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ST Lesson of the Day: "The Million Dollar Nerve"

Posted by James Bond (aka Igor) (aka Igor) May 13 '10, 19:22

With your hand and fingers relaxed (fingers slightly flexed and palm slightly cupped), flex your
middle or ring finger until it touches the palm. The recurrent branch of the median nerve is directly
under the skin at this point, which means a hand laceration in this area is at risk of cutting this
important nerve. It is called the "million dollar nerve" because of law suits against doctors who
sewed up the skin without checking to see if the nerve was also severed. The cut ends of a severed
nerve can be sutured together, providing a pathway for regenerating axons to reach the muscle of
the thenar compartment.

Responses:

the hand is truly the sexiest piece of anatomy. -- nm - loosilu May 13, 19:31 5
- There is a ton of things happening in the hand. The carpal tunnel is pretty cool. -- nm - James Bond (aka Igor) May 13, 19:34 3
  - yes, it is amazing. My personal favorite, however, are the fingers. The tendons, the ligaments. Have you run across Cleland's and Grayson's ligaments - loosilu May 13, 19:39 2
    - Those names don't sound familiar. We mostly use anatomical names, so we might have covered them .. don't know. -- nm - James Bond (aka Igor) May 13, 19:44 1
      - that's good, actually. - loosilu May 13, 19:53
- I know. -- nm - Dano May 13, 19:32
hah, i cut that nerve when i was 16 on the ulnar side. never did regenerate - sherlock homie May 13, 19:25 7
- how did you do that? -- nm - loosilu May 13, 19:31 2
  - put it through a glass window -- nm - sherlock homie May 13, 19:33 1
    - oh yes, the young man's injury. that and punching a wall. :) -- nm - loosilu May 13, 19:41
- Is sensation and movement all normal there? -- nm - James Bond (aka Igor) May 13, 19:28 3
  - all sensation on that side of the finger and i lost maybe a few percent movement - sherlock homie May 13, 19:31 2
    - I see. If it is on the ulnar side then it is a different nerve. There are so many nerves in that small region. :/ -- nm - James Bond (aka Igor) May 13, 19:33 1
      - I effed up my ulnar nerve. It was weird. Couldn't uncurl the last two fingers. - loosilu May 13, 19:42

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ST Lesson of the Day: "The Million Dollar Nerve"

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