Transfer of Flexor Carpi Ulnaris Branch of the Ulnar Nerve to the Pronator Teres Nerve: Histomorphometric Analysis
ABSTRACT Partial median-nerve injury high in the upper extremity, resulting from brachial plexus neuritis or trauma, can affect the pronator teres muscle and result in the inability to pronate the forearm. A nerve transfer from an ulnar nerve-innervated branch to the flexor carpi ulnaris (FCU) muscl...
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| Veröffentlicht in: | Journal of reconstructive microsurgery 1999-02, Vol.15 (2), p.119-122 |
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| container_title | Journal of reconstructive microsurgery |
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| creator | Boutros, Sean Nath, Rahul K. Yüksel, Eser Weinfeld, Adam B. Mackinnon, Susan E. |
| description | ABSTRACT
Partial median-nerve injury high in the upper extremity, resulting from brachial plexus neuritis or trauma, can affect the pronator teres muscle and result in the inability to pronate the forearm. A nerve transfer from an ulnar nerve-innervated branch to the flexor carpi ulnaris (FCU) muscle to the branch to the pronator teres (PT) is an attractive option in this clinical scenario. This study, a histomorphometric analysis of nine cadaver specimens harvested at the proposed FCU branch to PT branch transfer site, demonstrates sufficient similarities between the two branches in total number of nerve fibers (371.6 with SEM 35.1, and 361.9 with SEM 47.1; P = 0.87) and nerve cross-sectional area (122,181 μm
2
with SEM 14,546 μm
2
, and 142,492 μm
2
with SEM 19,633 μm
2
; P = 0.42), to predict a functional transfer result. In addition, clinical application of this transfer resulted in functional pronation strength of M4+. |
| doi_str_mv | 10.1055/s-2007-1000081 |
| format | Article |
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Partial median-nerve injury high in the upper extremity, resulting from brachial plexus neuritis or trauma, can affect the pronator teres muscle and result in the inability to pronate the forearm. A nerve transfer from an ulnar nerve-innervated branch to the flexor carpi ulnaris (FCU) muscle to the branch to the pronator teres (PT) is an attractive option in this clinical scenario. This study, a histomorphometric analysis of nine cadaver specimens harvested at the proposed FCU branch to PT branch transfer site, demonstrates sufficient similarities between the two branches in total number of nerve fibers (371.6 with SEM 35.1, and 361.9 with SEM 47.1; P = 0.87) and nerve cross-sectional area (122,181 μm
2
with SEM 14,546 μm
2
, and 142,492 μm
2
with SEM 19,633 μm
2
; P = 0.42), to predict a functional transfer result. In addition, clinical application of this transfer resulted in functional pronation strength of M4+.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-2007-1000081</identifier><identifier>PMID: 10088923</identifier><identifier>CODEN: JRMIE2</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Aged ; Aged, 80 and over ; Anatomy, Cross-Sectional ; Axons - ultrastructure ; Biological and medical sciences ; Cadaver ; Cranial nerves. Peripheral nerves. Autonomic nervous system ; Female ; Forearm - innervation ; Forecasting ; Humans ; Male ; Median Nerve - anatomy & histology ; Median Nerve - surgery ; Median Nerve - ultrastructure ; Medical sciences ; Middle Aged ; Muscle Contraction - physiology ; Muscle, Skeletal - innervation ; Nerve Fibers - ultrastructure ; Nerve Transfer ; Neurosurgery ; ORIGINAL ARTICLE ; Peripheral Nervous System Diseases - physiopathology ; Peripheral Nervous System Diseases - surgery ; Pronation - physiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Ulnar Nerve - anatomy & histology ; Ulnar Nerve - surgery ; Ulnar Nerve - ultrastructure ; Wrist - innervation</subject><ispartof>Journal of reconstructive microsurgery, 1999-02, Vol.15 (2), p.119-122</ispartof><rights>1999 by Thieme Medical Publishers, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-b021010f8bc365c752f5a39924f358c203d63a0c974306be3dfc94fcb9330ed93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-1000081.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-1000081$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3003,3004,23910,23911,25119,27903,27904,54537,54538</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1746086$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10088923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boutros, Sean</creatorcontrib><creatorcontrib>Nath, Rahul K.</creatorcontrib><creatorcontrib>Yüksel, Eser</creatorcontrib><creatorcontrib>Weinfeld, Adam B.</creatorcontrib><creatorcontrib>Mackinnon, Susan E.</creatorcontrib><title>Transfer of Flexor Carpi Ulnaris Branch of the Ulnar Nerve to the Pronator Teres Nerve: Histomorphometric Analysis</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>ABSTRACT
Partial median-nerve injury high in the upper extremity, resulting from brachial plexus neuritis or trauma, can affect the pronator teres muscle and result in the inability to pronate the forearm. A nerve transfer from an ulnar nerve-innervated branch to the flexor carpi ulnaris (FCU) muscle to the branch to the pronator teres (PT) is an attractive option in this clinical scenario. This study, a histomorphometric analysis of nine cadaver specimens harvested at the proposed FCU branch to PT branch transfer site, demonstrates sufficient similarities between the two branches in total number of nerve fibers (371.6 with SEM 35.1, and 361.9 with SEM 47.1; P = 0.87) and nerve cross-sectional area (122,181 μm
2
with SEM 14,546 μm
2
, and 142,492 μm
2
with SEM 19,633 μm
2
; P = 0.42), to predict a functional transfer result. In addition, clinical application of this transfer resulted in functional pronation strength of M4+.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy, Cross-Sectional</subject><subject>Axons - ultrastructure</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Cranial nerves. Peripheral nerves. Autonomic nervous system</subject><subject>Female</subject><subject>Forearm - innervation</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Male</subject><subject>Median Nerve - anatomy & histology</subject><subject>Median Nerve - surgery</subject><subject>Median Nerve - ultrastructure</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle, Skeletal - innervation</subject><subject>Nerve Fibers - ultrastructure</subject><subject>Nerve Transfer</subject><subject>Neurosurgery</subject><subject>ORIGINAL ARTICLE</subject><subject>Peripheral Nervous System Diseases - physiopathology</subject><subject>Peripheral Nervous System Diseases - surgery</subject><subject>Pronation - physiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Ulnar Nerve - anatomy & histology</subject><subject>Ulnar Nerve - surgery</subject><subject>Ulnar Nerve - ultrastructure</subject><subject>Wrist - innervation</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PHDEQhi2UKByQljJyEaVbMl7vh50OThAioYTikOgsr2-sM9pdXzx7CP59fOxJSZNpRpr3mbH8MHYu4EJAXX-logRoCwG5lDhiCwFaFUpX7Tu2gLaSRaOqx2N2QvQEICotyg_sOONK6VIuWFolO5LHxKPnNz2-xMSXNm0Df-hHmwLxqwy4zT6eNjhP-U9Mz8in-Da6T3G0U95bYUKas2_8NtAUh5i2mzjglILjl6PtXynQGXvvbU_48dBP2cPN9Wp5W9z9-v5jeXlXOFmrqeigFCDAq87JpnZtXfraSq3LyufclSDXjbTgdP4kNB3KtXe68q7TUgKutTxlX-a72xR_75AmMwRy2Pd2xLgj0-imEkqVGbyYQZciUUJvtikMNr0aAWZv2ZDZWzYHy3nh0-Hyrhtw_Q8-a83A5wNgydne7xUG-su1VQOqyVgxY9Mm4IDmKe5SlkT_e_cPmVqSiQ</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>Boutros, Sean</creator><creator>Nath, Rahul K.</creator><creator>Yüksel, Eser</creator><creator>Weinfeld, Adam B.</creator><creator>Mackinnon, Susan E.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Transfer of Flexor Carpi Ulnaris Branch of the Ulnar Nerve to the Pronator Teres Nerve: Histomorphometric Analysis</title><author>Boutros, Sean ; Nath, Rahul K. ; Yüksel, Eser ; Weinfeld, Adam B. ; Mackinnon, Susan E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-b021010f8bc365c752f5a39924f358c203d63a0c974306be3dfc94fcb9330ed93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy, Cross-Sectional</topic><topic>Axons - ultrastructure</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Cranial nerves. Peripheral nerves. Autonomic nervous system</topic><topic>Female</topic><topic>Forearm - innervation</topic><topic>Forecasting</topic><topic>Humans</topic><topic>Male</topic><topic>Median Nerve - anatomy & histology</topic><topic>Median Nerve - surgery</topic><topic>Median Nerve - ultrastructure</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle, Skeletal - innervation</topic><topic>Nerve Fibers - ultrastructure</topic><topic>Nerve Transfer</topic><topic>Neurosurgery</topic><topic>ORIGINAL ARTICLE</topic><topic>Peripheral Nervous System Diseases - physiopathology</topic><topic>Peripheral Nervous System Diseases - surgery</topic><topic>Pronation - physiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Ulnar Nerve - anatomy & histology</topic><topic>Ulnar Nerve - surgery</topic><topic>Ulnar Nerve - ultrastructure</topic><topic>Wrist - innervation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boutros, Sean</creatorcontrib><creatorcontrib>Nath, Rahul K.</creatorcontrib><creatorcontrib>Yüksel, Eser</creatorcontrib><creatorcontrib>Weinfeld, Adam B.</creatorcontrib><creatorcontrib>Mackinnon, Susan E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boutros, Sean</au><au>Nath, Rahul K.</au><au>Yüksel, Eser</au><au>Weinfeld, Adam B.</au><au>Mackinnon, Susan E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transfer of Flexor Carpi Ulnaris Branch of the Ulnar Nerve to the Pronator Teres Nerve: Histomorphometric Analysis</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>15</volume><issue>2</issue><spage>119</spage><epage>122</epage><pages>119-122</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><coden>JRMIE2</coden><abstract>ABSTRACT
Partial median-nerve injury high in the upper extremity, resulting from brachial plexus neuritis or trauma, can affect the pronator teres muscle and result in the inability to pronate the forearm. A nerve transfer from an ulnar nerve-innervated branch to the flexor carpi ulnaris (FCU) muscle to the branch to the pronator teres (PT) is an attractive option in this clinical scenario. This study, a histomorphometric analysis of nine cadaver specimens harvested at the proposed FCU branch to PT branch transfer site, demonstrates sufficient similarities between the two branches in total number of nerve fibers (371.6 with SEM 35.1, and 361.9 with SEM 47.1; P = 0.87) and nerve cross-sectional area (122,181 μm
2
with SEM 14,546 μm
2
, and 142,492 μm
2
with SEM 19,633 μm
2
; P = 0.42), to predict a functional transfer result. In addition, clinical application of this transfer resulted in functional pronation strength of M4+.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>10088923</pmid><doi>10.1055/s-2007-1000081</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Anatomy, Cross-Sectional Axons - ultrastructure Biological and medical sciences Cadaver Cranial nerves. Peripheral nerves. Autonomic nervous system Female Forearm - innervation Forecasting Humans Male Median Nerve - anatomy & histology Median Nerve - surgery Median Nerve - ultrastructure Medical sciences Middle Aged Muscle Contraction - physiology Muscle, Skeletal - innervation Nerve Fibers - ultrastructure Nerve Transfer Neurosurgery ORIGINAL ARTICLE Peripheral Nervous System Diseases - physiopathology Peripheral Nervous System Diseases - surgery Pronation - physiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Ulnar Nerve - anatomy & histology Ulnar Nerve - surgery Ulnar Nerve - ultrastructure Wrist - innervation |
| title | Transfer of Flexor Carpi Ulnaris Branch of the Ulnar Nerve to the Pronator Teres Nerve: Histomorphometric Analysis |
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