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.
Median Nerve Repair with Nerve Transfer
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.
Corresponding Organization :
Other organizations : Faculdade de Medicina do ABC, Universidade de São Paulo
Variable analysis
- Nerve transfer surgery (neurotization of the branch of the SCRE muscle for AIN)
- Thumb finger flexion (M0 before surgery, M3 after 2 months, M4+ after 2 years)
- Flexion strength of the 2nd, 3rd, 4th, and 5th fingers (M3/4 after 2 years)
- Radial nerve function (no deficit after 2 months)
- Patient age (51 years old)
- Previous medical history (schwannoma resection in the left axillary region with a 4 cm median nerve defect, repaired with a lateral cutaneous nerve graft)
- Positive control: Improvement in thumb finger flexion (from M0 to M3 after 2 months, and M4+ after 2 years)
- Positive control: Improvement in flexion strength of the 2nd, 3rd, 4th, and 5th fingers (M3/4 after 2 years)
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