Voche P, Merle M
Service de Chirurgie Plastique et Reconstructrice de l'Appareil Locomoteur, Hôpital Jeanne d'Arc, CHRU Nancy, Toul, France.
Ann Chir Plast Esthet. 1997 Dec;42(6):587-92; discussion 593.
The distal third of the forearm is a tendinous area, in which nerves could be irritated by surrounding skin scars or synovitis. In this area, a distally or proximally based pronator quadratus muscle flap could be used to wrap around the median or superficial branch of the radial nerve. Such flaps have been used successfully in eight cases, four cases of chronic neuritis, 2 cases of wrapping a median nerve graft and 2 cases of nerve coverage following trauma. All patients obtained pain relief with no alteration of finger movements.