Cox Hatcher G, Gary Cyril S, Kleiber Grant M
Department of Plastic Surgery, Medstar Georgetown University Hospital, Washington, DC.
J Hand Surg Glob Online. 2022 Feb 10;5(1):112-115. doi: 10.1016/j.jhsg.2022.01.006. eCollection 2023 Jan.
The radial sensory nerve can be injured during many common procedures, including intravenous cannulation, first extensor compartment release, and radial-sided wrist surgery. Injury to the nerve may result in neuroma formation that can lead to chronic and debilitating pain. Nonsurgical treatments and surgical interventions, including excision of the neuroma and burying the nerve into local muscle, are frequently ineffective. Here, we present a technique for treating recalcitrant neuromas of the radial sensory nerve with targeted muscle reinnervation to a redundant motor nerve branch of the extensor carpi radialis brevis.
在许多常见操作过程中，桡侧感觉神经可能会受到损伤，包括静脉插管、第一伸肌间隔松解术和桡侧腕部手术。神经损伤可能导致神经瘤形成，进而引发慢性且使人衰弱的疼痛。非手术治疗和手术干预，包括神经瘤切除和将神经埋入局部肌肉，通常效果不佳。在此，我们介绍一种通过将桡侧感觉神经顽固性神经瘤靶向再支配至桡侧腕短伸肌的多余运动神经分支来进行治疗的技术。
