Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfer with Pronator Teres to ECRB Tendon Transfer - Standard

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Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfer with Pronator Teres to ECRB Tendon Transfer - Standard

By Washington University School of Medicine - Peripheral Nerve Surgery FEATURING Andrew Yee

2,716 views

February 23, 2012

High Definition Standard Version - https://vimeo.com/26628970
High Definition Extended Version - https://vimeo.com/26628981

Education Website - http://nervesurgery.wustl.edu
Video Library - https://vimeo.com/user6062882

Median (FCR/FDS) to Radial (PIN/ECRB) Nerve Transfer with Pronator Teres to ECRB Tendon Transfer
Standard Version (110711.110628)

The median to radial nerve transfer is an available option for restoring radial nerve hand function following nerve injury. This nerve transfer specifically involves the transferring of two sets of nerves. That is, the flexor carpi radialis (FCR) to posterior interosseous nerve (PIN) and the flexor digitorum superficialis (FDS) to extensor carpi radialis brevis (ECRB) nerve transfers. This patient had a radial nerve palsy following a proximal humeral fracture. In conjunction to this nerve transfer in this case, the pronator teres to ECRB tendon transfer was also performed to reinforce and provide function to wrist extension through ECRB using pronator teres.

Table of Contents
00:10 Orientation
00:15 Incision
00:36 Exposure and Identifying the Lateral Antebrachial Cutaneous Nerve
00:50 Identification and Retraction of the Brachioradialis
01:15 Identifying the Pronator Teres Tendon
01:45 Incising and Releasing the Pronator Teres Tendon from the Radius
02:25 Identification and Release of the Deep Head of the Pronator Teres
02:47 Identifying and Releasing the Proximal Tendinous Arch of the Flexor Digitorum Superficialis
03:00 Identification of the Median Nerve and the Donor FCR and FDS Nerve Branches
03:35 Exposure of the Radial Nerve
03:55 Identification and Release of the Tendinous ECRB and Superficial Head of the Supinator
04:54 Identification of the Radial Nerve and the Recipient PIN and ECRB Nerve Branches
05:10 Identifying the Recipient ECRB Tendon for the Tendon Transfer
05:38 Median to Radial Nerve Transfer by Transferring the Recipient to Donor Nerves
07:15 Pronator Teres to ECRB Tendon Transfer

Narration: Susan E. Mackinnon
Videography: Andrew Yee

Terms of Use and Private Policy: nervesurgery.wustl.edu/pages/termsofuse.aspx
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