A novel nerve transfer: The first palmar interosseous motor branch of the ulnar nerve to the recurrent motor branch of the median nerve

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dc.contributor.authorOzcelik I.B.
dc.contributor.authorYildiran G.
dc.contributor.authorMersa B.
dc.contributor.authorSutcu M.
dc.contributor.authorCelik Z.E.
dc.contributor.authorOzalp T.
dc.date.accessioned2020-03-26T20:20:40Z
dc.date.available2020-03-26T20:20:40Z
dc.date.issued2020
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractIntroduction: The recovery of recurrent motor branch of the median nerve might be delayed in high level median nerve injuries due to the long reinnervation distance. The aim of this study is to define a novel nerve transfer to restore the opposition and pinch. Methods: Two fresh frozen hand cadavers were used for the study. The motor branch of the first palmar interosseous muscle of the ulnar nerve was identified and dissected. Thenar branch of the median nerve was dissected from its insertion site. The motor branch of the first palmar interosseous muscle of the ulnar nerve was transferred to the thenar motor branch of the median nerve. Axon counts were examined histopathologically. Clinically this nerve transfer was performed for two female patients with a high-level median nerve injury. Mehta opposition scores were 21 and 20, respectively and the results were satisfactory six months after the surgery. Discussion: Although exploration and repair are recommended as the first treatment for median nerve injuries, the waiting time until the motor branch is reinnervated is critical in high level lesions. Nerve transfers become very important for fast recovery. Conclusions: This new nerve transfer proposal may be an important step in nerve transfer surgery. © 2020en_US
dc.description.sponsorshipEuropean Federation of Immunological Societiesen_US
dc.description.sponsorshipThis paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM).en_US
dc.identifier.doi10.1016/j.injury.2020.02.119en_US
dc.identifier.issn0020-1383en_US
dc.identifier.pmid32122622en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.injury.2020.02.119
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38640
dc.identifier.wosWOS:000600553500013en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofInjuryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectNerve transferen_US
dc.subjectOppositionen_US
dc.subjectPinchen_US
dc.subjectThenar atrophyen_US
dc.titleA novel nerve transfer: The first palmar interosseous motor branch of the ulnar nerve to the recurrent motor branch of the median nerveen_US
dc.typeArticleen_US

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