Skip to main content
Log in

Ulnar nerve injury with martin-gruber anastomosis

  • Case Reports
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Summary

A patient with a traumatic ulnar nerve interruption at the level of the elbow is presented; the motor function of the hand remained intact. Electromyographic studies demonstrated a functional median-to-ulnar motor nerve anastomosis in the forearm. The literature on this aberration of innervation is reviewed, and problems of diagnosis and the treatment are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 1.Bourrel P (1974) Sections nerveuses traumatiques sans payalysie motrice de la main. Ann Chir 28:831–4

    Google Scholar 

  2. Gutmann L (1977) Median-ulnar nerve communications and carpal tunnel syndrome. J Neurol Neurosurg Psychiatr 40:982–86

    Google Scholar 

  3. Harness D, Sekeles E (1971) The double anastomotic innervation of thenar muscles. J Anat 109:461–466

    Google Scholar 

  4. Kimura J, Murphy MJ, Varda DJ (1976) Electrophysiological study of anomalous innervation of intrinsic hand muscles. Arch Neurol (Chicago) 33:842–46

    Google Scholar 

  5. Kimura I, Ayyar DR (1984) The hand neural communication between the ulnar and median nerves: electrophysiological detection. Electromyogr Clin Neurophysiol 24:40914

    Google Scholar 

  6. Mannerfelt L (1966) Studies on the hand in u1nar nerve paralysis — A clinical experimental investigation in normal and anomalous innervation. Acta Orthop Scand 87:1–23

    Google Scholar 

  7. Marinacci AA (1966) Electromyography in diagnosis of polymyositis. Bull Los Angeles Neurol Soc 30:191–200

    Google Scholar 

  8. Murphey F, Kirklin JW, Finlayson AI (1946) Anomalous innervation of the intrinsic muscles of the hand. Surg Gynecol Obstet 83:15–23

    Google Scholar 

  9. Rowntree T (1981) Anomalous innervation of the hand muscles. J Bone Joint Surg 31B:505–510

    Google Scholar 

  10. Srinivasan R, Rhodes J (1981) The median ulnar anastomosis (Martin-Gruber) in normal and congenitally abnormal fetuses. Arch Neurol 38:418–9

    Google Scholar 

  11. Wilbourn AJ, Lambert E (1976) The forearm median-toulnar communication: electrodiagnostic aspects. Neurology (Minneapolis) 26:368

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Duinslaeger, L., DeBacker, A., Ceulemans, L. et al. Ulnar nerve injury with martin-gruber anastomosis. Eur J Plast Surg 10, 37–39 (1987). https://doi.org/10.1007/BF00295651

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00295651

Key words

Navigation