Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfers with PT to ECRB Tendon Transfer 2 Mackinnon SE1 Yee A1 October 3, 2014Disclosure: No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.Radial nerve palsy is a debilitating nerve injury that results in lost of wrist and finger extension, which classically presents as wrist drop. The two reconstructive options for managing this injury are tendon transfers and nerve transfers, each with their advantages and disadvantages. Nerve transfers are able to provide independent finger extension, however there is an associated prolonged recovery period in comparison to tendon transfers for radial nerve palsy. Electing the appropriate surgical management depends on the patient's demands and needs. Nerve transfers for radial nerve palsy includes two transfers: (1) FCR to PIN and (2) FDS to ECRB. The tendon transfer for wrist extension can be elected for an early outcome and includes the transfer of the pronator teres to ECRB tendon. In this case, the patient presented three months following a severe MVC and suffered a radial nerve transection associated with a humeral facture. Due to the patient's needs, the median to radial nerve transfers were elected with the pronator teres to ECRB tendon transfer. To restore radial nerve sensation, an end-to-side nerve transfer was additionally performed and included the radial sensory nerve end-to-side into the sensory component of the median nerve.Keywords: tendon transfersensory end-to-side nerve transferhand functionradial nervemedian nervewrist dropsynergistic transfernerve transfernerve 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 - Introduction00:00:15 - Orientation / Incision / Exposure00:01:43 - Identification and Distal Exposure of the Pronator Teres Tendon00:03:48 - Releasing and Elevating the Pronator Teres Tendon00:05:47 - Proximal Exposure of the Median Nerve00:06:35 - Dissection Lateral to the Pronator Teres00:07:44 - Identifying and Stimulation of the Median Nerve and Donor Nerve Branches00:09:13 - Proximal Exposure of the Radial Nerve00:09:59 - Dividing the Leash of Henry and Leading-edges of ECRB and Supinator00:11:59 - Identifying the Radial Nerve and Recipient Nerve Branches00:12:06 - Proximal Division of the Recipient Radial Nerve Branches00:12:40 - Neurolysis and Exclusion of the Supinator Nerve from the Posterior Interosseous Nerve00:12:55 - Proximal Division of the Recipient Superficial Branch of Radial Nerve00:13:19 - Distal Division of the Donor Median Nerve Branches00:15:09 - Median to Radial Nerve Transfers with End-to-side Radial Sensory Nerve Transfer00:15:30 - Releasing the Brachioradialis Tendon and Superficial Branch of Radial Nerve00:15:54 - Pronator Teres to ECRB Tendon Transfer 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.