Nerve Transfer to Restore Upper Extremity Function

Nerve Transfers to Restore upper Extremity Function: A Paradigm Shift

Brachial plexus and peripheral nerve injuries lead to significant upper extremity dysfunction and disability. Traditionally, both have been treated with nerve grafting when a tensionless, end-to-end repair is not feasible. Despite our best efforts, functional outcomes of this procedure are less than ideal due to the long distances that the axons must regenerate to reach their end organs. Over t...

Upper Extremity Nerve Blocks

Upper Extremity Peripheral Nerve Anatomy

7 The nerve anatomy of the upper extremity is studied constantly through surgical findings, electrodiagnostic studies, and cadaveric dissections. Although it is recognized that the anatomy is not changing rapidly, knowledge of the anatomic relationships and their significance is increasing. The purpose of the current study is to provide a comprehensive analysis of the nerve anatomy of the upper...

Predictors of Upper-Extremity Physical Function in Older Adults

  Background: Little is known about the influence of habitual participation in physical exercise and diet on upper-extremity physical function in older adults. To assess the relationship of general physical exercise and diet to upper-extremity physical function and pain intensity in older adults.   Methods: A cohort of 111 patients 50 or older completed a sociodemographic survey, the Rapid Asse...

A Practical Approach to Nerve Grafting in the Upper Extremity

In this era of tissue bioengineering an autogenous nerve graft may be considered the ultimate biocompatible, resorbable nerve conduit, with a basil lamina, preformed guidance channels, a reserve of viable Schwann cells, and nerve growth factors. In addition, it is capable of developing an intrinsic circulation. The nerve graft provides a regenerating axon with a means for passage to the distal ...