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 .