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  • Median nerve branches for flexor carpi radialis ,flexor digitorum superficialis and pronator teres : cadaveric study for potential use in neurotization proceduresto the radial nerve at the elbow

    Final Number:
    631

    Authors:
    Baher Medhat Labib Hanna MBBS

    Study Design:
    Laboratory Investigation

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2014 Annual Meeting

    Introduction: Many donor nerves have been used for brachial plexus neurotization procedures. Neurotization of median nerve branches to the flexor carpi radialis,flexor digitorum superficialis and pronator teres to the radial nerve at the elbow .

    Methods: for neurotization procedures of the upper limb, 4 cadaveric upper limbs underwent dissection of the cubital fossa and identification of branches of the median nerve at the cubital fossa .Distal transection was then performed to determine the appropriate length so that the structure could be brought to the laterally positioned radial nerve.

    Results: All specimens were found to have a median nerve branches to the flexor carpi radialis,flexor digitorum superficialis and pronator teres was long enough to reach the radial nerve in the cubital fossa. Neural connections remained tension free with full pronation and supination.

    Conclusions: Based on the results of the cadaveric study, the use of the branch of the median nerve to the flexor carpi radialis,flexor digitorum superficialis and pronator teresmuscle may be considered for neurotization of the radial nerve in the cubital fossa

    Patient Care: by improving the outcome in peripheral nerve injury

    Learning Objectives: neurotization techniques improve the functional outcome in peripheral nerve injury .

    References:

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