Nerve transfers in distal forearm and in the hand

Alfio Luca Costa, Paolo Titolo, Bruno Battiston, Michele Rosario Colonna
2020 Plastic and Aesthetic Research  
Nerve transfers were used, originally, to restore shoulder and elbow function in brachial plexus lesions. This concept has been developed over the years and applied to distal nerve injuries in which lower functionality was expected because of the gap between the injury site and the target muscle. The aim of this review is to describe nerve transfers in the distal forearm and hand for isolated lesions of the median, ulnar and radial nerves. The different advantages achieved by transposition of a
more » ... transposition of a functional nerve stump near the effector muscle have opened up new options for the management of nerve lesions. Some of these alternatives have only been recently reported and a few are exclusively case reports. Figure 1. Anterior interosseous nerve (AIN) for thumb opposition. The axons of AIN at the level of pronator quadratus are coapted to the thenar branch of median nerve, through a nerve graft. Yellow: functional nerve; pink: nonfunctional nerves Figure 2. Transfer between the motor branch of the abductor digiti quinti (ADQMB) and the thenar branch of the median nerve. This branch is released proximally for 2/3 cm and coapted end to end towards the ADQMB branch Not applicable. Consent for publication All patients underwent surgical procedures with informed consent that described in detail the procedure and any alternatives. The patients also signed a separate consent for the processing of sensitive data and the recording of photos and videos for educational, illustrative and research purposes. Copyright
doi:10.20517/2347-9264.2020.43 fatcat:qhh4gk4j5bfm3jvrwea7vv6wxq