Reanimation of triceps muscle using ulnar nerve fascicle transfer to the nerve to long head of the triceps muscle

Emamhadi, Mohammadreza; Behzadnia, Hamid; Golsefid, Hadi Nozari; Emamhadi, Amirreza; Andalib, Sasan

doi:10.1007/s00701-020-04346-1

Cited by 2 publications

(5 citation statements)

References 19 publications

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“…More recently, hand surgeons have explored nerve-based reconstruction. The standard nerve transfer involves the FDS to the ECRB and the FCR to PIN, as performed by Rasulić et al 11 Elements of this transfer were performed by Garcia-Lopez et al 17 and Bertelli et al, 13 while Emamhadi et al 15,16 expanded on the indications for this transfer. As all patients had the same core nerve transfers, the actual transfer does not seem to have affected results.…”

Section: Discussionmentioning

confidence: 99%

Tendon Transfers, Nerve Grafts, and Nerve Transfers for Isolated Radial Nerve Palsy: A Systematic Review and Analysis

Jain

Barr

Kim

2023

Hand (New York, N,Y.)

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Introduction: Isolated radial nerve palsy is a debilitating injury that may potentially be reconstructed with either tendon transfers, nerve grafts, or nerve transfers. Currently, there is no consensus on the optimal technique for reconstruction. We performed a systematic review and analysis to determine which surgical intervention provides the best clinical outcomes. Methods: A systematic review was conducted according to PRISMA guidelines. Twenty-nine papers met inclusion criteria. Grading scales of function and strength were converted into a tripartite scoring system to compare outcomes between techniques. χ2 analyses were performed with a P value < .05. Results: Seven hundred fifty-four patients were analyzed. Tendon transfers resulted in the highest percentage of good outcomes (82%) and the lowest percentage of poor outcomes (9%). Tendon transfers were superior to nerve grafts and nerve transfers for restoration of wrist extension. Nerve transfers for wrist extension were superior to nerve transfers for finger extension. Nerve grafts and nerve transfers had equivalent rates of good and poor clinical outcomes. Conclusions: This study analyzed reported outcomes of tendon transfers, nerve grafts, and nerve transfers for reconstruction of isolated radial nerve palsy. On pooled analysis, tendon transfers had higher rates of superior clinical outcomes as compared with nerve transfers and nerve grafts. Tendon transfers should be considered first-line reconstruction for isolated radial nerve palsy as nerve-based reconstruction is less predictable and reproducible.

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Section: Discussionmentioning

confidence: 99%

Tendon Transfers, Nerve Grafts, and Nerve Transfers for Isolated Radial Nerve Palsy: A Systematic Review and Analysis

Jain

Barr

Kim

2023

Hand (New York, N,Y.)

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“…Table 2 illustrates available nerve transfers that can be used to reconstruct upper limb functions following iatrogenic nerve root injuries based on lost functions. [5][6][7][8][9][10] Shoulder Abduction Supraspinatus (SS) and deltoid are the main muscles that are responsible for shoulder abduction. SS innervates by the suprascapular nerve (SSN), which directly divides from the superior trunk (C5, C6) and has a crucial role in shoulder abduction.…”

Section: Surgical Planning Based On Lost Functionmentioning

confidence: 99%

“…In our experience, transferring a fascicle of the ulnar nerve to the long head of the triceps branches of the radial nerve is preferable to restore elbow extension (Figure 3). 1,4,5,9 Hand Function C7-T1 or C8-T1 nerve root injury is rarely seen as a complication of cervical spine surgery. However, theoretically, the anterior interosseous nerve (AIN) and the posterior interosseous nerve (PIN) are principal target nerves for restoring finger flexion and extension, respectively.…”

Section: Elbow Extensionmentioning

confidence: 99%

“…Generally, using a donor nerve from a redundant muscle for a particular movement is preferable. Table 2 illustrates available nerve transfers that can be used to reconstruct upper limb functions following iatrogenic nerve root injuries based on lost functions 5–10…”

Section: Management Of Motor Palsy After Cervical Spine Surgerymentioning

confidence: 99%

“…In our experience, transferring a fascicle of the ulnar nerve to the long head of the triceps branches of the radial nerve is preferable to restore elbow extension (Figure 3). 1,4,5,9…”

Section: Management Of Motor Palsy After Cervical Spine Surgerymentioning

confidence: 99%

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Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root

Emamhadi,

Alijani,

Dogahe

et al. 2023

Contemporary Neurosurgery

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Management of permanent iatrogenic cervical nerve root palsy is a challenge faced by spine surgeons. Reconstructive surgery using nerve transfer has shown great hope in restoring somatosensory injuries such as iatrogenic cervical nerve root palsy. Nerve transfer is justified by using less important donor nerves to regain major function. Nerve transfers are cost-effective procedures increasingly used to treat central and peripheral nervous system injuries. This article provides a comprehensive reanimation strategy to restore lost functions after iatrogenic cervical nerve root palsy. After reading this article, the trainers should explain the importance of surgical reconstruction after iatrogenic cervical nerve root palsy; they should manage preoperative assessments, address various nerve transfers based on the level of injury and pattern of paralysis, and plan for postoperative rehabilitation strategy.

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Reanimation of triceps muscle using ulnar nerve fascicle transfer to the nerve to long head of the triceps muscle

Cited by 2 publications

References 19 publications

Tendon Transfers, Nerve Grafts, and Nerve Transfers for Isolated Radial Nerve Palsy: A Systematic Review and Analysis

Tendon Transfers, Nerve Grafts, and Nerve Transfers for Isolated Radial Nerve Palsy: A Systematic Review and Analysis

Surgical Management of Iatrogenic Nerve Root Palsy: Cervical Root

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