Transfer of Superficial Radial Nerve to the Medial Nerve: Case Report


Acute Transfer of Superficial Radial Nerve to the Medial Nerve: Case Report


Rodriguez-Lorenzo A, Söfteland MB, Audolfsson T (Uppsala Univ Hosp, Sweden) Ann Plast Surg 69:547-549, 2012§



G. Gaston, MD



Evidence Ranking


C



Expert Rating


1



Abstract


Distal nerve transfers have proven to be an important addition to the armamentarium for reconstruction of peripheral nerve injuries. As new nerve transfer procedures are developed, the indications for their uses continue to broaden. We report a case of a 77-year-old male who had a 9-cm-long gap of the median nerve after experiencing an avulsion injury to his right forearm. This was successfully treated by transferring superficial radial nerve to the median nerve at the carpal tunnel level, thus restoring thumb, index, and first web sensation. Our report emphasizes that nerve transfers in the emergency setting may be the treatment of first choice in cases where conventional nerve grafting is known to result in poorer outcomes such as in long nerve gaps or in the elderly patient population.



Commentary

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Apr 2, 2016 | Posted by in Hand surgery | Comments Off on Transfer of Superficial Radial Nerve to the Medial Nerve: Case Report

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