Sensory Nerve Transfers for Hand Function (Feat. Dr. Mackinnon)

Sensory Nerve Transfers for Hand Function
Authors: Mackinnon SE1, Yee A1
Published: May 11, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
While not as popular as motor nerve transfers, sensory nerve transfers are an important component of the reconstructive algorithm for restoring sensation and/or managing pain. The type of sensory nerve transfer performed depends on whether the targeted sensory distribution is a critical or non-critical territory to reconstruct. End-to-end transfers are for critical sensation and end-to-side transfers are for non-critical sensations. This presentation demonstrates the sensory nerve transfers for restoring radial, median and ulnar nerve function and should be coupled with the associated motor reconstruction. Experimental research is also presented to warrant end-to-side nerve transfers.

TABLE OF CONTENTS
00:00 Introduction
00:09 OVERVIEW OF SENSORY NERVE TRANSFERS
01:53 Background of Sensory Nerve Transfers
02:00 Types of Sensory Reconstruction
04:16 Experimental Studies and Research on End-to-side Nerve Repairs
06:04 Early Sensory Nerve Transfers for the Hand
07:34 Current Strategies for Sensory Nerve Transfers
11:23 SENSORY NERVE TRANSFERS FOR THE RADIAL NERVE
11:43 LABC to Radial Sensory Nerve Transfer
12:16 Median Sensory to Radial Sensory (End-to-side) Nerve Transfer
13:02 SENSORY NERVE TRANSFERS FOR THE MEDIAN NERVE
13:17 Dorsal Cutaneous Ulnar to Median Sensory Nerve Transfer
18:55 3rd to 1st Web Space Nerve Transfer
23:42 SENSORY NERVE TRANSFERS FOR THE ULNAR NERVE
24:00 3rd Web Space to Ulnar Sensory Nerve Transfer
29:30 Conclusion