Direct Radial to Ulnar Nerve Transfer to Restore Intrinsic Muscle Function in Combined Proximal Median and Ulnar Nerve Injury: Case Report and Surgical Technique

作者：Phillips Benjamin Z; Franco Michael J; Yee Andrew; Tung Thomas H; Mackinnon Susan E; Fox Ida K^*

来源：Journal of Hand Surgery-American Volume, 2014, 39(7): 1358-1362.

DOI：10.1016/j.jhsa.2014.04.013

• Intrinsic function
• median nerve
• nerve transfer
• ulnar nerve

A distal median to ulnar nerve transfer for timely restoration of critical intrinsic muscle function is possible in isolated ulnar nerve injuries but not for combined ulnar and median nerve injuries. We used a distal nerve transfer to restore ulnar intrinsic function in the case of a proximal combined median and ulnar nerve injury. Transfer of the nonessential radial nerve branches to the abductor pollicis longus, extensor pollicis brevis, and extensor indicis proprius to the motor branch of the ulnar nerve was performed in a direct end-to-end fashion via an interosseous tunnel. This method safely and effectively restored intrinsic function before terminal muscle degeneration.

• 出版日期2014-7