Late Reconstruction of Median Nerve Palsy

Jia Wei Kevin Ko, Adam J. Mirarchi

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

The median nerve provides sensory innervation to the radial aspect of the hand, including the palm, thumb, index, long, and half of the ring fingers. It provides motor innervation to most of the volar forearm musculature and, importantly, to m ost of thenar musculature. The main goal of median nerve reconstructive procedures is to restore thumb opposition. There are a variety of transfers that can achieve this goal but tendon transfers must recreate thumb opposition, which involves 3 basics movements: thumb abduction, flexion, and pronation. Many tendon transfers exist and the choice of tendon transfer should be tailored to the patient's needs.

Original languageEnglish (US)
Pages (from-to)449-457
Number of pages9
JournalOrthopedic Clinics of North America
Volume43
Issue number4
DOIs
StatePublished - Oct 1 2012

Keywords

  • Median nerve injury
  • Nerve palsy
  • Opponensplasty
  • Tendon transfer
  • Thenar reconstruction

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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