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June 11, 2010HandOpen Access

Sensory Restoration by Lateral Antebrachial Cutaneous to Ulnar Nerve Transfer in Children with Global Brachial Plexus Injuries

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Authors

DRDavid E. RuchelsmanTufts UniversityAPAndrew E. PriceOphthalmology ClinicHVHerbert ValenciaMiami Children's Hospital

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Implication

Case series demonstrates sensory restoration via lateral antebrachial cutaneous to ulnar nerve transfer in pediatric brachial plexus injury, highlighting a viable reconstructive strategy.

Key Points

  • To evaluate the feasibility and reconstructive value of transferring the lateral antebrachial cutaneous nerve to the distal ulnar nerve for restoring hand sensation in pediatric global brachial plexus injuries.
  • Evaluated 4 children (aged 4–9 years) presenting with global brachial plexus birth injury and persistent loss of sensation on the ulnar aspect of the hand.
  • Performed transfer of the lateral antebrachial cutaneous nerve to the distal ulnar nerve using either a direct end-to-side repair through a deep longitudinal neurotomy (N=3) or an interposition nerve graft (N=1).
  • Assessed restoration of hand sensibility postoperatively using the wrinkle test.
  • Direct end-to-side nerve transfer was feasible in 3 of 4 pediatric patients, with 1 patient requiring an interposition graft to bridge the nerve defect.
  • Sensory recovery on the ulnar side of the hand was verified qualitatively using the wrinkle test to detect restored autonomic innervation.

Cite This Study

Ruchelsman et al. (2010) studied this question.

synapsesocial.com/papers/6a971d1333d7b00ae7bbb67ahttps://doi.org/10.1007/s11552-010-9284-6
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