Subscribe to RSS
DOI: 10.1055/s-0043-57031
Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand
Abstract
Posttraumatic low ulnar nerve injuries develop claw hand and poor hand function. Transferring the opponens pollicis branch of the thenar branch at the palm to the terminal division of the deep branch of the ulnar nerve is an effective distal nerve transfer to restore pinch in low ulnar nerve injuries. The author describes the surgical technique for a 4-month-old low ulnar nerve injury in a 25-year-old man with inconclusive electrodiagnostic findings and no clinical findings of distal nerve recovery. The intraoperative electrical stimulation of the nerve in the palm is a simple method to ensure the reinnervation of the ulnar nerve in a claw hand and muscle wasting. Therefore, all postcut injuries with a low ulnar nerve palsy with claw hands may not need a distal nerve transfer. However, performing distal nerve exploration in the palm is vital in cases of doubtful nerve recovery in a low ulnar nerve palsy with a claw hand.
Informed Consent
Written informed consent was obtained from the patient(s) for their anonymized information to be published in this article.
Ethical Approval Statement
Ethical approval for this study was obtained from Ethical Committed Board of Olympia Hospital and Research Centre Approved. No 06/2022.
Trial Registration
This clinical trial was not registered but followed ICMJE requirements.
Guarantor: TJJ
Authors' Contribution
T.J.J. researched literature and conceived the study. T.J.J. was involved in protocol development, gaining ethical approval, patient recruitment, and data analysis. T.J.J. wrote the first draft of the manuscript and approved the version to be published. All author(s) reviewed and edited the manuscript and approved the final version of the manuscript.
Publication History
Article published online:
19 April 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Bertelli JA, Soldado F, Rodrígues-Baeza A, Ghizoni MF. Transferring the motor branch of the opponens pollicis to the terminal division of the deep branch of the ulnar nerve for pinch reconstruction. J Hand Surg Am 2019; 44 (01) 9-17
- 2 Hassan NA, Elsawy NA, Kotb HH. et al. Evaluation of outcome after primary median and/or ulnar nerve(s) repair at wrist: clinical, functional, electrophysiologic, and ultrasound study. Egypt Rheumatol Rehabil 2021; 48: 48 DOI: 10.1186/s43166-021-00095-w.