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Median to radial nerve transfer after traumatic radial nerve avulsion in a pediatric patient
- Source :
- J Neurosurg Pediatr
- Publication Year :
- 2018
-
Abstract
- This case report describes an isolated radial nerve avulsion in a pediatric patient, treated by combination sensory and motor median to radial nerve transfers. After traumatic avulsion of the proximal radial nerve, a 12-year-old male patient underwent end-to-end transfer of median nerve branches to flexor carpi radialis and flexor digitorum superficialis to the posterior interosseous nerve and extensor carpi radialis nerve, respectively. He underwent end-to-side sensory transfer of the superficial radial sensory to the median sensory nerve. Pronator teres to extensor carpi radialis brevis tendon transfer was simultaneously performed to power short-term wrist extension. Within months after surgery, the patient had regained 9–10/10 sensation in the hand and forearm. In the following months and years, he regained dexterity, independent fine-finger and thumb motions, and 4–5/5 strength in all extensors except the abductor pollicis longus muscle. He grew 25 cm without extremity deformity or need for secondary orthopedic procedures. In appropriate adult and pediatric patients with proximal radial nerve injuries, nerve transfers have advantages over tendon transfers, including restored independent fine finger motions, regained sensation, and reinnervation of multiple muscle groups with minimal donor sacrifice.
- Subjects :
- 030222 orthopedics
business.industry
General Medicine
Anatomy
Thumb
Abductor pollicis longus muscle
musculoskeletal system
Median nerve
Article
body regions
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Posterior interosseous nerve
Forearm
medicine
business
030217 neurology & neurosurgery
Radial nerve
Sensory nerve
Reinnervation
Subjects
Details
- ISSN :
- 19330715
- Volume :
- 24
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of neurosurgery. Pediatrics
- Accession number :
- edsair.doi.dedup.....8e5f27562aaad6c4461330810d08e8da