Nerve Transfers for the Restoration of Wrist, Finger, and Thumb Extension After High Radial Nerve Injury

Mitchell A. Pet, Angelo B. Lipira, Jason H. Ko

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

High radial nerve injury is a common pattern of peripheral nerve injury most often associated with orthopedic trauma. Nerve transfers to the wrist and finger extensors, often from the median nerve, offer several advantages when compared to nerve repair or grafting and tendon transfer. In this article, we discuss the forearm anatomy pertinent to performing these nerve transfers and review the literature surrounding nerve transfers for wrist, finger, and thumb extension. A suggested algorithm for management of acute traumatic high radial nerve palsy is offered, and our preferred surgical technique for treatment of high radial nerve palsy is provided.

Original languageEnglish (US)
Pages (from-to)191-207
Number of pages17
JournalHand Clinics
Volume32
Issue number2
DOIs
StatePublished - May 1 2016
Externally publishedYes

Keywords

  • Finger extension
  • Nerve transfer
  • Radial nerve injury
  • Thumb extension
  • Wrist extension

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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