Rare surgical procedures for proximal nerve lesions – a case report
Authors:
D. Štěpánek; J. Valeš; D. Bludovský; I. Holečková
Authors‘ workplace:
Neurochirurgická a neuroonkologická klinika 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenská nemocnice - Vojenská fakultní nemocnice Praha
Published in:
Rozhl. Chir., 2018, roč. 97, č. 6, s. 291-292.
Category:
Case Report
Overview
Peripheral nerve injury can result in serious problems with a severe functional deficit. Solutions of individual cases vary and proper management based on the physician’s sound professional experience is fundamental. In case of motor nerve lesions, time is the crucial factor due to the ongoing deterioration of motor end plates. Distal nerve transfers are procedures leading to the reduction of distance between the point of injury and the denervated muscles. The authors describe the case of a young boy with proximal ulnar nerve injury to present the method.
Key words:
ulnar nerve − nerve transfer − nerve injury
Sources
- Bednařík J, Ambler Z, Růžička E, a kol. Klinická neurologie, část speciální II. Praha, Triton 2010.
- Moore AM, Wagner IJ, Fox IK. Principles of nerve repair in complex wounds of the upper extremity. Semin Plast Surg 2015;29:40–7.
- Mackinnon SE. Nerve surgery. New York, Thieme Medical Publishers, Inc. 2015.
- Zvěřina E, Stejskal L. Poranění periferních nervů. Praha, Avicenum 1979.
- Wilson ZR, Mackinnon SE. Management of nerve gaps: Autografts, allografts, nerve transfers, and end-to-side neurorrhaphy. Exp Neurol. 2010;223:77–8
- Seddon HJ, Medawar PB, Smith H. Rate of regeneration of peripheral nerves in man. J Physiol 1943;102:191–215.
- Brown JM. Distal nerve transfers: a biology-based rationale. Neurosurg Focus 2009. Available from: www.ncbi.nlm.nih.gov/pubmed/19416056
- Campbell WW. Evaluation and management of peripheral nerve injury. Clin Neurophysiol 2008;119:1951–65.
- Collotte P, Freslon M, Brèque C, et al. [Neurotization of the deep branch of ulnar nerve and the thenar branch of median nerve with the pronator quadratus branch of anterior interosseous nerve by end-to-side transfer. An anatomic study.] French, Chir Main 2013;32:322–8.
- Haase SC, Chung KC. Anterior interosseous nerve transfer to the motor branch of the ulnar nerve for high ulnar nerve injuries. Ann Plast Surg 2002;49:285–90.
- Brown JM, Yee A, Mackinnon SE. Distal median to ulnar nerve transfers to restore ulnar motor and sensory function within the hand: technical nuances. Neurosurgery 2009;65:966−77, discussion 977−8.
- Battiston B, Lanzetta M. Reconstruction of high ulnar nerve lesions by distal double median to ulnar nerve transfer. The Journal of hand surgery 1999;24:1185−91.
- Novak CB, Mackinnon SE. Distal anterior interosseous nerve transfer to the deep motor branch of the ulnar nerve for reconstruction of high ulnar nerve injuries. Journal of reconstructive microsurgery 2002;18:459−64.
- Gordon T, Sulaiman O, Bozd JG. Experimental strategies to promote functional recovery after peripheral nerve injuries. J Peripher Nerv Syst 2003;8:236−50.
- Huang G. Experimental reconstruction on intrinsic hand muscle function by anterior interosseous nerve transference. Zhonghua yi xue za zhi 1992;72:269−72,318.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2018 Issue 6
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