Transfer of the extensor indicis proprius branch of posterior interosseous nerve to reconstruct ulnar nerve and median nerve injured proximally: an anatomical study
Proximal or middle lesions of the ulnar or median nerves are responsible for extensive loss of hand motor function. This occurs even when the most meticulous microsurgical techniques or nerve grafts are used. Previous studies had proposed that nerve transfer was more effective than nerve grafting for nerve repair. Our hypothesis is that transfer of the posterior interosseous nerve, which contains mainly motor fibers, to the ulnar or median nerve can innervate the intrinsic muscles of hands. The present study sought to investigate the feasibility of reconstruction of the deep branch of the ulnar nerve and the thenar branch of median nerve by transferring the extensor indicis proprius branch of the posterior interosseous nerve obtained from adult cadavers. The results suggested that the extensor indicis proprius branch of the posterior interosseous nerve had approximately similar diameters and number of fascicles and myelinated nerve fibers to those of the deep branch of ulnar nerve and the thenar branch of the median nerve. These confirm the feasibility of extensor indicis proprius branch of posterior interosseous nerve transfer for reconstruction of the deep branch of the ulnar nerve and the thenar branch of median nerve. This procedure could be a novel and effective method for the functional recovery of the intrinsic muscles of hands after ulnar nerve or median nerve injury.
基金:
This study was supported by grants from the General Program of Health Department of Jiangsu Province in China, No. H201414; the
Science and Technology Development and Planning Program of Suzhou City in China, No. SYS201468; the Science and Technology and Planning
Program of Suzhou City in China, No. SS201636; the Second Affiliated Hospital of Soochow University Preponderant Clinic Discipline
Group Project in China, No. XKQ2015010; the Science Pre-Research Project of the Second Affiliated Hospital of Soochow University in China,
No. SDFEYQN1403.
第一作者机构:[1]Department of Hand and Foot Surgery, Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Hand and Foot Surgery, Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China
推荐引用方式(GB/T 7714):
Pei-ji Wang,Yong Zhang,Jia-ju Zhao,et al.Transfer of the extensor indicis proprius branch of posterior interosseous nerve to reconstruct ulnar nerve and median nerve injured proximally: an anatomical study[J].NEURAL REGENERATION RESEARCH.2017,12(1):143-148.doi:10.4103/1673-5374.199007.
APA:
Pei-ji Wang,Yong Zhang,Jia-ju Zhao,Ju-pu Zhou,Zhi-cheng Zuo&Bing-bing Wu.(2017).Transfer of the extensor indicis proprius branch of posterior interosseous nerve to reconstruct ulnar nerve and median nerve injured proximally: an anatomical study.NEURAL REGENERATION RESEARCH,12,(1)
MLA:
Pei-ji Wang,et al."Transfer of the extensor indicis proprius branch of posterior interosseous nerve to reconstruct ulnar nerve and median nerve injured proximally: an anatomical study".NEURAL REGENERATION RESEARCH 12..1(2017):143-148