尺神经感觉部分转移和PCM的DCU神经转移

预览播放 -> 暂停一会 -> 再播放更流畅

下载地址会员回复本贴可见：

游客，如果您要查看本帖隐藏内容请回复

说明：

3rd Webspace to Sensory Component of Ulnar Nerve Transfer and PCM to DCU Nerve Transfer
Standard Edition (1.130709.130709)

Sensory nerve transfers are an available option for restoring sensation to critical deinnervated territories. Multiple strategies exist for restoring sensation, which include end-to-end nerve transfers for critical territories and end-to-side nerve transfers for non-critical territories. For sensory deficits in the ulnar nerve, the 3rd webspace fascicle from the median nerve can be utilized as a donor to reinnervate the ulnar territory of the hand, also known as the median to ulnar sensory nerve transfer. In this case, the patient suffered a traumatic ulnar nerve injury that was referred to our institution several years following for neuropathic pain. This was the patient's chief compliant and became the management priority. An ulnar nerve transection, proximal crush, cautery cap, and proximal transposition were elected. While this resolves the neuroma component of pain, there can still exist a hyperalgesia component, which distal nerve transfers would resolve through reinnervation. This video details the 3rd webspace to sensory component of the ulnar (end-to-end) nerve transfer. The distal 3rd webspace nerve was end-to-side transferred to the sensory component of the median nerve. Additionally, the palmar cutaneous branch of median nerve was (end-to-end) transferred to the dorsal cutaneous branch of ulnar nerve.

Table of Contents (Standard)
00:20 Orientation / Incision / Exposure
01:07 Guyon's Canal Release and Identifying the Sensory / Motor Components of Ulnar Nerve
02:16 Carpal Tunnel Release and Exposure of Median Nerve
02:56 Identifying the Palmar Cutaneous Branch and 3rd Webspace Fascicle of Median Nerve
03:25 Neurolyzing the 3rd Webspace Fascicle from the Median Nerve
05:10 Exposure of Ulnar Nerve
05:40 Identifying and Neurolyzing the Dorsal Cutaneous Branch of Ulnar Nerve
06:03 Identifying the Sensory Component of Ulnar nerve
06:10 Interfascicular Dissection of the Ulnar Nerve
06:32 Confirming (Distal) the Identification of the Sensory Component of Ulnar Nerve (Proximal)
07:24 Dividing the Ulnar Nerve Proximally
07:34 Dividing the 3rd Webspace Fascicle Distally
07:54 Distal 3rd Webspace to Sensory Component of Median (End-to-side) Nerve Transfer
08:52 Dividing the Palmar Cutaneous Branch of Median Nerve Distally
09:19 Neurolyzing the Sensory Component of Ulnar Nerve
10:52 3rd Webspace to Ulnar Sensory Nerve Transfer and PCM to DCU Nerve Transfer