Nerve Transfers, An Issue of Hand Clinics by Susan E. Mackinnon MD, Christine B. Novak

By Susan E. Mackinnon MD, Christine B. Novak

The new use of nerve transfers offers a paradigm shift within the administration of nerve damage. Surgical reconstruction of proximal point nerve injures or upkeep with lengthy nerve grafts frequently lead to below optimum results, hence offering the chance for different reconstructive recommendations. Nerve transfers supply a more in-depth resource of axons to the motor finish plates from an unhurt nerve to a recipient nerve and in lots of circumstances those transfers do away with the necessity for a nerve graft via permitting an instantaneous finish to finish nerve fix with no rigidity. easy study on cortical plasticity, peripheral nerve regeneration and muscle restoration aid the idea that move is through a long way the easiest approach to nerve reconstruction whilst ever attainable. This variation of Clinics will assessment the surgical concepts and reviews of specialists within the box utilizing nerve transfers for sufferers with higher extremity nerve accidents.

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Accuracy with this step substantially facilitates operative identification of the nerves. The distal spinal accessory nerve is marked at a point 40% of the distance from the midline of the cervicothoracic spine to the acromion. The suprascapular nerve is marked at its course through the suprascapular notch, which is located at a point 50% of the distance from the superior angle of the medial border of the scapula to the acromion (Fig. 4). The surgical incision is planned and marked as a transverse line encompassing these two points.

P. 1381. [45] Davis TRC. Median nerve palsy. In: Green DP, Hotchkiss RN, Pederson WC, et al, editors. Green’s operative hand surgery. 5th edition. Philadelphia: Elsevier; 2005. vol 1. p. 1131. [46] Mackinnon SE, Dellon AL. Anatomic investigations of nerves at the wrist: I. Orientation of the motor fascicle of the median nerve in the carpal tunnel. Ann Plast Surg 1988;21:32–5. [47] Vernadakis AJ, Humphreys DB, Mackinnon SE. Distal anterior interosseous nerve in the recurrent [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] 339 motor branch graft for reconstruction of a median nerve neuroma-in-continuity.

Vol 1. p. 1131. [46] Mackinnon SE, Dellon AL. Anatomic investigations of nerves at the wrist: I. Orientation of the motor fascicle of the median nerve in the carpal tunnel. Ann Plast Surg 1988;21:32–5. [47] Vernadakis AJ, Humphreys DB, Mackinnon SE. Distal anterior interosseous nerve in the recurrent [48] [49] [50] [51] [52] [53] [54] [55] [56] [57] [58] [59] [60] [61] [62] [63] 339 motor branch graft for reconstruction of a median nerve neuroma-in-continuity. J Reconstr Microsurg 2004;20:7–11.

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