title: Late reconstruction of median nerve palsy.
abstract: The median nerve provides sensory innervation to the radial aspect of the hand, including the palm, thumb, index, long, and half of the ring fingers. It provides motor innervation to most of the volar forearm musculature and, importantly, to m ost of thenar musculature. The main goal of median nerve reconstructive procedures is to restore thumb opposition. There are a variety of transfers that can achieve this goal but tendon transfers must recreate thumb opposition, which involves 3 basics movements: thumb abduction, flexion, and pronation. Many tendon transfers exist and the choice of tendon transfer should be tailored to the patient's needs.
authors.affiliation: Department of Orhtopedics, Oregon Health and Science University, Portland, OR, USA.
authors.forename: Jia-Wei Kevin
authors.initials: JW
authors.lastname: Ko
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Mirarchi
mesh_terms: D018737:Hand Strength; D006801:Humans; D008475:Median Nerve / Q000503:physiopathology / Q000601:surgery; D020423:Median Neuropathy / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D009068:Movement; D010243:Paralysis / Q000145:classification / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012677:Sensation; D013709:Tendon Transfer / Q000009:adverse effects / Q000145:classification / Q000379:methods / Q000534:rehabilitation; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D013933:Thumb / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome