Double Fascicular Transfer: Median Fascicle to Biceps Branch and Ulnar Fascicle to Brachialis Branch Nerve Transfers 0 Mackinnon SE1 Yee A1 February 11, 2011Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.The double fascicular transfer (DFT) includes two nerve transfers: (1) median fascicle to biceps branch and (2) ulnar fascicle to brachialis branch. The median fascicle contains nerve fibers that innervate flexor digitorum superficialis / flexor carpi radialis. The ulnar fascicle contains nerve fibers that innervate flexor carpi ulnaris. The donor fascicles can be used for either recipient nerves depending on the length required, but the nerve transfers described above are typically used. The DFT is used to restore elbow flexion when median and ulnar nerves are intact.Keywords: median nerveinterfascicular dissectionbrachial plexuselbow functiondouble fascicular nerve transfernerve transferulnar nervenerve injury You must login to view the full article and extended video on this page. Standard Edition Table of Contents- Slow down- Frustration00:00:00 - Introduction00:00:10 - Orientation00:00:15 - Incision / Exposure00:00:43 - Identification of the Medial Antebrachial Cutaneous Nerve00:00:51 - Identification of the Donor Median Nerve00:01:08 - Distal and Proximal Identification of the Recipient Musculocutaneous Nerve and Branches00:02:18 - Identification of the Donor Ulnar Nerve00:02:31 - Transecting the Musculocutaneous Nerve Proximally00:02:42 - Isolating the Biceps Brachii, Brachialis, and LABC Branches from the Musculocutaneous Nerve00:03:36 - Determining the Location of Intraneurolysis and Appropriate Donor Nerve for Transfer00:03:45 - Intraneurolysis of the Median Nerve to Isolate the FCR/FDS Nerve Fascicle00:04:22 - Intraneurolysis of the Ulnar Nerve to Isolate the FCU Nerve Fascicle00:05:58 - Preparing Recipient Nerves by Removing Extra Epineurial Tissue and Excess Proximal Nerve00:06:09 - Transection and Transfer of the FCU Nerve Fascicle to the Brachialis Nerve Branch00:06:31 - Transection and Transfer of the FCR/FDS Nerve Fascicle to the Biceps Brachii Nerve Branch You must login to view the full article and extended video on this page. Leave a Comment Cancel replyYou must be logged in to post a comment.