title: Distal anterior interosseous nerve transfer to the deep ulnar nerve and end-to-side suture of the superficial ulnar nerve to the third common palmar digital nerve for treatment of high ulnar nerve injuries: experience in five cases.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  This technique of double nerve transfer is effective for motor and sensory recovery of the distal ulnar-innervated side of the hand.
authors.affiliation: Unit of Neurosurgery, Hospital de Base do Distrito Federal, University of Brasília, Brazil. leandroprettoflores@hotmail.com
authors.forename: Leandro Pretto
authors.initials: LP
authors.lastname: Flores
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016067:Nerve Transfer / Q000379:methods*; D013537:Sutures; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000293:injuries* / Q000601:surgery*; D055815:Young Adult