Please use this identifier to cite or link to this item: https://doi.org/10.1142/S2424835520720121
Title: Functional Restoration Following Resection of Malignant Peripheral Nerve Sheath Tumour of the Median Nerve: A Case Report
Authors: Chan CM
LIM YU TANG,AYMERIC 
MARK EDWARD PUHAINDRAN 
Keywords: Malignant peripheral nerve sheath tumour
Median nerve
Nerve transfer
Tendon transfer
Issue Date: 1-Sep-2020
Publisher: World Scientific Pub Co Pte Lt
Citation: Chan CM, LIM YU TANG,AYMERIC, MARK EDWARD PUHAINDRAN (2020-09-01). Functional Restoration Following Resection of Malignant Peripheral Nerve Sheath Tumour of the Median Nerve: A Case Report. The journal of hand surgery Asian-Pacific volume 25 (3) : 373-377. ScholarBank@NUS Repository. https://doi.org/10.1142/S2424835520720121
Abstract: Management of malignant peripheral nerve sheath tumours (MPNSTs) is primarily surgical, involving surgical resection with wide margins, and frequently radiation therapy. When a MPNST involves a major peripheral nerve, wide resection leads to significant distal neurologic deficits. A patient who underwent resection of a MPNST involving the median nerve above the elbow is presented. Staged tendon and nerve transfers were performed to restore sensation to the thumb and index finger, thumb opposition and flexion, finger flexion and forearm pronation. These included: 1. radial sensory nerve branches to digital nerves of thumb and index finger, 2. ulnar nerve branch of flexor carpi ulnaris to pronator teres, 3. brachioradialis to flexor pollicis longus, 4. side-to-side transfer of flexor digitorum profundus tendon of index finger to middle, ring and little fingers, 5. extensor indicis proprius to abductor pollicis brevis. The rationale, approach, and favourable results of functional reconstruction in this patient are detailed.
Source Title: The journal of hand surgery Asian-Pacific volume
URI: https://scholarbank.nus.edu.sg/handle/10635/185424
ISSN: 2424-8355
2424-8363
DOI: 10.1142/S2424835520720121
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