Distal Anterior Interosseous Nerve Transfer to Motor Branch of Ulnar Nerve

Author(s):  
Pao-Yuan Lin ◽  
Sandeep J. Sebastin ◽  
Kevin C. Chung
2011 ◽  
Vol 69 (3) ◽  
pp. 519-524 ◽  
Author(s):  
Leandro Pretto Flores

OBJECTIVE: To demonstrate the results of a double nerve transfer at the level of the hand for recovery of the motor and sensory function of the hand in cases of high ulnar nerve injuries. METHOD: Five patients underwent a transfer of the distal branch of the anterior interosseous nerve to the deep ulnar nerve, and an end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve. RESULTS: Two patients recovered strength M3 and three cases were graded as M4; recovery of protective sensation (S3+ in three patients and S4 in two) was observed in the fourth and fifth fingers, and at the hypothenar region. The monofilament test showed values of 3.61 or less in all cases and the two-point discrimination test demonstrated values of 7 mm in three cases and 5 mm in two. CONCLUSION: This technique of double nerve transfer is effective for motor and sensory recovery of the distal ulnar-innervated side of the hand.


2010 ◽  
Vol 113 (1) ◽  
pp. 113-117 ◽  
Author(s):  
Zhen Dong ◽  
Yu-Dong Gu ◽  
Cheng-Gang Zhang ◽  
Lei Zhang

Object In C7–T1 brachial plexus palsies, finger extension and flexion are absent. At the authors' institution, finger flexion has been successfully reconstructed by transferring the brachialis motor branch to the anterior interosseous nerve. However, there is no reliable method for restoring finger extension. In the present study, the authors examined the surgical results of transferring the supinator motor branch to the posterior interosseous nerve. Methods Since October 2007, the authors have performed a supinator motor branch transfer to the posterior interosseous nerve in 4 patients. The patients underwent follow-up every 3–4 months postoperatively. Results Finger extension appeared between 5 and 9 months in the first 3 cases and demonstrated promising improvement over time. One recent case remains under follow-up. Conclusions A supinator motor branch to posterior interosseous nerve transfer leads to reliable recovery of thumb and finger extension. Therefore, it is a viable option for C7–T1 brachial plexus palsies.


Injury ◽  
2020 ◽  
Vol 51 ◽  
pp. S81-S83 ◽  
Author(s):  
Ismail Bulent Ozcelik ◽  
Gokce Yildiran ◽  
Berkan Mersa ◽  
Mustafa Sutcu ◽  
Zeliha Esin Celik ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document