Abstract：
OBJECTIVE: Sensory nerve transfers may be performed to restore protective sensation and tactile perception after peripheral nerve injury in the upper extremity. There is a paucity of literature on the available donor-recipient configurations for sensory nerve transfers. This article presents a systematic review of reported sensory nerve transfers in the upper extremity.
METHODS: Original articles published between 1982 and 2022 were searched in MEDLINE and EMBASE. Articles describing a sensory nerve transfer were included if patient sensory outcomes were reported. Outcomes were categorized according to the modified British Medical Research Council scale, with an outcome of S3 or better defined as satisfactory.
RESULTS: Of 1,049 articles, 39 met inclusion and quality criteria. Twenty-seven articles were primary research studies reporting on 197 patients who underwent 11 unique nondigital sensory donor nerve transfers and 24 unique digital donor nerve transfer procedures. The most reliable recipient nerve for restoring sensation to the ulnar border of the small finger was proper ulnar digital nerve of the small finger (38 patients, 89% satisfactory sensory outcome). The best available donors for transfer into the proper ulnar digital nerve of the small finger were proper ulnar digital nerve of the long finger (16 patients, 87.5% good sensory outcome) and palmar cutaneous branch of the median nerve (15 patients, 100% good sensory outcome). To restore sensation along the ulnar border of the thumb and radial aspect of the index finger, the best available donor was the superficial branch of the radial nerve, regardless of transfer into common digital nerve 1 (38 patients, success rate 63%) or directly to proper ulnar digital nerve of the thumb or proper radial digital nerve of the index finger (nine patients, success rates 67%).
CONCLUSIONS: Outcomes after sensory nerve transfers are generally good. Surgeons should transfer into a digital nerve recipient when attempting to reconstruct sensation.
METHODS: Therapeutic IV.
METHODS: Original articles published between 1982 and 2022 were searched in MEDLINE and EMBASE. Articles describing a sensory nerve transfer were included if patient sensory outcomes were reported. Outcomes were categorized according to the modified British Medical Research Council scale, with an outcome of S3 or better defined as satisfactory.
RESULTS: Of 1,049 articles, 39 met inclusion and quality criteria. Twenty-seven articles were primary research studies reporting on 197 patients who underwent 11 unique nondigital sensory donor nerve transfers and 24 unique digital donor nerve transfer procedures. The most reliable recipient nerve for restoring sensation to the ulnar border of the small finger was proper ulnar digital nerve of the small finger (38 patients, 89% satisfactory sensory outcome). The best available donors for transfer into the proper ulnar digital nerve of the small finger were proper ulnar digital nerve of the long finger (16 patients, 87.5% good sensory outcome) and palmar cutaneous branch of the median nerve (15 patients, 100% good sensory outcome). To restore sensation along the ulnar border of the thumb and radial aspect of the index finger, the best available donor was the superficial branch of the radial nerve, regardless of transfer into common digital nerve 1 (38 patients, success rate 63%) or directly to proper ulnar digital nerve of the thumb or proper radial digital nerve of the index finger (nine patients, success rates 67%).
CONCLUSIONS: Outcomes after sensory nerve transfers are generally good. Surgeons should transfer into a digital nerve recipient when attempting to reconstruct sensation.
METHODS: Therapeutic IV.
摘要：
目的：可以在上肢周围神经损伤后进行感觉神经转移以恢复保护性感觉和触觉感觉。关于感觉神经转移的可用供体-受体配置的文献很少。本文对已报道的上肢感觉神经转移进行了系统综述。
方法：在MEDLINE和EMBASE中搜索了1982年至2022年之间发表的原始文章。如果报告了患者的感觉结果，则包括描述感觉神经转移的文章。结果根据修改后的英国医学研究委员会量表进行分类，结果为S3或更好地定义为令人满意。
结果：在1,049篇文章中，39符合纳入和质量标准。27篇文章是主要研究研究，报告了197例接受11种独特的非数字感觉供体神经转移和24种独特的数字供体神经转移程序的患者。恢复小指尺骨缘感觉的最可靠的受体神经是小指尺骨正指神经（38例，89%满意的感官结果)。转移到小指适当的尺指神经的最佳供体是长指适当的尺指神经（16例患者，87.5%良好的感觉结果)和正中神经掌皮支(15例,100%良好的感官结果)。为了恢复拇指尺骨边界和食指放射状的感觉，最好的供体是桡神经的浅支，无论转移到共同指神经1(38例患者，成功率63%)或直接指向拇指的尺骨指神经或食指的桡骨指神经(9名患者，成功率67%)。
结论：感觉神经转移后的结果通常良好。试图重建感觉时，外科医生应转移到数字神经接受者。
方法：治疗IV。
方法：在MEDLINE和EMBASE中搜索了1982年至2022年之间发表的原始文章。如果报告了患者的感觉结果，则包括描述感觉神经转移的文章。结果根据修改后的英国医学研究委员会量表进行分类，结果为S3或更好地定义为令人满意。
结果：在1,049篇文章中，39符合纳入和质量标准。27篇文章是主要研究研究，报告了197例接受11种独特的非数字感觉供体神经转移和24种独特的数字供体神经转移程序的患者。恢复小指尺骨缘感觉的最可靠的受体神经是小指尺骨正指神经（38例，89%满意的感官结果)。转移到小指适当的尺指神经的最佳供体是长指适当的尺指神经（16例患者，87.5%良好的感觉结果)和正中神经掌皮支(15例,100%良好的感官结果)。为了恢复拇指尺骨边界和食指放射状的感觉，最好的供体是桡神经的浅支，无论转移到共同指神经1(38例患者，成功率63%)或直接指向拇指的尺骨指神经或食指的桡骨指神经(9名患者，成功率67%)。
结论：感觉神经转移后的结果通常良好。试图重建感觉时，外科医生应转移到数字神经接受者。
方法：治疗IV。
