A 51-year-old patient with a history of schwannoma resection in the left axillary region, with a defect resulting from approximately 4 cm of the median nerve. Repair of the median nerve was performed with a graft of the lateral cutaneous nerve of the forearm at the same surgical time. After six months of PO, the patient maintained the flexion of the thumb fingers M0 and a neurotization of the branch of the SCRE muscle was performed for AIN.
Two months after the nerve transfer, the patient presented M3 force of the FPL and Deep Flexor of the 2nd, without any deficit in radial nerve function. After two years of follow-up, significant improvement in the strength of FPL and Deep Flexor of the 2nd, 3rd fingers M4+, and 4th and 5th fingers M3/4 were observed.
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