Median to radial nerve transfer for treatment of radial nerve palsy. Case report.

Abstract:

:The purpose of this study is to report a surgical technique of nerve transfer to restore radial nerve function after a complete palsy due to a proximal injury to the radial nerve. The authors report the case of a patient who underwent direct nerve transfer of redundant or expendable motor branches of the median nerve in the proximal forearm to the extensor carpi radialis brevis and the posterior interosseous branches of the radial nerve. Assessment included degree of recovery of wrist and finger extension, and median nerve function including pinch and grip strength. Clinical evidence of reinnervation was noted at 6 months postoperatively. The follow-up period was 18 months. Recovery of finger and wrist extension was almost complete with Grade 4/5 strength. Pinch and grip strength were improved postoperatively. No motor or sensory deficits related to the median nerve were noted, and the patient is very satisfied with her degree of functional restoration. Transfer of redundant synergistic motor branches of the median nerve can successfully reinnervate the finger and wrist extensor muscles to restore radial nerve function. This median to radial nerve transfer offers an alternative to nerve repair, graft, or tendon transfer for the treatment of radial nerve palsy.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Mackinnon SE,Roque B,Tung TH

doi

10.3171/JNS-07/09/0666

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

666-71

issue

3

eissn

0022-3085

issn

1933-0693

journal_volume

107

pub_type

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