Abstract

LINARES AGUIRRE, Inés María et al. Median Nerve Transfer as Treatment for Traumatic Radial Nerve Injury: Literature Review. Univ. Med. [online]. 2021, vol.62, n.2, e32264.  Epub May 15, 2021. ISSN 0041-9095.  https://doi.org/10.11144/javeriana.umed62-2.nerv.

The radial nerve is a commonly injured structure; For its treatment, tendon transfer is the technique of choice, however, there are other innovative surgical techniques such as median nerve transfer; For this reason, the objective of this study is to review median nerve transfer as a surgical treatment for the recovery of wrist extension and individual mobility of the fingers after radial nerve injury. The radial nerve is a commonly injured nerve, being tendon transfer, the current treatment of choice. However, the objective of this study is to propose median nerve transfer as a preferred surgical treatment for the recovery of wrist extension and individual mobility of the fingers following injury to the Radial nerve. A literature review was performed using MeSH terminology such as: radial nerve, nerve transfer, and peripheral nerve injury to search for case reports, review articles, descriptive studies, and cohorts published from 1990 to 2020. Articles written in languages ​​other than english or spanish and studies conducted on animals were excluded. We found 22 articles on nerve transfer surgical technique, 11 on nerve injuries, 4 concerning the anatomy of the radial and median nerve, 4 case reports, 6 systematic reviews describing the anatomical route of the nerves commonly used, the surgical technique, the advantages and complications of the intervention. Median-to-radial nerve transfer has the potential to be the surgical treatment of choice in distal radial nerve lesions with loss of function, proving good functional results.

Keywords : radial nerve; nerve transfer; peripheral nerve injury; median nerve; brachial plexus.

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