Evidence map›Paper›PMID 39033290›Full record

ArticleBMC musculoskeletal disorders2024

Supercharged end-to-side anterior interosseous nerve transfer to restore intrinsic function in high ulnar nerve injury: a prospective cohort study.

Mina Abaskhron, Mostafa Ezzat, Andrew Gamal Boulis, Yasser El Safoury

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mina AbaskhronDepartment of Orthopaedic and Traumatology, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt. minaessmat40732@cu.edu.eg.ORCID http://orcid.org/0000-0002-2434-6087
Mostafa EzzatDepartment of Orthopaedic and Traumatology, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0003-0429-298X
Andrew Gamal BoulisDepartment of Orthopaedic and Traumatology, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0001-9557-8160
Yasser El SafouryDepartment of Orthopaedic and Traumatology, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-3937-0418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh ulnar nerve injuries is known to have unfavorable motor outcomes compared to other peripheral nerve injuries in the upper extremity. Functional muscle recovery after peripheral nerve injury depends on the time to motor end plate reinnervation and the number of motor axons that successfully reach the target muscle. The purpose of this study is to assess the functional recovery, and complications following performing supercharge end-to-side (SETS) anastomosis for proximal ulnar nerve injuries. Our study focuses on the role of SETS in the recovery process of high ulnar nerve injury. PATIENT AND

methodsThis study is a prospective, single-arm, open-label, case series. The original proximal nerve pathology was dealt with according to the cause of injury, then SETS was performed distally. The follow-up period was 18 months. We compared the neurological findings before and after the procedure. A new test was used to show the effect of SETS on recovery by performing a Lidocaine proximal ulnar nerve block test.

resultsRecovery of the motor function of the ulnar nerve was evident in 33 (86.8%) patients. The mean time to intrinsic muscle recovery was 6.85 months ± 1.3, only 11.14% of patients restored protective sensation to the palm and finger and 86.8% showed sensory level at the wrist level at the end of the follow-up period. Lidocaine block test was performed on 35 recovered patients and showed no change in intrinsic hand function in 31 patients.

conclusionSETS exhibit a remarkable role in the treatment of high ulnar nerve damage. SETS transfer can act as a nerve transfer that can supply intrinsic muscles by its fibers and allows for proximal nerve regeneration. We believe that this technique improves recovery of hand motor function and allows recovery of sensory fibers when combined with treating the proximal lesion.

trial registrationApproved by Research Ethics Committee of Faculty of Medicine- Cairo University on 01/09/2021 with code number: MD-215-2021.

Indexed as

Nerve TransferRecovery of FunctionUlnar NerveAdolescentAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedNerve RegenerationPeripheral Nerve InjuriesProspective StudiesTreatment OutcomeYoung AdultAnterior interosseous nerve (AIN)Nerve transferPeripheral nerve injurySuperchargeUlnar nerve

Identifiers

PMID39033290
PMCPMC11264796

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.