Bilateral Ulnar Nerve Injury in the Wrist: Comparison of First Webspace Muscle Reconstruction by Opponens Nerve Transfer in the Right Hand Versus Direct Ulnar Nerve Repair in the Left Hand

被引：1
|
作者：
Bertelli, Jayme A. [1 ,4 ]
Hill, Elspeth J. R. [2 ]
Arami, Amir [3 ]
Seltser, Anna [3 ]
机构：
[1] Hosp Governador Celso Ramos, Florianopolis, SC, Brazil
[2] Washington Univ, St Louis, MO USA
[3] Tel Aviv Univ, Ramat Gan, Israel
[4] Governador Celso Ramos Hosp, Dept Orthoped Surg, Rua Newton Ramos 70,Apt 901, BR-88015395 Florianopolis, SC, Brazil
来源：
HAND-AMERICAN ASSOCIATION FOR HAND SURGERY | 2023年 / 18卷 / 01期
关键词：
ulnar nerve paralysis; nerve transfer; nerve graft; first dorsal interosseous muscle; INTEROSSEOUS NERVE; MOTOR BRANCH;
D O I：
10.1177/15589447221085665
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
We report a case of a bilateral glass injury to the wrist with transection of flexor tendons and the ulnar nerve and artery in a 60-year-old male patient. Two days after his accident, we repaired all divided structures, and on the right hand, we added the transfer of the opponens motor branch to the deep terminal division of the ulnar nerve aimed at first dorsal interosseous and adductor pollicis muscle reinnervation. After surgery, the patient was followed over 24 months. Postoperative dynamometry of the hand, which included grasping, key-pinch, subterminal-key-pinch, pinch-to-zoom, and first dorsal interosseous muscle strength, indicated recovery only in the nerve transfer side.
引用
收藏
页码：NP5 / NP9
页数：5
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