Publicado May 24, 2021



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Inés María Linares Aguirre

Juan Pablo García Marmolejo

Lizeth Carolina López López

Diana Marcela Osorio Roa

Estefanía Montoya Cobo

Álvaro Antonio Kafury Goeta

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Resumen

El nervio radial es un nervio comúnmente lesionado; el tratamiento de elección actual es la transferencia de tendón, sin embargo, el objetivo de este estudio es proponer la transferencia de nervio mediano como tratamiento quirúrgico de preferencia para la recuperación de extensión de la muñeca y movilidad individual de los dedos posterior a la lesión del nervio radial. Se realizó una revisión de la literatura usando terminología MESH como: nervio radial, transferencia de nervio y lesión de nervio periférico para la búsqueda de reportes de caso, artículos de revisión, estudios descriptivos y cohortes publicados desde el año 1990 hasta el 2020. Se excluyeron artículos escritos en idiomas diferentes a inglés o español y estudios realizados en animales. Se encontraron 22 artículos de técnica quirúrgica de transferencia nerviosa, 11 de lesiones nerviosas, 4 de anatomía del nervio radial y mediano, 4 reportes de caso, 6 revisiones sistemáticas en donde se describe el recorrido anatómico de los nervios comúnmente utilizados, la técnica quirúrgica, las ventajas y complicaciones de la intervención. La transferencia de nervio mediano a radial tiene potencial para ser el tratamiento quirúrgico de elección en lesiones distales de nervio radial con pérdida de función generando buenos resultados funcionales.

Keywords

Nervio radial, Transferencia de nervio, Lesión de nervio periférico, Nervio mediano, Plexo braquialRadial nerve, Nerve transfer, Peripheral nerve injury, Median nerve, Brachial plexus

References
1. Robla-Costales J, Fernández-Fernández J, Ibáñez-Plágaro J, García-Cosamalón J, Socolovsky M, Di Masi G, et al. Técnicas de reconstrucción nerviosa en cirugía del plexo braquial traumatizado Parte 1: Transferencias nerviosas extraplexuales. Neurocirugia [Internet]. 2011;22(6):507–520. http://dx.doi.org/10.1016/S1130-1473(11)70106-3

2. Amit Bhardwaj K. Study of Incidence and Treatment of Radial Nerve Palsy in Fracture Shaft of Humerus. Int J Collab Res Intern Med Public Heal. 2012;4(5):796–804.

3. Chaudhry S, Ipaktchi KR, Ignatiuk A. Updates on and Controversies Related to Management of Radial Nerve Injuries. J Am Acad Orthop Surg. 2019;27(6):e280–284. http://dx.doi.org/10.5435/jaaos-d-17-00325

4. Preston D, Shapiro B. Radial Neuropathy. In: Electromyography and Neuromuscular Disorders. 2012. p. 417–40.

5. Chodewaratham Pathidta, Chentanez Vilai, Agthong Sithiporn, Huanmanop Thanasil. Anatomía del nervio cutáneo antebraquial posterior relacionado con el epicóndilo lateral y la línea interepicondilar. En t. J. Morphol. [Internet]. 2016; 34 (3): 953-957.

6. Bertelli JA, Kechele PR, Santos MA, Besen BAMP, Duarte H. Anatomical feasibility of transferring supinator motor branches to the posterior interosseous nerve in C7–T1 brachial plexus palsies. J Neurosurg JNS [Internet]. 2009;111(2):326–331.

7. Jobe M, Martinez S. Peripheral nerve injuries. In: Campbell Ortopedia Quirúrgica. 2017. p. 3161–224.

8. Standring S. The anatomy of the peripheral nervous system. In: Grays’s Anatomy. 42nd ed. 2020.

9. Chang G, Ilyas AM. Radial Nerve Palsy After Humeral Shaft Fractures: The Case for Early Exploration and a New Classification to Guide Treatment and Prognosis. Hand Clin. 2018;34(1):105–112.

10. Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EFORT open Rev. 2016;1(8):286–294.

11. Korompilias A V, Lykissas MG, Kostas-Agnantis IP, Vekris MD, Soucacos PN, Beris AE. Approach to radial nerve palsy caused by humerus shaft fracture: is primary exploration necessary? Injury. 2013;44(3):323–326. http://dx.doi.org/10.1016/j.injury.2013.01.004

12. Prodromo J, Goitz RJ. Management of radial nerve palsy associated with humerus fracture. J Hand Surg Am [Internet]. 2013;38(5):995—998 https://doi.org/10.1016/j.jhsa.2013.02.003

13. Bumbasirević M, Lesić A, Bumbasirević V, Cobeljić G, Milosević I, Atkinson HDE. The management of humeral shaft fractures with associated radial nerve palsy: a review of 117 cases. Arch Orthop Trauma Surg. 2010;130(4):519–522. http://dx.doi.org/10.1007/s00402-009-0951-4

13. Agarwal P, Kukrele R, Sharma D. Outcome of tendon transfer for radial nerve palsy using Flexor Carpi Radialis combination (Brands transfer). J Clin Orthop Trauma [Internet]. 2020;11(4):630–636. https://doi.org/10.1016/j.jcot.2020.05.012

15. Latef TJ, Bilal M, Vetter M, Iwanaga J, Oskouian RJ, Tubbs RS. Injury of the Radial Nerve in the Arm: A Review. Cureus. 2018;10(2):e2199. http://dx.doi.org/10.7759/cureus.2199

16. Ray WZ, Mackinnon SE. Clinical Outcomes Following Median to Radial Nerve Transfers. The Journal of Hand Surgery [Internet]. Elsevier BV; 2011;36(2):201–8. http://dx.doi.org/10.1016/j.jhsa.2010.09.034

17. Midha R. Nerve transfers for severe brachial plexus injuries: a review. Neurosurg Focus. 2004;16(5):E5. http://dx.doi.org/10.3171/foc.2004.16.5.6

18. Pet MA, Lipira AB, Ko JH. Nerve Transfers for the Restoration of Wrist, Finger, and Thumb Extension After High Radial Nerve Injury. Hand Clin. 2016;32(2):191–207. http://dx.doi.org/10.1016/j.hcl.2015.12.007

19. Gómez HS, Ortiz NS. Transferencias tendinosas en parálisis del nervio radial. An Med. 2014;59(1):41–47. http://dx.doi.org/10.1016/s1130-1473(93)71136-7
20. Compton J, Owens J, Day M, Caldwell L. Systematic Review of Tendon Transfer Versus Nerve Transfer for the Restoration of Wrist Extension in Isolated Traumatic Radial Nerve Palsy. J Am Acad Orthop Surg Glob Res Rev [Internet]. 2018;12;2(4):e001–e001.

21. Shao YC, Harwood P, Grotz MRW, Limb D, Giannoudis P V. Radial nerve palsy associated with fractures of the shaft of the humerus. A systematic review. J Bone Jt Surg - Ser B. 2005;87(12):1647–1652. http://dx.doi.org/10.1302/0301-620x.87b12.16132

22. Üstün ME, Öğün TC, Büyükmumcu M. Neurotization as an alternative for restoring finger and wrist extension. J Neurosurg [Internet]. 2001;94(5):795–798. http://dx.doi.org/10.3171/jns.2001.94.5.0795

23. Sukegawa K, Suzuki T, Ogawa Y, Kobayashi T, Matsuura Y, Kuniyoshi K. A Cadaver Study of Median-to-Radial Nerve Transfer for Radial Nerve Injuries. J Hand Surg Am. 2016;41(1):20–26. . http://dx.doi.org/10.1016/j.jhsa.2015.10.015

24. Emamhadi M, Andalib S. The First Experience of Triple Nerve Transfer in Proximal Radial Nerve Palsy. World Neurosurg [Internet]. 2018;109:351–355. https://doi.org/10.1016/j.wneu.2017.10.033

25. Van Zyl N, Hill B, Cooper C, Hahn J, Galea MP. Expanding traditional tendon-based techniques with nerve transfers for the restoration of upper limb function in tetraplegia: a prospective case series. Lancet [Internet]. 2019;394(10198):565–575. http://dx.doi.org/10.1016/S0140-6736(19)31143-2

26. Bertelli JA. Nerve Versus Tendon Transfer for Radial Nerve Paralysis Reconstruction. J Hand Surg Am. 2020 May;45(5):418–426. http://dx.doi.org/10.1016/j.jhsa.2019.12.009

27. Brown JM, Mackinnon SE. Nerve Transfers in the Forearm and Hand. Hand Clin [Internet]. 2008;24(4):319–340. http://dx.doi.org/10.1016/j.hcl.2008.08.002

28. Davidge KM, Yee A, Kahn LC, Mackinnon SE. Median to radial nerve transfers for restoration of wrist, finger, and thumb extension. J Hand Surg Am [Internet]. 2013;38(9):1812–1827. http://dx.doi.org/10.1016/j.jhsa.2013.06.024

29. Brown JM, Tung THH, Mackinnon SE. Median to radial nerve transfer to restore wrist and finger extension: technical nuances. Neurosurgery. 2010;66(3 Suppl Operative):75–83. http://dx.doi.org/10.1227/01.neu.0000354364.13224.c8

30. García-López A, Navarro R, Martinez F, Rojas A. Nerve transfers from branches to the flexor carpi radialis and pronator teres to reconstruct the radial nerve. J Hand Surg Am. 2014;39(1):50–56. http://dx.doi.org/10.1016/j.jhsa.2013.10.011

31. Bertelli JA, Nehete S, Winkelmann Duarte EC, Ghizoni MF. Transfer of the Distal Anterior Interosseous Nerve for Thumb Motion Reconstruction in Radial Nerve Paralysis. J Hand Surg Am [Internet]. 2020;45(9):877.e1-877.e10. https://doi.org/10.1016/j.jhsa.2020.02.011

32. Lowe JB 3rd, Tung TR, Mackinnon SE. New surgical option for radial nerve paralysis. Plast Reconstr Surg. 2002 Sep;110(3):836–843. http://dx.doi.org/10.1097/01.prs.0000019723.66346.1a

33. Tung TH, Mackinnon SE. Flexor digitorum superficialis nerve transfer to restore pronation: two case reports and anatomic study. J Hand Surg Am. 2001;26(6):1065–1072.

34. Lowe JB 3rd, Sen SK, Mackinnon SE. Current approach to radial nerve paralysis. Plast Reconstr Surg. 2002;110(4):1099–1113. http://dx.doi.org/10.1097/01.prs.0000020996.11823.3f

35. Ukrit A, Leechavengvongs S, Malungpaishrope K, Uerpairojkit C, Chongthammakun S, Witoonchart K. Nerve transfer for wrist extension using nerve to flexor digitorum superficialis in cervical 5, 6, and 7 root avulsions: anatomic study and report of two cases. J Hand Surg Am. 2009;34(9):1659–66. http://dx.doi.org/10.1016/j.jhsa.2009.07.004

36. Martínez Martínez F, Sevilla BÑ, García García J, García López A. Técnicas de transferencia nerviosa en lesiones del miembro superior Nerve Transfer Techniques in Injuries of the Upper Limb. Rev Iberam Cir Mano. 2017;45:57–67. http://dx.doi.org/10.1055/s-0037-1602765

37. Moore AM, Franco M, Tung TH. Motor and sensory nerve transfers in the forearm and hand. Plast Reconstr Surg. 2014 Oct;134(4):721–30. http://dx.doi.org/10.1097/prs.0000000000000509

38. Caetano EB, Vieira LA, Cavalheiro CS, Arcuri MH, Sabongi RG. Anatomical study of the transfer of flexor digitorum superficialis nerve branch of median nerve to restore wrist extension and forearm pronation. Einstein (Sao Paulo). 2019;17(3):eAO4489. http://dx.doi.org/10.31744/einstein_journal/2019ao4489

39. Ye JF, Lee JH, An XC, Lin CH, Yue B, Han S-H. Anatomic localization of motor entry points and accurate regions for botulinum toxin injection in the flexor digitorum superficialis. Surg Radiol Anat. 2011;33(7):601–607. http://dx.doi.org/10.1007/s00276-011-0779-9

40. Dominguez M, Finkelstein D, Paolo L, Shinzato S, Medan C, Tartaro LO, et al. Consideraciones anatomo-clínicas sobre el nervio radial en el codo. Int J Morphol. 2008;26(2):437–444. http://dx.doi.org/10.4067/s0717-95022008000200032

41. Abrams RA, Ziets RJ, Lieber RL, Botte MJ. Anatomy of the radial nerve motor branches in the forearm. J Hand Surg Am. 1997;22(2):232–7. http://dx.doi.org/10.1016/s0363-5023(97)80157-8

42. Bertelli JA, Nehete S, Duarte ECW, Patel N, Ghizoni MF. Distal pronator teres motor branch transfer for wrist extension restoration in radial nerve paralysis. J Neurosurg JNS [Internet]. :1–7. http://dx.doi.org/10.3171/2019.10.jns192110

43. Villén G, Alcober S, Malfey R. Resultados del tratamiento del nervio radial e influencia de factores pronósticos. Rev Iberoam Cirugía la Mano. 2017;45(02):104–14. http://dx.doi.org/10.1055/s-0037-1607459

44. Matsuyama T, Mackay M, Midha R. Peripheral nerve repair and grafting techniques: A review. Vol. 40, Neurologia Medico-Chirurgica. 2000. p. 187–199. http://dx.doi.org/10.1093/med/9780195169904.003.0007
45. Ramachandran S, Midha R. Recent advances in nerve repair. Neurol India [Internet]. 2019;67(7):106–114. http://dx.doi.org/10.4103/0028-3886.250702

46. Vaishya R, Kandel IS, Agarwal AK, Vijay V, Vaish A, Acharya K. Is early exploration of secondary radial nerve injury in patients with humerus shaft fracture justified? J Clin Orthop Trauma [Internet]. 2019;10(3):535–540. https://doi.org/10.1016/j.jcot.2018.11.002

47. Bishop J, Ring D. Management of Radial Nerve Palsy Associated With Humeral Shaft Fracture: A Decision Analysis Model. J Hand Surg Am [Internet]. 2009;34(6):991-996.e1. http://dx.doi.org/10.1016/j.jhsa.2008.12.029

48. Esquenazi Y, Park SH, Kline DG, Kim DH. Surgical management and outcome of iatrogenic radial nerve injection injuries. Clin Neurol Neurosurg [Internet]. 2016;142:98—103. https://doi.org/10.1016/j.clineuro.2016.01.014

49. Pan CH, Chuang DCC, Rodriguez-Lorenzo A. Outcomes of nerve reconstruction for radial nerve injuries based on the level of injury in 244 operative cases. J Hand Surg Eur Vol. 2010;35(5):385–391. http://dx.doi.org/10.1177/1753193409360283

50. Hara T, Tatebe M, Kurahashi T, Hirata H. Iatrogenic peripheral nerve injuries – Common causes and treatment: A retrospective single-center cohort study. J Orthop Sci [Internet]. 2020. https://doi.org/10.1016/j.jos.2020.09.009
Cómo citar
Linares Aguirre, I. M. ., García Marmolejo, J. P., López López, L. C. ., Osorio Roa, D. M. ., Montoya Cobo, E. ., & Kafury Goeta, Álvaro A. . (2021). Transferencia del nervio mediano como tratamiento para la lesión traumática del nervio radial: Revisión de la literatura. Universitas Medica, 62(2). https://doi.org/10.11144/Javeriana.umed62-2.nerv
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Artículos de revisión