Nerve Transfers for Radial Nerve Injuries
Authors: Mackinnon SE1, Yee A1
Published: May 8, 2016

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

ABSTRACT
This presentation details reconstructive options for radial nerve injuries, specifically median to radial nerve transfers. Indications and discussion surrounding the advantages and disadvantages for nerve transfers versus tendon transfers are presented, however the goals and expectations of patients will help outline the appropriate surgical management. A step-by-step walkthrough is discussed for this nerve transfer, in addition to how the procedure is modified to incorporate a pronator teres to ECRB tendon transfer. Following the surgical technique, the rehabilitation protocol is outlined and examples of long-term patient outcomes are presented.

TABLE OF CONTENTS
00:00 Introduction
00:13 Reconstructive Options (Nerve Transfers) for Radial Nerve
00:43 Indications for Median to Radial Nerve Transfers
00:49 Tendon Transfers vs Neve Transfers for Radial Nerve Palsy
02:57 Anatomical Illustrations for Median to Radial Nerve Transfers
05:07 Surgical Technique for Median to Radial Nerve Transfers
05:46 Initial Exposure
07:15 Step-lengthening Pronator Teres or Pronator Teres to ECRB Tendon Transfer
07:26 Step-lengthening Pronator Teres
07:44 Elevating the Superficial Head of Pronator Teres for Tendon Transfer
08:10 Exposure of Median Nerve (Donor)
11:10 Exposure of Radial Nerve (Recipient)
13:48 Median (FDS/FCR) to Radial (ECRB/PIN) Nerve Transfers
16:53 Pronator Teres to ECRB Tendon Transfer
17:10 Post-operative Therapy and Rehabilitation Regimen
18:09 Outcomes Following Median to Radial Nerve Transfers
19:40 Conclusion

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