Digital neural loops: classification and implications of variation in hand surgery

Vachara Niumsawatt, Warren Rozen

Research output: Contribution to journalArticleOtherpeer-review

1 Citation (Scopus)

Abstract

Background The neural loop describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. Methods We describe a case in which a distal neural loop was identified, with the ulnar proper palmar digital nerve (PPDN) to the long finger split, and reconstituted around the radial proper palmar digital artery (PPDA) to the ring finger. This variation was explored within the previously reported classification systems for such neural loops in the literature. Results Previously reported neural loops have been localized to the palm, without report of formation of a neural loop by the penetration of a PPDA. A new classification of neural loops is presented in this context on the basis of anatomical location. Conclusion This new model, of separating neural loop position into anatomical levels, provides more information to the hand surgeon when dissecting and raising vascular pedicles for flaps reconstruction
Original languageEnglish
Pages (from-to)21 - 24
Number of pages4
JournalJournal of Reconstructive Microsurgery
Volume30
Issue number1
DOIs
Publication statusPublished - 2014

Cite this

@article{fceda6ec189347158b1b7f691ad45d4b,
title = "Digital neural loops: classification and implications of variation in hand surgery",
abstract = "Background The neural loop describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. Methods We describe a case in which a distal neural loop was identified, with the ulnar proper palmar digital nerve (PPDN) to the long finger split, and reconstituted around the radial proper palmar digital artery (PPDA) to the ring finger. This variation was explored within the previously reported classification systems for such neural loops in the literature. Results Previously reported neural loops have been localized to the palm, without report of formation of a neural loop by the penetration of a PPDA. A new classification of neural loops is presented in this context on the basis of anatomical location. Conclusion This new model, of separating neural loop position into anatomical levels, provides more information to the hand surgeon when dissecting and raising vascular pedicles for flaps reconstruction",
author = "Vachara Niumsawatt and Warren Rozen",
year = "2014",
doi = "10.1055/s-0033-1348899",
language = "English",
volume = "30",
pages = "21 -- 24",
journal = "Journal of Reconstructive Microsurgery",
issn = "0743-684X",
publisher = "Thieme Publishing",
number = "1",

}

Digital neural loops: classification and implications of variation in hand surgery. / Niumsawatt, Vachara; Rozen, Warren.

In: Journal of Reconstructive Microsurgery, Vol. 30, No. 1, 2014, p. 21 - 24.

Research output: Contribution to journalArticleOtherpeer-review

TY - JOUR

T1 - Digital neural loops: classification and implications of variation in hand surgery

AU - Niumsawatt, Vachara

AU - Rozen, Warren

PY - 2014

Y1 - 2014

N2 - Background The neural loop describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. Methods We describe a case in which a distal neural loop was identified, with the ulnar proper palmar digital nerve (PPDN) to the long finger split, and reconstituted around the radial proper palmar digital artery (PPDA) to the ring finger. This variation was explored within the previously reported classification systems for such neural loops in the literature. Results Previously reported neural loops have been localized to the palm, without report of formation of a neural loop by the penetration of a PPDA. A new classification of neural loops is presented in this context on the basis of anatomical location. Conclusion This new model, of separating neural loop position into anatomical levels, provides more information to the hand surgeon when dissecting and raising vascular pedicles for flaps reconstruction

AB - Background The neural loop describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. Methods We describe a case in which a distal neural loop was identified, with the ulnar proper palmar digital nerve (PPDN) to the long finger split, and reconstituted around the radial proper palmar digital artery (PPDA) to the ring finger. This variation was explored within the previously reported classification systems for such neural loops in the literature. Results Previously reported neural loops have been localized to the palm, without report of formation of a neural loop by the penetration of a PPDA. A new classification of neural loops is presented in this context on the basis of anatomical location. Conclusion This new model, of separating neural loop position into anatomical levels, provides more information to the hand surgeon when dissecting and raising vascular pedicles for flaps reconstruction

UR - http://www.ncbi.nlm.nih.gov/pubmed/23784790

U2 - 10.1055/s-0033-1348899

DO - 10.1055/s-0033-1348899

M3 - Article

VL - 30

SP - 21

EP - 24

JO - Journal of Reconstructive Microsurgery

JF - Journal of Reconstructive Microsurgery

SN - 0743-684X

IS - 1

ER -