High Median Nerve Injury

Losses

  pronation of forearm

  flexion - IF, LF (Long Finger ) , thumb flexion

  opposition of thumb

  sensation over median nerve



Treatment


IF , LF -

     side to side anastomosis

          FDP 4th and 5 th finger

    or ECRL to FDP 2nd and 3rd finger



Thumb Flexion

       Brachioradialis

Opposition

       EIP

Sensation

       Neurovascular Island flap