Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration

Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration

Multiple variations of sensory innervation patterns in the hand exist and are well-recognized in the literature. These aberrant patterns can lead to diagnostic challenges and complicate the treatment of nerve-injured patients. Therefore, it is important to understand these variations to avoid potent...

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Main Authors: Sean M. Wade, MD, DesRaj M. Clark, MD, Matthew E. Miller, MD, Jason M. Souza, MD, Leon J. Nesti, MD, PhD, Scott M. Tintle, MD
Format: Article
Language:English
Published: Elsevier 2019-10-01
Series:Journal of Hand Surgery Global Online
Online Access:http://www.sciencedirect.com/science/article/pii/S2589514119301045
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spelling doaj-fe19db26e72a4037b13f34460cee558f2020-11-25T01:43:59ZengElsevierJournal of Hand Surgery Global Online2589-51412019-10-0114245248Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve LacerationSean M. Wade, MD0DesRaj M. Clark, MD1Matthew E. Miller, MD2Jason M. Souza, MD3Leon J. Nesti, MD, PhD4Scott M. Tintle, MD5Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MD; Corresponding author: Sean M. Wade, MD, Department of Orthopaedics, Walter Reed National Military Medical Center, America Building, 2nd Floor, 8901 Wisconsin Avenue, Bethesda, MD 20889.Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MDDepartment of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MDDivision of Plastic and Reconstructive Surgery, Department of Surgery, Walter Reed National Military Medical Center, Bethesda, MDDepartment of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MDDepartment of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, MDMultiple variations of sensory innervation patterns in the hand exist and are well-recognized in the literature. These aberrant patterns can lead to diagnostic challenges and complicate the treatment of nerve-injured patients. Therefore, it is important to understand these variations to avoid potential clinical errors in caring for these patients. To date, most descriptions of aberrant innervation patterns in the upper extremity involve interneural connections between branches of the median and ulnar nerves with a paucity of descriptions involving the radial nerve. This report discusses a case of the superficial branch of the radial nerve innervating the hand’s classically described median nerve sensory distribution after transection of the proximal median nerve. Key words: anatomic variations, anomalous innervation patterns, ballistic injury, hand sensation, median nerve injuryhttp://www.sciencedirect.com/science/article/pii/S2589514119301045
collection DOAJ
language English
format Article
sources DOAJ
author Sean M. Wade, MD
DesRaj M. Clark, MD
Matthew E. Miller, MD
Jason M. Souza, MD
Leon J. Nesti, MD, PhD
Scott M. Tintle, MD
spellingShingle Sean M. Wade, MD
DesRaj M. Clark, MD
Matthew E. Miller, MD
Jason M. Souza, MD
Leon J. Nesti, MD, PhD
Scott M. Tintle, MD
Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
Journal of Hand Surgery Global Online
author_facet Sean M. Wade, MD
DesRaj M. Clark, MD
Matthew E. Miller, MD
Jason M. Souza, MD
Leon J. Nesti, MD, PhD
Scott M. Tintle, MD
author_sort Sean M. Wade, MD
title Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
title_short Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
title_full Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
title_fullStr Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
title_full_unstemmed Preserved Sensation of the Palmar Radial Hand by the Superficial Branch of the Radial Nerve Following Median Nerve Laceration
title_sort preserved sensation of the palmar radial hand by the superficial branch of the radial nerve following median nerve laceration
publisher Elsevier
series Journal of Hand Surgery Global Online
issn 2589-5141
publishDate 2019-10-01
description Multiple variations of sensory innervation patterns in the hand exist and are well-recognized in the literature. These aberrant patterns can lead to diagnostic challenges and complicate the treatment of nerve-injured patients. Therefore, it is important to understand these variations to avoid potential clinical errors in caring for these patients. To date, most descriptions of aberrant innervation patterns in the upper extremity involve interneural connections between branches of the median and ulnar nerves with a paucity of descriptions involving the radial nerve. This report discusses a case of the superficial branch of the radial nerve innervating the hand’s classically described median nerve sensory distribution after transection of the proximal median nerve. Key words: anatomic variations, anomalous innervation patterns, ballistic injury, hand sensation, median nerve injury
url http://www.sciencedirect.com/science/article/pii/S2589514119301045
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