Review of Outcomes After Peripheral Nerve Transfers for Motor Nerve Injury in the Upper Extremity

医学 神经再支配 神经外膜修复 肌皮神经 周围神经损伤 尺神经 前臂 神经损伤 运动神经 臂丛神经 外科 桡神经 麻醉 周围神经 解剖 肘部
作者
Marlie H. Fisher,Elliot Le,Daniel Wong,Ivica Ducic,Matthew L. Iorio
出处
期刊:Jbjs reviews [Journal of Bone and Joint Surgery]
卷期号:12 (11)
标识
DOI:10.2106/jbjs.rvw.24.00150
摘要

Background: Modern nerve-to-nerve transfers are a significant advancement in peripheral nerve surgery. Nerve transfers involve transferring donor nerves or branches to recipient nerves close to the motor end unit, leading to earlier reinnervation and preservation of the musculotendinous units in proximal nerve injuries. After nerve reinnervation, function may be superior to traditional tendon transfer techniques in terms of strength and independent motion. Nerve transfer surgery has emerged as a promising treatment option for many cases of nerve injury that were previously expected to result in poor outcomes, such as proximal injuries, long nerve gaps, or unavailability of the proximal injured segment. Methods: A review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Publications that focused on upper extremity nerve transfers were included, and functional motor and sensory recovery was analyzed. Technique reports, case reports, brachial plexus injuries, and reports on multiple nerve injuries were excluded. Results: A total of 48 relevant articles were identified with search criteria, and we discuss functional outcomes on nerve transfers for ulnar nerve injury, musculocutaneous nerve injury, median nerve injury, and radial nerve injury that met inclusion criteria. Conclusions: Nerve transfers are an option for restoring hand and forearm function in patients with peripheral nerve injuries adversely affecting their ability to function. The literature demonstrates positive functional outcomes after nerve transfer operations, and thus, the utility and variations have increased. We aim to provide an overview of the outcomes of current nerve transfer techniques for ulnar, radial, median, and musculocutaneous acquired/traumatic mononeuropathies in the hand and upper extremity.

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
JP_Morxian发布了新的文献求助10
刚刚
科研通AI5应助汪治臣采纳,获得10
3秒前
ff发布了新的文献求助10
4秒前
烛畔旧盟完成签到,获得积分10
9秒前
XLC完成签到,获得积分20
10秒前
taozi完成签到,获得积分10
11秒前
13秒前
SciGPT应助XLC采纳,获得10
13秒前
彩色的冷梅完成签到 ,获得积分10
13秒前
云深不知处完成签到 ,获得积分10
14秒前
Hello paper应助lgy采纳,获得10
17秒前
18秒前
浩西发布了新的文献求助10
18秒前
18秒前
YuenYuen完成签到,获得积分10
19秒前
科研通AI5应助逍遥子采纳,获得10
19秒前
21秒前
21秒前
22秒前
Owen应助lby采纳,获得10
22秒前
23秒前
小鸭子完成签到,获得积分0
23秒前
MargeryMay发布了新的文献求助200
23秒前
小蘑菇应助默默的如凡采纳,获得10
24秒前
芒果完成签到,获得积分10
25秒前
土豪的土豆完成签到 ,获得积分10
26秒前
28秒前
黄小鸟2333发布了新的文献求助10
28秒前
行7发布了新的文献求助10
28秒前
mxh应助wxyllxx采纳,获得10
28秒前
volcano完成签到 ,获得积分10
29秒前
三千年的成长完成签到 ,获得积分10
29秒前
hh完成签到,获得积分10
30秒前
ws完成签到,获得积分10
30秒前
31秒前
Spinnin完成签到,获得积分10
31秒前
Acer完成签到 ,获得积分10
35秒前
siyuyu完成签到,获得积分10
36秒前
板凳完成签到 ,获得积分10
36秒前
科研通AI5应助qiuqiu采纳,获得10
37秒前
高分求助中
Continuum Thermodynamics and Material Modelling 3000
Production Logging: Theoretical and Interpretive Elements 2700
Mechanistic Modeling of Gas-Liquid Two-Phase Flow in Pipes 2500
Structural Load Modelling and Combination for Performance and Safety Evaluation 1000
Conference Record, IAS Annual Meeting 1977 720
電気学会論文誌D(産業応用部門誌), 141 巻, 11 号 510
Typology of Conditional Constructions 500
热门求助领域 (近24小时)
化学 材料科学 生物 医学 工程类 有机化学 生物化学 物理 纳米技术 计算机科学 内科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 量子力学 光电子学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3567937
求助须知:如何正确求助?哪些是违规求助? 3140020
关于积分的说明 9435406
捐赠科研通 2840850
什么是DOI,文献DOI怎么找? 1561314
邀请新用户注册赠送积分活动 730459
科研通“疑难数据库(出版商)”最低求助积分说明 717999