Outcomes after Anterior Interosseous Nerve to Ulnar Motor Nerve Transfer
Abstract: Background Ulnar nerve lesions proximal to the elbow can result in loss of intrinsic muscle function of the hand. The anterior interosseous nerve (AIN) to deep motor branch of the ulnar nerve (DBUN) transfer has been demonstrated to provide intrinsic muscle reinnervation, thereby preventing clawing and improving pinch and grip strength. The purpose of this study was to evaluate the efficacy of the AIN to DBUN transfer in restoring intrinsic muscle function for patients with traumatic ulnar nerve lesions. Methods We performed a prospective, multi-institutional study of outcomes following AIN to DBUN transfer for high ulnar nerve injuries. Twelve patients were identified, nine of which were enrolled in the study. The mean time from injury to surgery was 15 weeks. Results At final follow-up (mean postoperative follow-up 18 months + 15.5), clawing was observed in all nine patients with metacarpophalangeal joint hyperextension of the ring finger averaging 8.9 degrees (+ 10.8) and small finger averaging 14.6 degrees (+ 12.5). Grip strength of the affected hand was 27% of the unaffected extremity. Pinch strength of the affected hand was 29% of the unaffected extremity. None of our patients experienced claw prevention after either end-to-end (n = 4) or end-to-side (n = 5) AIN to DBUN transfer. Conclusion We conclude that, in traumatic high ulnar nerve injuries, the AIN to DBUN transfer does not provide adequate intrinsic muscle reinnervation to prevent clawing and normalize grip and pinch strength.
- Standort
-
Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
-
Online-Ressource
- Sprache
-
Englisch
- Erschienen in
-
Outcomes after Anterior Interosseous Nerve to Ulnar Motor Nerve Transfer ; volume:18 ; number:01 ; year:2023 ; pages:e1-e5
Journal of brachial plexus and peripheral nerve injury ; 18, Heft 01 (2023), e1-e5
- Beteiligte Personen und Organisationen
-
Gross, Jeffrey N.
Dawson, Steven E.
Wu, Gerald J.
Loewenstein, Scott
Borschel, Gregory H.
Adkinson, Joshua M.
- DOI
-
10.1055/s-0042-1760097
- URN
-
urn:nbn:de:101:1-2023030210054613677903
- Rechteinformation
-
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
-
14.08.2025, 10:58 MESZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Gross, Jeffrey N.
- Dawson, Steven E.
- Wu, Gerald J.
- Loewenstein, Scott
- Borschel, Gregory H.
- Adkinson, Joshua M.
Ähnliche Objekte (12)
Ulnar nerve at the elbow – normative nerve conduction study
Supercharged end-to-side anterior interosseous nerve transfer to restore intrinsic function in high ulnar nerve injury: a prospective cohort study
Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand
Dorsal ulnar cutaneous nerve conduction study based on nerve ultrasound
A Tardy Ulnar Palsy with an Anomalous Course of Ulnar Nerve
Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve
Ultrasound Ulnar Nerve Measurement in a Healthy Population
Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps
Kaplan anastomosis of the ulnar nerve: a case report
Localized Immunoglobulin Light-Chain Amyloidosis of the Ulnar Nerve
Ulnar Neuropathy due to Intraneural Ganglion Cyst of the Ulnar Nerve at the Elbow
Is anterior transposition of the ulnar nerve necessary for post-traumatic elbow stiffness? A retrospective study
Ulnar nerve at the elbow – normative nerve conduction study
Supercharged end-to-side anterior interosseous nerve transfer to restore intrinsic function in high ulnar nerve injury: a prospective cohort study
Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand
Dorsal ulnar cutaneous nerve conduction study based on nerve ultrasound
A Tardy Ulnar Palsy with an Anomalous Course of Ulnar Nerve
Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve
Ultrasound Ulnar Nerve Measurement in a Healthy Population
Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps
Kaplan anastomosis of the ulnar nerve: a case report
Localized Immunoglobulin Light-Chain Amyloidosis of the Ulnar Nerve
Ulnar Neuropathy due to Intraneural Ganglion Cyst of the Ulnar Nerve at the Elbow
Is anterior transposition of the ulnar nerve necessary for post-traumatic elbow stiffness? A retrospective study
Ulnar nerve at the elbow – normative nerve conduction study
Supercharged end-to-side anterior interosseous nerve transfer to restore intrinsic function in high ulnar nerve injury: a prospective cohort study
Distal Nerve Exploration in the Palm Avoids Nerve Transfer in a Posttraumatic Ulnar Nerve Injury with a Claw Hand
Dorsal ulnar cutaneous nerve conduction study based on nerve ultrasound
A Tardy Ulnar Palsy with an Anomalous Course of Ulnar Nerve
Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve
Ultrasound Ulnar Nerve Measurement in a Healthy Population
Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps
Kaplan anastomosis of the ulnar nerve: a case report
Localized Immunoglobulin Light-Chain Amyloidosis of the Ulnar Nerve
Ulnar Neuropathy due to Intraneural Ganglion Cyst of the Ulnar Nerve at the Elbow