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The median nerve serves a crucial role in extrinsic and intrinsic motor and sensory function to the the hand. Median nerve palsy is often caused by deep, penetrating injuries to the arm, forearm, or wrist. It may also occur from blunt force trauma or neuropathy. 

Even with appropriate recognition and contemporary nerve reconstruction, 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.

View the video below on Prof Michael Solomon’s High Median Nerve Palsy.
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