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Nerve transfers in the upper extremity.

R K Nath1, S E Mackinnon

  • 1Department of Neurosurgery, Baylor College of Medicine, Texas Medical Center, Houston, USA.

Hand Clinics
|March 4, 2000
PubMed
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Restoring extremity function after nerve injury can be unpredictable. This article details nerve transfers for upper extremity peripheral nerve injuries, covering planning and execution.

Area of Science:

  • Reconstructive surgery
  • Neuroscience
  • Orthopedic surgery

Background:

  • Restoration of extremity function after nerve injury presents significant challenges.
  • Peripheral nerve injuries, particularly in the upper extremity, often require surgical intervention.
  • Nerve transfers are a critical reconstructive technique for managing these injuries.

Purpose of the Study:

  • To outline the physiologic principles guiding nerve transfer indications.
  • To present the essential elements for planning common upper extremity nerve transfers.
  • To describe the execution techniques for these procedures.

Main Methods:

  • Review of established nerve transfer techniques for upper extremity injuries.
  • Discussion of the underlying physiologic rationale for nerve transfers.

Related Experiment Videos

  • Description of surgical planning and execution steps.

    • Main Results:

    • Nerve transfers offer a viable strategy for restoring function in peripheral nerve injuries.
    • Understanding the physiologic principles is key to selecting appropriate nerve transfers.
    • Detailed planning and precise execution are crucial for successful outcomes.

    Conclusions:

    • Nerve transfers are important in managing upper extremity nerve injuries.
    • The article provides a guide to the principles, planning, and execution of common nerve transfers.
    • Successful nerve transfer surgery relies on a thorough understanding of anatomy and physiology.