Bilateral Ulnar Nerve Injury in the Wrist: Comparison of First Webspace Muscle Reconstruction by Opponens Nerve Transfer in the Right Hand Versus Direct Ulnar Nerve Repair in the Left Hand
We report a case of a bilateral glass injury to the wrist with transection of flexor tendons and the ulnar nerve and artery in a 60-year-old male patient. Two days after his accident, we repaired all divided structures, and on the right hand, we added the transfer of the opponens motor branch to the...
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| Veröffentlicht in: | Hand (New York, N.Y.) N.Y.), 2023-01, Vol.18 (1), p.NP5-NP9 |
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| container_title | Hand (New York, N.Y.) |
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| creator | Bertelli, Jayme A. Hill, Elspeth J. R. Arami, Amir Seltser, Anna |
| description | We report a case of a bilateral glass injury to the wrist with transection of flexor tendons and the ulnar nerve and artery in a 60-year-old male patient. Two days after his accident, we repaired all divided structures, and on the right hand, we added the transfer of the opponens motor branch to the deep terminal division of the ulnar nerve aimed at first dorsal interosseous and adductor pollicis muscle reinnervation. After surgery, the patient was followed over 24 months. Postoperative dynamometry of the hand, which included grasping, key-pinch, subterminal-key-pinch, pinch-to-zoom, and first dorsal interosseous muscle strength, indicated recovery only in the nerve transfer side. |
| doi_str_mv | 10.1177/15589447221085665 |
| format | Article |
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R.</creatorcontrib><creatorcontrib>Arami, Amir</creatorcontrib><creatorcontrib>Seltser, Anna</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Hand (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bertelli, Jayme A.</au><au>Hill, Elspeth J. 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Two days after his accident, we repaired all divided structures, and on the right hand, we added the transfer of the opponens motor branch to the deep terminal division of the ulnar nerve aimed at first dorsal interosseous and adductor pollicis muscle reinnervation. After surgery, the patient was followed over 24 months. Postoperative dynamometry of the hand, which included grasping, key-pinch, subterminal-key-pinch, pinch-to-zoom, and first dorsal interosseous muscle strength, indicated recovery only in the nerve transfer side.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35499179</pmid><doi>10.1177/15589447221085665</doi><orcidid>https://orcid.org/0000-0002-2367-3529</orcidid><orcidid>https://orcid.org/0000-0001-9410-6671</orcidid></addata></record> |
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| ispartof | Hand (New York, N.Y.), 2023-01, Vol.18 (1), p.NP5-NP9 |
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| source | MEDLINE; SAGE Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Case Reports Hand - innervation Humans Male Middle Aged Muscle, Skeletal - surgery Nerve Transfer Ulnar Nerve - injuries Ulnar Nerve - surgery Wrist |
| title | Bilateral Ulnar Nerve Injury in the Wrist: Comparison of First Webspace Muscle Reconstruction by Opponens Nerve Transfer in the Right Hand Versus Direct Ulnar Nerve Repair in the Left Hand |
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