{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:04:48Z","timestamp":1783775088122,"version":"3.55.0"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:p>Complete loss of median nerve motor function is a rare but devastating injury. Loss of median motor hand function and upper-extremity pronation can significantly impact a patient's ability to perform many activities of daily living independently. The authors report the long-term follow-up in a case of median nerve motor fiber transection that occurred during an arthroscopic elbow procedure, which was then treated with multiple nerve transfers. Motor reconstruction used the nerves to the supinator and extensor carpi radialis brevis to transfer to the anterior interosseous nerve and pronator. Sensory sensation was restored using the lateral antebrachial cutaneous (LABC) nerve to transfer to a portion of the sensory component of the median nerve, and a second cable of LABC nerve as a direct median nerve sensory graft. The patient ultimately recovered near normal motor function of the median nerve, but had persistent pain symptoms 4 years postinjury.<\/jats:p>","DOI":"10.3171\/2012.8.jns111356","type":"journal-article","created":{"date-parts":[[2012,9,15]],"date-time":"2012-09-15T05:29:03Z","timestamp":1347686943000},"page":"886-889","source":"Crossref","is-referenced-by-count":33,"title":["Repair of a median nerve transection injury using multiple nerve transfers, with long-term functional recovery"],"prefix":"10.3171","volume":"117","author":[{"given":"Rory K. J.","family":"Murphy","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson Z.","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Mackinnon","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns111356","series-title":"J Neurocytol","first-page":"833","article-title":"Muscle fibre loss and reinnervation after long-term denervation","volume":"18","author":"Anzil","year":"1989"},{"key":"b2-jns111356","series-title":"Hand Clin","first-page":"319","article-title":"Nerve transfers in the forearm and hand","volume":"24","author":"Brown","year":"2008"},{"issue":"2","key":"b3-jns111356","series-title":"Neurosurg Focus","first-page":"E12","article-title":"Distal nerve transfers: a biology-based rationale","volume":"26","author":"Brown","year":"2009"},{"key":"b4-jns111356","series-title":"Clin Neurophysiol","first-page":"1951","article-title":"Evaluation and management of peripheral nerve injury","volume":"119","author":"Campbell","year":"2008"},{"key":"b5-jns111356","series-title":"Plast Reconstr Surg","first-page":"2003","article-title":"Skeletal muscle reinnervation by reduced axonal numbers results in whole muscle force deficits","volume":"105","author":"Cederna","year":"2000"},{"key":"b6-jns111356","series-title":"J Hand Surg Am","first-page":"2078","article-title":"Anterior interosseous nerve syndrome","volume":"35","author":"Chi","year":"2010"},{"key":"b7-jns111356","series-title":"J Neurosci","first-page":"3876","article-title":"Contributing factors to poor functional recovery after delayed nerve repair: prolonged axotomy","volume":"15","author":"Fu","year":"1995"},{"key":"b8-jns111356","series-title":"J Neurosci","first-page":"3886","article-title":"Contributing factors to poor functional recovery after delayed nerve repair: prolonged denervation","volume":"15","author":"Fu","year":"1995"},{"key":"b9-jns111356","series-title":"Hand Clin","first-page":"129","article-title":"Biomechanics of the flexor tendons","volume":"21","author":"Goodman","year":"2005"},{"key":"b10-jns111356","series-title":"J Neurosci","first-page":"5325","article-title":"The basis for diminished functional recovery after delayed peripheral nerve repair","volume":"31","author":"Gordon","year":"2011"},{"issue":"Pt 1\u20132","key":"b11-jns111356","series-title":"J Anat","first-page":"15","article-title":"The re-innervation of muscle after various periods of atrophy","volume":"78","author":"Gutmann","year":"1944"},{"key":"b12-jns111356","series-title":"Arthroscopy","first-page":"784","article-title":"Complete transection of the median and radial nerves during arthroscopic release of post-traumatic elbow contracture","volume":"15","author":"Haapaniemi","year":"1999"},{"key":"b13-jns111356","series-title":"Neurosurg Clin N Am","first-page":"73","article-title":"Iatrogenic nerve injuries","volume":"20","author":"Kretschmer","year":"2009"},{"key":"b14-jns111356","series-title":"J Hand Surg Am","first-page":"787","article-title":"Architecture of selected muscles of the arm and forearm: anatomy and implications for tendon transfer","volume":"17","author":"Lieber","year":"1992"},{"key":"b15-jns111356","series-title":"Br J Plast Surg","first-page":"149","article-title":"Selection of donor nerves\u2014an important factor in end-to-side neurorrhaphy","volume":"53","author":"Lutz","year":"2000"},{"key":"b16-jns111356","series-title":"Tech Hand Up Extrem Surg","first-page":"20","article-title":"Nerve transfers in the hand and upper extremity surgery","volume":"12","author":"Mackinnon","year":"2008"},{"key":"b17-jns111356","series-title":"Hand Clin","first-page":"643","article-title":"Nerve transfers. 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