Direct radial to ulnar nerve transfer to restore intrinsic muscle function in combined proximal median and ulnar nerve injury: Case report and surgical technique

Benjamin Z. Phillips, Michael J. Franco, Andrew Yee, Thomas H. Tung, Susan E. Mackinnon, Ida K. Fox

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

A distal median to ulnar nerve transfer for timely restoration of critical intrinsic muscle function is possible in isolated ulnar nerve injuries but not for combined ulnar and median nerve injuries. We used a distal nerve transfer to restore ulnar intrinsic function in the case of a proximal combined median and ulnar nerve injury. Transfer of the nonessential radial nerve branches to the abductor pollicis longus, extensor pollicis brevis, and extensor indicis proprius to the motor branch of the ulnar nerve was performed in a direct end-to-end fashion via an interosseous tunnel. This method safely and effectively restored intrinsic function before terminal muscle degeneration.

Original languageEnglish
Pages (from-to)1358-1362
Number of pages5
JournalJournal of Hand Surgery
Volume39
Issue number7
DOIs
StatePublished - Jul 2014

Keywords

  • Intrinsic function
  • median nerve
  • nerve transfer
  • ulnar nerve

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