Courtesy: Susan Mackinnon, Andrew Yee, Division of Plastic and Reconstructive Surgery, Washington University school of Medicine, St Louis, MO, USA
ABSTRACT
This presentation details reconstructive options for median nerve injuries, specifically nerve transfers to reinnervate the pronator teres and anterior interosseous nerve. These two recipient nerves are critical for median nerve function and strategies for reinnervation depend on the availability of donor nerves following injury. Patient outcomes are also presented following technical discussion.
TABLE OF CONTENTS
00:00 Introduction
00:11 Reconstructive Options (Nerve Transfers) for Median Nerve
02:52 NERVE TRANSFERS FOR PRONATOR TERES
02:58 ECRB to Pronator Teres Nerve Transfer
04:08 FDS to Pronator Teres Nerve Transfer
05:18 FCR to Pronator Teres Nerve Transfer
05:28 FCU to Pronator Teres Nerve Transfer
05:52 NERVE TRANSFERS FOR ANTERIOR INTEROSSEOUS NERVE
06:08 Brachialis to Anterior Interosseous Nerve Transfer
10:56 Modified Brachialis to Anterior Interosseous Nerve Transfer
13:13 Post-operative Results of Nerve Transfers into Anterior Interosseous Nerve
16:52 ECRB to Anterior Interosseous Nerve Transfer
18:16 Supinator to Anterior Interosseous Nerve Transfer
18:26 FDS to Anterior Interosseous Nerve Transfer
19:12 FDS to FPL Nerve Transfer
20:50 NERVE TRANSFER FOR THENAR FUNCTION
20:53 Anterior Interosseous (PQ) to Thenar Nerve Transfer
21:17 Conclusion