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Page 10 of 12 Costa et al. Plast Aesthet Res 2020;7:32 I http://dx.doi.org/10.20517/2347-9264.2020.43
Table 2. Sensory Nerve Transfers in distal forearm and in the hand
Recipient Donor Modality Advantage Disvantage Ref.
Median N. I Digital Branch IV Digital End-to-End Restore sensitivity of the thumb Loss of sensitivity of the IV web [4]
Lesion + Branch End-to-Side and index finger space
II and III Ulnar Sensory Proprioceptive sensitivity in non-
Digital Branch Branch critical areas
Collateral Sensory Dorsal End-to-End Restore sensitivity of the thumb Provide just protective [41-43]
Digital Nerve Branch of and index finger sensitivity
in the I Web Radial Nerve Maintain proprioceptive
space sensitivity in donor areas due to
an end-to-side coaptation for
the distal dorsal stumps
Component for Component for End-to-End Useful in cases of C5-C6 lesions Loss of sensitivity of the IV web [44]
I digital nerve III digital nerve space
Radial N. Radial Sensory LACN End-to-End Dimensions comparable for the [4]
Lesion Branch coapation
Donor runs near the recipient
Radial Sensory Median Nerve End-to-Side No loss of sensitivity Provide just protective [52]
Branch Useful in cases of C5-C6 lesions sensitivity
Ulnar N. Ulnar Sensory III Digital End-to-End Restore sensitivity of the ulnar Proprioceptive sensitivity in [54]
Lesion Branch Branch border of the hand donor areas due to an end-to-
side coaptation for the distal
stumps
Ulnar Sensory III Digital End-to-Side No loss of sensitivity Provide just protective sensitivity [55]
Branch Branch of the ulnar border of the hand
Ulnar Sensory Median nerve End-to-End No scar in the hand Protective sensitivity for the [16]
Branch branch in Restore sensitivity of the ulnar third web space through an end-
forearm border of the hand to-side strategy
Ulnar Sensory Median nerve End-to-Side No scar in the hand Provide just protective sensitivity [16]
Branch branch in lloss of sensitivity of the ulnar border of the hand
forearm
Dorsal Ulnar LACN End-to-Side No loss of sensitivity Provide just protective [56,57]
Sensory sensitivity
Branch
Ulnar Sensory PCBMN End-to-End Restore sensitivity of the ulnar Proprioceptive sensitivity in [22,56,58]
Branch border of the hand donor areas due to an end-to-
side coaptation for the distal
stumps
LACN: lateral antebrachial cutaneous nerve; PCBMN: palmar cutaneous branch of median nerve
greater morbidity. Such techniques can be found in the recent literature but require further study because
some of them remain isolated case reports.
DECLARATIONS
Authors’ contributions
Concept and design: Colonna MR
Data acquisition, data analysis, manuscript preparation: Costa AL
Critical revision and completion of manuscript: Costa AL, Titolo P, Battiston B, Colonna MR
Availability of data and materials
Not applicable.
Financial support and sponsorship
None.
Conflicts of interest
All authors declare that there are no conflicts of interest.