High Median Nerve Injury: Motor and Sensory Nerve Transfers to Restore Function.
This article describes the clinically significant motor and sensory deficits that follow high median nerve injuries and addresses the indications, limitations, and outcomes of nerve transfers, when striving to overcome the deficits these patients' experiences. Preferred surgical reconstructive strategy using motor and sensory nerve transfers, and surgical techniques used to perform these transfers, are described.
Pediatric Hand Surgery and Microsurgery Unit, Hospital Sant Joan de Deu, Universitat de Barcelona, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain.
Francisco
F
Soldado
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Rua Irmã Benwarda, 297, 88025-301-Florianópolis - SC, Brazil; Department of Neurosurgery, Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Avenida José Acácio Moreira, 787, Bairro Dehon, 88704-900 - Tubarão-SC, Brazil. Electronic address: drbertelli@gmail.com.
Jayme A
JA
Bertelli
Department of Neurosurgery, Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Avenida José Acácio Moreira, 787, Bairro Dehon, 88704-900 - Tubarão-SC, Brazil.
Marcos F
MF
Ghizoni
D006801:Humans; D008475:Median Nerve / Q000293:injuries / Q000601:surgery*; D000068079:Motor Disorders / Q000209:etiology / Q000601:surgery*; D016067:Nerve Transfer / Q000379:methods* / Q000534:rehabilitation; D059348:Peripheral Nerve Injuries / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D010525:Peripheral Nerves / Q000601:surgery; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D020886:Somatosensory Disorders / Q000209:etiology / Q000601:surgery*
Median nerve; Motor and sensory deficits; Motor nerve transfers; Nerve injury; Sensory nerve transfers