use a step-by-step procedural outline and detailed photographs, line drawings, and video to describe the procedure. CONCLUSION: This approach is technically feasible and is a reconstructive option for patients with this nerve deficit.
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页码：75 / 83
页数：9
相关论文
共 34 条
  • [1] [Anonymous], TRAUMA NERVES LIMBS
  • [2] THE ASSESSMENT OF HAND FUNCTION AFTER PERIPHERAL NERVE INJURIES
    BOWDEN, REM
    NAPIER, JR
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1961, 43 (03): : 481 - 492
  • [3] FLEXOR TO EXTENSOR TENDON TRANSFERS IN THE HAND
    DUNNET, WJ
    HOUSDEN, PL
    BIRCH, R
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1995, 20B (01) : 26 - 28
  • [4] Fractures of the shaft of the humerus -: An epidemiological study of 401 fractures
    Ekholm, R.
    Adami, J.
    Tidermark, J.
    Hansson, K.
    Tornkvist, H.
    Ponzer, S.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (11): : 1469 - 1473
  • [5] Radial nerve palsy caused by injections
    Gaur, SC
    Swarup, A
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1996, 21B (03) : 338 - 340
  • [6] GREEN DP, 2005, GREENS OPERATIVE HAN, P1113
  • [7] FRACTURES OF THE HUMERUS WITH RADIAL-NERVE PARALYSIS
    HOLSTEIN, A
    LEWIS, GB
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1963, 45 (07) : 1382 - &
  • [8] Humphreys DB, 2003, OPERATIVE TECHNIQUES, V9, P89
  • [9] THE EFFECT OF A DISTAL SITE OF COMPRESSION ON NEURAL REGENERATION
    JOHNSTON, RB
    ZACHARY, L
    DELLON, AL
    MACKINNON, SE
    GOTTLIEB, L
    [J]. JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1993, 9 (04) : 271 - 274
  • [10] CLINICAL REVIEW OF RADIAL NERVE INJURY
    KETTELKAMP, DB
    ALEXANDER, H
    [J]. JOURNAL OF TRAUMA, 1967, 7 (03): : 424 - +
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