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A novel nerve transfer: The first palmar interosseous motor branch of the ulnar nerve to the recurrent motor branch of the median nerve

尺神经 医学 正中神经 运动神经 解剖 神经再支配 神经外膜修复 外科 肘部 坐骨神经
作者
Bülent Özçelik,Gökçe Yıldıran,Berkan Mersa,Mustafa Sütçü,Zeliha Esin Çelik,Taçkın Özalp
出处
期刊:Injury-international Journal of The Care of The Injured [Elsevier]
卷期号:51: S81-S83 被引量:6
标识
DOI:10.1016/j.injury.2020.02.119
摘要

Introduction The recovery of recurrent motor branch of the median nerve might be delayed in high level median nerve injuries due to the long reinnervation distance. The aim of this study is to define a novel nerve transfer to restore the opposition and pinch. Methods Two fresh frozen hand cadavers were used for the study. The motor branch of the first palmar interosseous muscle of the ulnar nerve was identified and dissected. Thenar branch of the median nerve was dissected from its insertion site. The motor branch of the first palmar interosseous muscle of the ulnar nerve was transferred to the thenar motor branch of the median nerve. Axon counts were examined histopathologically. Clinically this nerve transfer was performed for two female patients with a high-level median nerve injury. Mehta opposition scores were 21 and 20, respectively and the results were satisfactory six months after the surgery. Discussion Although exploration and repair are recommended as the first treatment for median nerve injuries, the waiting time until the motor branch is reinnervated is critical in high level lesions. Nerve transfers become very important for fast recovery. Conclusions This new nerve transfer proposal may be an important step in nerve transfer surgery.
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