{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:10Z","timestamp":1787755330038,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>The author reports a 4-month-old high median nerve palsy in a 19-year-old man with right forearm fractures, stabilized with dynamic compression plates and screws. Surgical exploration revealed a large median nerve neuroma in the midarm that was excised, and the gap was bridged with sural nerve cable grafts. The extensor carpi radialis nerve was transferred to the anterior interosseous nerve in the forearm. The adductor branch of terminal divisions of the ulnar nerve was transferred to the thenar branch of the median nerve in the hand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The adductor branch of ulnar nerve transfer to the thenar motor branch in high median nerve palsy efficiently restored thumb opposition in 10 months of follow-up. In addition, the patient's grasp and pinch improved, preserving thumb adduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00704","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T14:09:01Z","timestamp":1678975741000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Adductor Branch of Terminal Divisions of the Ulnar Nerve Transfer to the Thenar Motor Branch in a High Median Nerve Palsy"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3321-9255","authenticated-orcid":false,"given":"J. Terrence Jose","family":"Jerome","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Hand and Reconstructive Microsurgery, Olympia Hospital & Research Centre, Puthur, Trichy, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,1]]},"reference":[{"issue":"2","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.hcl.2015.12.008","article-title":"High median nerve injury: motor and sensory nerve transfers to restore function","volume":"32","author":"Soldado","year":"2016","journal-title":"Hand Clin."},{"issue":"3","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.hcl.2016.03.004","article-title":"High median nerve injuries","volume":"32","author":"Isaacs","year":"2016","journal-title":"Hand Clin."},{"issue":"1","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.jhsa.2017.08.009","article-title":"Transfer of the motor branch of the abductor digiti quinti for thenar muscle reinnervation in high median nerve injuries","volume":"43","author":"Bertelli","year":"2018","journal-title":"J Hand Surg."},{"issue":"suppl 4","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1016\/j.injury.2020.02.119","article-title":"A novel nerve transfer: the first palmar interosseous motor branch of the ulnar nerve to the recurrent motor branch of the median nerve","volume":"51","author":"Ozcelik","year":"2020","journal-title":"Injury."},{"issue":"3","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1002\/jmor.20090","article-title":"\u201cPollical palmar interosseous muscle\u201d (musculus adductor pollicis accessorius): attachments, innervation, variations, phylogeny, and implications for human evolution and medicine","volume":"274","author":"Bello-Hellegouarch","year":"2013","journal-title":"J Morphol."},{"issue":"8","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1002\/ca.21253","article-title":"And then there were four: anatomical observations on the pollical palmar interosseous muscle in humans","volume":"24","author":"Morrison","year":"2011","journal-title":"Clin Anat."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:18Z","timestamp":1787751678000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00704"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":6,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00704","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}