High Median Nerve Injuries

Hand Clin. 2016 Aug;32(3):339-48. doi: 10.1016/j.hcl.2016.03.004. Epub 2016 May 2.


The median nerve serves a crucial role in extrinsic and intrinsic motor and sensory function to the radial half of the hand. High median nerve injuries, defined as injuries proximal to the anterior interosseous nerve origin, therefore typically result in significant functional loss prompting aggressive surgical management. Even with appropriate recognition and contemporary nerve reconstruction, however, motor and sensory recovery may be inadequate. With isolated persistent high median nerve palsies, a variety of available tendon transfers can improve key motor functions and salvage acceptable use of the hand.

Keywords: High median nerve palsy; Nerve injuries; Tendon transfers.

Publication types

  • Review

MeSH terms

  • Forearm / innervation
  • Hand / physiology
  • Humans
  • Median Nerve / injuries*
  • Median Nerve / physiology
  • Median Neuropathy / surgery*
  • Medical Illustration
  • Photography
  • Recovery of Function
  • Sensation
  • Tendon Transfer*