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Related Concept Videos

Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...

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Updated: Jun 16, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Nerve transfers: indications, techniques, and outcomes.

Thomas H Tung1, Susan E Mackinnon

  • 1Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA. tungt@wustl.edu

The Journal of Hand Surgery
|February 10, 2010
PubMed
Summary
This summary is machine-generated.

This review updates strategies for motor and sensory nerve transfers to treat upper extremity peripheral nerve injuries. It covers established and newer techniques for brachial plexus and distal nerve injuries, detailing indications, methods, and outcomes.

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Microsurgery

Background:

  • Peripheral nerve injuries in the upper extremity significantly impact function.
  • Nerve transfers are a reconstructive option for restoring motor and sensory function.
  • Advancements in microsurgical techniques have expanded the utility of nerve transfers.

Purpose of the Study:

  • To provide an updated overview of current motor and sensory nerve transfer strategies.
  • To summarize indications, techniques, and outcomes for nerve transfers in the upper extremity.
  • To discuss both established and novel nerve transfer techniques.

Main Methods:

  • Review of current literature on nerve transfers for upper extremity peripheral nerve lesions.
  • Synthesis of information on established transfers for proximal and brachial plexus injuries.
  • Analysis of newer transfers for distal forearm and hand nerve injuries.

Main Results:

  • Established nerve transfers effectively manage proximal and brachial plexus injuries.
  • Emerging nerve transfer techniques offer solutions for distal and isolated nerve injuries.
  • The article details specific indications, surgical techniques, and expected functional outcomes.

Conclusions:

  • Nerve transfers are a versatile and evolving treatment for upper extremity nerve deficits.
  • A thorough understanding of indications and techniques is crucial for successful outcomes.
  • Continued research and development in nerve transfer surgery promise improved functional restoration.