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
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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.
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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。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
52
审稿时长
12 weeks
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