Pet Mitchell A, Lipira Angelo B, Ko Jason H
Division of Plastic and Reconstructive Surgery, Harborview Medical Center, University of Washington School of Medicine, 325 9th Avenue, Mailstop #359796, Seattle, WA 98104, USA.
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, 675 N. St. Clair Street, Suite 19-250, Chicago, IL 60611, USA.
Hand Clin. 2016 May;32(2):191-207. doi: 10.1016/j.hcl.2015.12.007. Epub 2016 Mar 10.
High radial nerve injury is a common pattern of peripheral nerve injury most often associated with orthopedic trauma. Nerve transfers to the wrist and finger extensors, often from the median nerve, offer several advantages when compared to nerve repair or grafting and tendon transfer. In this article, we discuss the forearm anatomy pertinent to performing these nerve transfers and review the literature surrounding nerve transfers for wrist, finger, and thumb extension. A suggested algorithm for management of acute traumatic high radial nerve palsy is offered, and our preferred surgical technique for treatment of high radial nerve palsy is provided.
高位桡神经损伤是一种常见的周围神经损伤类型，最常与骨科创伤相关。与神经修复或移植以及肌腱转移相比，通常从中枢神经转移至腕部和手指伸肌的神经转移具有多个优势。在本文中，我们讨论了与进行这些神经转移相关的前臂解剖结构，并回顾了有关腕部、手指和拇指伸展神经转移的文献。提供了一种急性创伤性高位桡神经麻痹的管理建议算法，并给出了我们治疗高位桡神经麻痹的首选手术技术。
