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Exploring Outcomes and Mediating Factors Following Supercharged End-To-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer: A Scoping Review With Expert Insight Publisher



Jiravichitchai T1, 2, 3 ; Farzad M2, 3, 4 ; Macdermid JC2, 3 ; Parikh P2 ; Pripotnev S3 ; Mackinnon SE5 ; Kachooei AR6 ; Farhoud AR7 ; Kamrani RS8
Authors
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Authors Affiliations
  1. 1. Department of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  2. 2. Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
  3. 3. Roth McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, London, ON, Canada
  4. 4. Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5. Professor of Plastic and Reconstructive Surgery, Washington University School of Medicine, Division of Plastic and Reconstructive Surgery, United States
  6. 6. Rothman Orthopaedic Institute, United States
  7. 7. Assistant Professor, Department of Orthopedic Surgery, Tehran University of Medical Sciences, Iran
  8. 8. Department of Orthopedic Surgery, Tehran University of Medical Sciences, Iran

Source: Journal of Hand Surgery Global Online Published:2024


Abstract

Purpose: This scoping review with expert insight aims to map outcome measures following supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer procedures, integrating clinical, patient-reported, and electrodiagnostic measures. It also explores surgical rationale and recovery trajectories, aiming to standardize methodologies and enhance patient care in nerve transfer surgeries. Methods: Our search encompassed multiple online databases, including MEDLINE, Embase, PubMed, and Google Scholar, ensuring rigor and comprehensiveness in identifying relevant literature. Results: Through scrutiny of 17 studies involving 300 patients from 300 articles, along with expert consultations on supercharged end-to-side nerve transfer for ulnar nerve entrapment, promising outcomes emerge, particularly in cubital tunnel syndrome. Primary measures such as Medical Research Council scale assessments and Disabilities of the Arm, Shoulder, and Hand scores demonstrate notable postsurgery improvements, with minor complications noted. Factors influencing recovery include preoperative dysfunction duration and surgical technique. Surgery indications prioritize high ulnar nerve injuries and severe cubital tunnel syndrome. Conclusions: The review highlights the importance of standardized outcome measures, early intervention, and comprehensive rehabilitation for optimizing supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer outcomes. Type of study/level of evidence: Therapeutic IIIa. © 2024