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

2010 ◽  
Vol 66 (suppl_1) ◽  
pp. ons-75-ons-83 ◽  
Author(s):  
Justin M. Brown ◽  
Thomas H.H. Tung ◽  
Susan E. Mackinnon
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Radial Nerve Palsy ◽  
Tendon Transfers ◽  
Line Drawings ◽  
Nerve Transfers ◽  
Finger Extension ◽  
Reconstructive Option ◽  
Distal Nerve

Abstract 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.

Radial Nerve Palsy: Nerve Transfer Versus Tendon Transfer to Restore Function

Hand ◽  
2021 ◽  
pp. 155894472098812
Author(s):  
J. Megan M. Patterson ◽  
Stephanie A. Russo ◽  
Madi El-Haj ◽  
Christine B. Novak ◽  
Susan E. Mackinnon
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Pinch Strength ◽  
Radial Nerve Palsy ◽  
Nerve Injuries ◽  
Tendon Transfers ◽  
Nerve Transfers ◽  
Transfer Group

Background: Radial nerve injuries cause profound disability, and a variety of reconstruction options exist. This study aimed to compare outcomes of tendon transfers versus nerve transfers for the management of isolated radial nerve injuries. Methods: A retrospective chart review of 30 patients with isolated radial nerve injuries treated with tendon transfers and 16 patients managed with nerve transfers was performed. Fifteen of the 16 patients treated with nerve transfer had concomitant pronator teres to extensor carpi radialis brevis tendon transfer for wrist extension. Preoperative and postoperative strength data, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, and quality-of-life (QOL) scores were compared before and after surgery and compared between groups. Results: For the nerve transfer group, patients were significantly younger, time from injury to surgery was significantly shorter, and follow-up time was significantly longer. Both groups demonstrated significant improvements in grip and pinch strength after surgery. Postoperative grip strength was significantly higher in the nerve transfer group. Postoperative pinch strength did not differ between groups. Similarly, both groups showed an improvement in DASH and QOL scores after surgery with no significant differences between the 2 groups. Conclusions: The nerve transfer group demonstrated greater grip strength, but both groups had improved pain, function, and satisfaction postoperatively. Patients who present early and can tolerate longer time to functional recovery would be optimal candidates for nerve transfers. Both tendon transfers and nerve transfers are good options for patients with radial nerve palsy.

Tendon transfers in radial nerve palsy

1997 ◽  
Vol 26 (8) ◽  
pp. 666-672
Author(s):  
P. Hahn ◽  
U. Lanz
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Radial Nerve Palsy ◽  
Tendon Transfers

Clinical experiences in tendon transfers for radial nerve palsy by a new method of Wiedemann

1997 ◽  
Vol 26 (8) ◽  
pp. 684-689
Author(s):  
S. Deiler ◽  
E. Wiedemann ◽  
W. Stock ◽  
K. Wilhelm ◽  
L. Schweiberer
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
New Method ◽  
Radial Nerve Palsy ◽  
Clinical Experiences ◽  
Tendon Transfers

Median to radial nerve transfer for treatment of radial nerve palsy

2007 ◽  
Vol 107 (3) ◽  
pp. 666-671 ◽  
Author(s):  
Susan E. Mackinnon ◽  
Brandon Roque ◽  
Thomas H. Tung
Keyword(s):  
Grip Strength ◽  
Median Nerve ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Nerve Repair ◽  
Nerve Transfer ◽  
Functional Restoration ◽  
Radial Nerve Palsy ◽  
Nerve Function ◽  
Proximal Forearm

✓The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve in the proximal forearm to the extensor carpi radialis brevis and the posterior interosseous branches of the radial nerve. Assessment included degree of recovery of wrist and finger extension, and median nerve function including pinch and grip strength. Clinical evidence of reinnervation was noted at 6 months postoperatively. The follow-up period was 18 months. Recovery of finger and wrist extension was almost complete with Grade 4/5 strength. Pinch and grip strength were improved postoperatively. No motor or sensory deficits related to the median nerve were noted, and the patient is very satisfied with her degree of functional restoration. Transfer of redundant synergistic motor branches of the median nerve can successfully reinnervate the finger and wrist extensor muscles to restore radial nerve function. This median to radial nerve transfer offers an alternative to nerve repair, graft, or tendon transfer for the treatment of radial nerve palsy.

Tendon transfers for radial nerve palsy: Use of superficialis tendons for digital extension

1978 ◽  
Vol 3 (6) ◽  
pp. 560-570 ◽  
Author(s):  
Robert G. Chuinard ◽  
Joseph H. Boyes ◽  
Herbert H. Stark ◽  
Charles R. Ashworth
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Radial Nerve Palsy ◽  
Tendon Transfers

Tendon Transfers for Radial Nerve Palsy

2016 ◽  
pp. 129-136
Author(s):  
Michele Klein Leadbetter ◽  
Arlynne Pack Brown
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Radial Nerve Palsy ◽  
Tendon Transfers
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