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Bryan et al. Plast Aesthet Res 2022;9:53 Plastic and
DOI: 10.20517/2347-9264.2022.39
Aesthetic Research

Review Open Access

Distal median and radial nerve branch transfer
techniques for upper extremity reanimation

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Jaimie Bryan , D. Spencer Nichols , Caroline Polansky , Haley Oberhofer Barker , Elizabeth Cox , Brianne
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Sullivan , Harvey Chim 4
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College of Medicine, University of Florida, Gainesville, FL 32610, USA.
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Department of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University, Durham, NC 27710, USA.
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University of Florida, Gainesville, FL 32611, USA.
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Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Florida, Gainesville, FL 32610, USA.
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Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA 94304, USA.
Correspondence to: Dr. Harvey Chim, Department of Surgery, Division of Plastic and Reconstructive Surgery, University of
Florida, 1600 S.W. Archer Rd, Gainesville, FL 32610, USA. E-mail: harveychim@yahoo.com
How to cite this article: Bryan J, Nichols DS, Polansky C, Oberhofer Barker H, Cox E, Sullivan B, Chim H. Distal median and radial
nerve branch transfer techniques for upper extremity reanimation. Plast Aesthet Res 2022;9:53.
https://dx.doi.org/10.20517/2347-9264.2022.39
Received: 21 Apr 2022 First Decision: 2 Jul 2022 Revised: 18 Jul 2022 Accepted: 8 Sep 2022 Published: 23 Sep 2022
Academic Editors: Jacques Henri Hacquebord, Matthew Iorio Copy Editor: Peng-Juan Wen Production Editor: Peng-Juan Wen

Abstract
Nerve transfers for peripheral nerve injuries have become increasingly popular over the past two decades. While
techniques for ulnar nerve repair have been well-documented, more recent techniques for median and radial nerve
branch reinnervation are still being explored. This review describes the outcomes of common and emerging
techniques for reinnervation of the distal branches of the median and radial nerves.

Keywords: Anterior interosseous nerve, AIN, extensor carpi radialis brevis, ECRB, posterior interosseous nerve,
PIN, nerve transfer, peripheral nerve reinnervation, upper extremity reanimation

INTRODUCTION
Nerve transfers provide additional options for restoring function through neurotizing recipient nerves with
expendable donor nerves after severe injuries . Extensive research into upper extremity shoulder, elbow,
[1]
and distal ulnar nerve reanimation has been conducted, and new techniques for median and radial nerve

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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