scholarly journals Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy

2018 ◽  
Vol 2 (4) ◽  
pp. e001
Author(s):  
Jocelyn Compton ◽  
Jessell Owens ◽  
Molly Day ◽  
Lindsey Caldwell
Keyword(s):  
Systematic Review ◽  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Nerve Transfer ◽  
Radial Nerve Palsy ◽  
Wrist Extension

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.

Synkinetic wrist extension in distinguishing cortical hand from radial nerve palsy

2018 ◽  
Vol 18 (6) ◽  
pp. 520-521 ◽  
Author(s):  
Francesco Brigo ◽  
Giammario Ragnedda ◽  
Piera Canu ◽  
Raffaele Nardone
Keyword(s):  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Radial Nerve Palsy ◽  
Wrist Extension ◽  
Wrist Drop

We describe a patient with pseudoradial nerve palsy caused by acute ischaemic stroke (‘cortical hand’) to emphasise how preserved synkinetic wrist extension following fist closure can distinguish this from peripheral causes of wrist drop.

Tomasz Drobnik and Felix Franke: Who Was the First in History to Treat Radial Nerve Palsy by Tendon Transfer?

2010 ◽  
Vol 126 (4) ◽  
pp. 1409-1410 ◽  
Author(s):  
Andreas Gohritz ◽  
Karsten Knobloch ◽  
Peter M. Vogt ◽  
Jan Fridén
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Radial Nerve Palsy

scholarly journals Who Was the First in History to Treat Radial Nerve Palsy by Tendon Transfer?

2010 ◽  
Vol 125 (2) ◽  
pp. 756-757 ◽  
Author(s):  
Steven F. S. Korteweg ◽  
Robert C. van de Graaf ◽  
Paul M. N. Werker
Keyword(s):  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Radial Nerve Palsy

scholarly journals Irreparable Radial Nerve Palsy Due to Delayed Diagnostic Management of a Giant Lipoma at the Proximal Forearm Resulting in a Triple Tendon Transfer Procedure: Case report and Brief Review of Literature

2017 ◽  
Vol 11 (1) ◽  
pp. 794-803 ◽  
Author(s):  
Ingo Schmidt
Keyword(s):  
Functional Recovery ◽  
Radial Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Radial Nerve Palsy ◽  
Patient Reported ◽  
Diagnostic Management ◽  
Giant Lipoma ◽  
Proximal Forearm

Background: Non-traumatic radial nerve palsy (RNP) caused by local tumors is a rare and uncommon entity. Methods: A 62-year-old female presented with a left non-traumatic RNP, initially starting with weakness only. It was caused by a benign giant lipoma at the proximal forearm that was misdiagnosed over a period of 2 years. The slowly growth of the tumor led to an irreparable overstretching-related partial nerve disruption. For functional recovery of the patient, a triple tendon transfer procedure had to be performed. Results: Four months after surgery, the patient was completely able to perform her activities of daily living again. At the 10-months follow-up, strength of wrist extension, thumb's extension and abduction, and long fingers II-V extension had all improved to grade 4 in Medical Research Council scale (0-5). In order to restore motion, the patient reported that she would undergo the same triple tendon transfer procedure a second time where necessary. Due to the initially misdiagnosed tumor, there was an overall delayed duration of time for functional recovery of the patient. Conclusion: The triple tendon transfer procedure offers a useful and reliable method to restore functionality for patients sustaining irreparable RNP. However, it must be noted critically with our patient that this procedure probably would have been avoided. Initially, there was weakness only by entrapment of the radial nerve. RNP caused by local tumors are uncommon but known from the literature, and so it should be considered generally in differential diagnosis of non-traumatic RNP.

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.

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.

Sign in / Sign up

Export Citation Format

Share Document