Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand

IF 0.3 Q4 SURGERY Indian Journal of Neurosurgery Pub Date : 2023-04-19 DOI:10.1055/s-0043-57031
J. Terrence, J. Jerome, Indian J Neurosurg
{"title":"Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand","authors":"J. Terrence, J. Jerome, Indian J Neurosurg","doi":"10.1055/s-0043-57031","DOIUrl":null,"url":null,"abstract":"Abstract Posttraumatic low ulnar nerve injuries develop claw hand and poor hand function. Transferring the opponens pollicis branch of the thenar branch at the palm to the terminal division of the deep branch of the ulnar nerve is an effective distal nerve transfer to restore pinch in low ulnar nerve injuries. The author describes the surgical technique for a 4-month-old low ulnar nerve injury in a 25-year-old man with inconclusive electrodiagnostic findings and no clinical findings of distal nerve recovery. The intraoperative electrical stimulation of the nerve in the palm is a simple method to ensure the reinnervation of the ulnar nerve in a claw hand and muscle wasting. Therefore, all postcut injuries with a low ulnar nerve palsy with claw hands may not need a distal nerve transfer. However, performing distal nerve exploration in the palm is vital in cases of doubtful nerve recovery in a low ulnar nerve palsy with a claw hand.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"72 1","pages":""},"PeriodicalIF":0.3000,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0043-57031","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Abstract Posttraumatic low ulnar nerve injuries develop claw hand and poor hand function. Transferring the opponens pollicis branch of the thenar branch at the palm to the terminal division of the deep branch of the ulnar nerve is an effective distal nerve transfer to restore pinch in low ulnar nerve injuries. The author describes the surgical technique for a 4-month-old low ulnar nerve injury in a 25-year-old man with inconclusive electrodiagnostic findings and no clinical findings of distal nerve recovery. The intraoperative electrical stimulation of the nerve in the palm is a simple method to ensure the reinnervation of the ulnar nerve in a claw hand and muscle wasting. Therefore, all postcut injuries with a low ulnar nerve palsy with claw hands may not need a distal nerve transfer. However, performing distal nerve exploration in the palm is vital in cases of doubtful nerve recovery in a low ulnar nerve palsy with a claw hand.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
掌部远端神经探查避免爪手外伤后尺神经损伤的神经转移
摘要创伤后尺下神经损伤可导致爪状手和手功能差。将掌部大鱼际支对跖支转移至尺神经深支末段是修复下尺神经损伤的一种有效的远端神经转移方法。作者描述了一名25岁男性4个月大的尺神经损伤的手术技术,他的电诊断结果不确定,没有远端神经恢复的临床表现。术中掌部神经电刺激是保证爪手尺神经再生和肌肉萎缩的一种简便方法。因此,所有爪状手的低尺神经麻痹的切后损伤可能不需要远端神经转移。然而,在掌部进行远端神经探查是至关重要的,在神经恢复可疑的情况下,低尺神经麻痹与爪手。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
期刊最新文献
Cranial Migration of a VP Shunt—A Routine Procedure with a Rare Complication! Ruptured Cerebral Aneurysms and Dissecting Aneurysms in Patients with COVID-19: A Case Series and Literature Review Encephalocele within the Lateral Wall of the Sphenoid Sinus Presenting with Recurrent Meningitis and Cerebrospinal Fluid Rhinorrhea Repaired via Endoscopic Transnasal Transpterygoid Approach Complete Intraventricular Migration of Ventriculoperitoneal Shunt: Once in a Blue Moon Phenomenon of Shunt Surgery Brush Sign in Cortical Venous Sinus Thrombosis
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1