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The Spaghetti Wrist

Simultaneous laceration of the median and ulnar nerves with flexor tendons at the wrist

From the Hand Unit, Groote Schuur Hospital and University of Cape Town, South Africa

Correspondence: D. A. Hudson, The Hand Unit, Groote Schuur Hospital and University of Cape Town, South Africa.

The outcome of 15 patients who sustained simultaneous laceration of the median and ulnar nerves with flexor tendons at the wrist is described. Primary nerve repair yielded satisfactory results, the median nerve achieving a better outcome than the ulnar nerve. Most patients regained a functional range of wrist movement. Flexor tendons yielded the poorest results. A functional, albeit impaired outcome can usually be anticipated following this severe injury.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 2, 171-173 (1993)
DOI: 10.1016/0266-7681(93)90098-Z


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