Surgical Procedures

Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfer with Pronator Teres to ECRB Tendon Transfer

The median to radial nerve transfer is an available option for restoring radial nerve hand function following nerve injury. This nerve transfer specifically involves the transferring of two sets of nerves. That is, the flexor carpi radialis (FCR) to posterior interosseous nerve (PIN) and the flexor digitorum superficialis (FDS) to extensor carpi radialis brevis (ECRB) nerve transfers. This patient had a radial nerve palsy following a proximal humeral fracture. In conjunction to this nerve transfer in this case, the pronator teres to ECRB tendon transfer was also performed to reinforce and provide function to wrist extension through ECRB using pronator teres.

Standard 110711

Extended 110711

POSITION

Supine.

INCISION

An incision in the proximal forearm.

REFERENCES

  1. Ray WZ, Mackinnon SE. Clinical outcomes following median to radial nerve transfers. J Hand Surg Am. 2011 Feb;36(2):201-8. PMID: 21168979.
  2. Brown JM, Tung TH, Mackinnon SE. Median to radial nerve transfer to restore wrist and finger extension: technical nuances. Neurosurgery. 2010 Mar;66(3 Suppl Operative):75-83; discussion 83. Review. PMID: 20124928.
  3. Mackinnon SE, Roque B, Tung TH. Median to radial nerve transfer for treatment of radial nerve palsy. Case report. J Neurosurg. 2007 Sep;107(3):666-71. PMID: 17886570.
  4. Mackinnon SE. Surgical approach to the radial nerve. Tech Hand Up Extrem Surg. 1999 Jun;3(2):87-98. No abstract available. PMID: 16609441.
  5. Lowe JB 3rd, Sen SK, Mackinnon SE. Current approach to radial nerve paralysis. Plast Reconstr Surg. 2002 Sep 15;110(4):1099-113. PMID: 12198425.
  6. Lowe JB 3rd, Tung TR, Mackinnon SE. New surgical option for radial nerve paralysis. Plast Reconstr Surg. 2002 Sep 1;110(3):836-43. No abstract available. PMID: 12172148.
  7. Mackinnon SE, Novak CB. Nerve transfers. New options for reconstruction following nerve injury. Hand Clin. 1999 Nov;15(4):643-66, ix. Review. PMID: 10563268.

Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

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