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《Acta Academiae Medicinae Neimongol》 2003-03
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ANATOMICAL BASIS OF NERVE IN REPLANTATION OF AMPUTATED PALM

WANG Jing\|sheng, SHAO Bin (Department of Orthopaedics, Huimin Binzhou Central Hospital, Huimin 251700 China)  
Objective: To provide anatomic data for the repair of nerve in replantation of amputated palm. Methods: Dissecting 30 adult hands, all main nerve branches in both superficial and deep layers of volar side of palm were dissected. The coordinate was set up with the distal transverse carpal crease being abscissa and the mid\|palm linea ordinate. The values of coordinate of both origin and end point of every nerve branch in palm were measured. The projection of every nerve branch was located according to the values of coordinate after 64 little squares demarcated in the palmar area. Different types of amputated palm were simulated to define the nerves that should be repaired. Results: The recurrent branch and the bifurcation of median nerve and the thenar section of the deep branch of ulnar nerve lie in the squares of R 1T 3\, R 1T 4\, R 2T 2\, R 2T 3 and R 2T 4. These five squares are very important for repair of nerve in replantation of amputated palm for there being so many nerve branches. The deep branch of ulnar nerve goes through the squares of U 2T 1\, U 2T 2 and U 1T 3. It must be repaired carefully if the amputation line pass through these squares. Conclusion: With this method the injury of nerve in replantation of amputated palm and other palmar injury can be predicted exactly. According to the prediction the injured nerves can be repaired purposely.\;
【CateGory Index】: R658.1
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