DIGITAL NERVE GRAFTING USING THE TERMINAL BRANCH OF POSTERIOR INTEROSSEOUS NERVE: A REPORT OF THREE CASES

Hand Surgery ◽  
2002 ◽  
Vol 07 (02) ◽  
pp. 305-307 ◽  
Author(s):  
Shigeru Inoue ◽  
Toshihiko Ogino ◽  
Hiroyuki Tsutida
Keyword(s):  
Terminal Branch ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Digital Nerve

We report three cases of digital nerve grafting using the terminal branch of posterior interosseous nerve.

The Terminal Branch of Posterior Interosseous Nerve: A Useful Donor for Digital Nerve Grafting

1992 ◽  
Vol 17 (6) ◽  
pp. 638-640 ◽  
Author(s):  
N. REISSIS ◽  
A. STIRRAT ◽  
S. MANEK ◽  
M. DUNKERTON
Keyword(s):  
Cross Sectional Area ◽  
Sensory Deficit ◽  
Terminal Branch ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Sectional Area ◽  
Digital Nerve ◽  
Cross Sectional ◽  
The Mean

The anatomical relationships of the terminal branch of posterior interosseous nerve have been studied in 57 cadaver and amputation specimens. Removal of the nerve leaves the patient with no apparent sensory deficit. In all dissections the nerve was present and its location was constant. The mean obtainable length was 3.7 cm (range 2.7–5.1 cm) and its cross-sectional area made the nerve suitable for grafting of digital nerves.

SURGICAL TREATMENT OF POSTERIOR INTEROSSEOUS NERVE SYNDROME

Hand Surgery ◽  
1996 ◽  
Vol 01 (02) ◽  
pp. 107-112
Author(s):  
Sheng-Mou Hou ◽  
Jyh-Horng Wang ◽  
Jui-Sheng Sun
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Tendon Transfer ◽  
Nerve Repair ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Motor Power ◽  
Iatrogenic Nerve Injury ◽  
Posterior Interosseous Nerve Syndrome

Sixteen patients were operated on consecutively for palsy of the posterior interosseous nerve. The aetiologies were traumatic in 12 patients and non-traumatic in four. Operative neurolysis was done in six cases. Neurorrhaphy with sural nerve grafting was performed in two cases. Tendon transfer was done in eight cases. Relief of compression has the best result followed by nerve repair. Iatrogenic nerve injury after radial plating carried the worst prognosis. Although motor power was not normal after surgery, tendon transfer still provided a useful hand with residual extension lag of the fingers. The prognosis of operative treatment of posterior interosseous nerve syndrome depends mainly on its aetiology.

scholarly journals Relocation Nerve Grafting: A Technique for Management of Symptomatic Digital Neuromas

2019 ◽  
Vol 11 (S 01) ◽  
pp. S50-S52 ◽  
Author(s):  
Brian B. Freniere ◽  
Eric Wenzinger ◽  
Jonathan Lans ◽  
Kyle R. Eberlin
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Hand Function ◽  
Nerve Grafting ◽  
Digital Nerve ◽  
Surrounding Soft Tissue ◽  
Novel Technique

AbstractDigital neuromas are a common problem following amputation, often severely impairing hand function. Surgical treatment of terminal digital nerve neuroma is challenging because of the lack of surrounding soft tissue in the hand. To help tackle this problem, we describe a novel technique, “relocation nerve grafting,” to relocate the nerve ends into the interosseous muscles at the midcarpal level.

Isolated spontaneous posterior interosseous nerve palsy: a review of aetiology and management

2018 ◽  
Vol 44 (3) ◽  
pp. 310-316 ◽  
Author(s):  
Iain McGraw
Keyword(s):  
Conservative Management ◽  
Management Strategy ◽  
Nerve Palsy ◽  
Treatment Algorithm ◽  
Current Evidence ◽  
Salvage Procedure ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Posterior Interosseous Nerve Palsy ◽  
Uncommon Condition

Isolated posterior interosseous nerve palsy is an uncommon condition and its management is controversial. Existing literature is sparse and a treatment algorithm based on existing best evidence is absent. A comprehensive review was undertaken to elucidate the causes of spontaneous posterior interosseous nerve palsy and suggest a management strategy based on the current evidence. Posterior interosseous nerve palsy can be broadly categorized as compressive and non-compressive, and the existing evidence supports surgical intervention for compressive palsy. For posterior interosseous nerve pathology with no compressive lesion on imaging, conservative management should be tried first. Surgery is therefore reserved for compressive lesions and for failure of conservative management. The commonly performed operative procedures include decompression and neurolysis, neurorrhaphy and nerve grafting, and tendon transfers with or without nerve grafting performed as a salvage procedure. The prognosis is poorer in patients aged > 50 years, those with a delay to surgery, and those who have had long-standing compression with severe fascicular thinning.

End-to-side Nerve Suture in Clinical Practice

Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 33-42 ◽  
Author(s):  
Ulrich Mennen
Keyword(s):  
Clinical Practice ◽  
Peripheral Nerve ◽  
Exact Nature ◽  
Primate Research ◽  
Nerve Grafting ◽  
Digital Nerve ◽  
Additional Method ◽  
Human Patient ◽  
Nerve Suture ◽  
Nerve Surgery

The phenomenon of lateral sprouting of axons into an end-to-side sutured recipient nerve is well documented. The exact nature, however, still needs further investigation. Since 1996, we have been continuously involved in primate research as well as using this end-to-side nerve suture (ETSNS) method in clinical practice. Fifty-six patients with a variety of conditions, ranging from brachial plexus avulsion to digital nerve lesions, have been operated. From our experience, it seems that the best results achieved are proximal motor re-innervation (e.g. biceps) and distal sensory re-innervation (e.g. volar skin of the hand). The discussion will cover various aspects for ETSNS in the human patient, such as indications, parameters, technique, and the importance of rehabilitation. ETSNS restores function in conditions previously difficult to operate, and may replace nerve grafting in many instances. It provides an additional method in our armamentarium in peripheral nerve surgery.

scholarly journals MORPHOMETRIC STUDY OF POSTERIOR INTEROSSEOUS NERVE TO DETERMINE ITS UTILITY IN NERVE GRAFTING

2017 ◽  
Vol 5 (2.3) ◽  
pp. 4012-4014
Author(s):  
Aditya Krishna Das ◽  
◽  
Anand L Kulkarni ◽  
Raviprasanna. K.H ◽  
◽  
...  
Keyword(s):  
Morphometric Study ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting

scholarly journals The terminal branch of the posterior interosseous nerve: an anatomic and histologic study

2020 ◽  
Author(s):  
T. Bonczar ◽  
J. A. Walocha ◽  
M. Bonczar ◽  
E. Mizia ◽  
M. Koziej ◽  
...  
Keyword(s):  
Terminal Branch ◽  
Posterior Interosseous Nerve ◽  
Histologic Study

Digital Nerve Grafting Using the Dorsal Sensory Branch of the Ulnar Nerve

1985 ◽  
Vol 10 (1) ◽  
pp. 37-40 ◽  
Author(s):  
T. L. GREENE ◽  
J. B. STEICHEN
Keyword(s):  
Ulnar Nerve ◽  
Hand Function ◽  
Nerve Graft ◽  
The Other ◽  
Nerve Grafting ◽  
Digital Nerve ◽  
Nerve Grafts ◽  
Neuroma Formation

The dorsal sensory branch of the ulnar nerve has been found to have the appropriate size and sufficient length for use as a digital nerve graft. This donor nerve was utilised fifteen times in twelve patients for the bridging of defects in thirteen digital nerves of the fingers. After an average follow-up of 23.2 months, only one patient failed to achieve any two point discrimination in the area supplied by the involved digital nerve. The other eleven patients had an average two point discrimination of 9.5 mm with a range of 5 to 18 mm. Painful neuroma formation or loss of hand function related to the use of the dorsal sensory branch of the ulnar nerve as a donor for digital nerve grafts was not encountered.

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