title: High Median Nerve Injuries.
abstract: The median nerve serves a crucial role in extrinsic and intrinsic motor and sensory function to the radial half of the hand. High median nerve injuries, defined as injuries proximal to the anterior interosseous nerve origin, therefore typically result in significant functional loss prompting aggressive surgical management. Even with appropriate recognition and contemporary nerve reconstruction, however, motor and sensory recovery may be inadequate. With isolated persistent high median nerve palsies, a variety of available tendon transfers can improve key motor functions and salvage acceptable use of the hand.
authors.affiliation: Division of Hand Surgery, Department of Orthopaedic Surgery, Virginia Commonwealth University Health System, 1200 E Broad Street, Richmond, VA 23298, USA. Electronic address: jonathan.isaacs@vcuhealth.org.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Isaacs
authors.affiliation: Department of Orthopaedic Surgery, Virginia Commonwealth University Health System, 1200 E Broad Street, Richmond, VA 23298, USA.
authors.forename: Obinna
authors.initials: O
authors.lastname: Ugwu-Oju
mesh_terms: D005542:Forearm / Q000294:innervation; D006225:Hand / Q000502:physiology; D006801:Humans; D008475:Median Nerve / Q000293:injuries* / Q000502:physiology; D020423:Median Neuropathy / Q000601:surgery*; D008488:Medical Illustration; D010781:Photography; D020127:Recovery of Function; D012677:Sensation; D013709:Tendon Transfer
keywords: High median nerve palsy; Nerve injuries; Tendon transfers