Muscle Sense, or Nonsense?
- 1 May 1991
- journal article
- review article
- Published by Wolters Kluwer Health in Annals of Plastic Surgery
- Vol. 26 (5) , 444-448
- https://doi.org/10.1097/00000637-199105000-00006
Abstract
The hypothesis presented is that a muscle, transferred to a new area for purposes of recontouring or soft-tissue coverage, may be used also to provide sensibility. I hypothesize that the muscle's sensory end-organs, the muscle spindles, can be reinnervated by regenerating sensory afferent fibers from an adjacent cutaneous nerve. The muscle spindle's neural impulses, which normally pass to a subconscious level, would instead pass to the postcentral gyrus and reach conscious perception. A mechanism exists, therefore, by adding a sural or calcaneal nerve repair to the motor nerve of a muscle flap, transferred, for example, to the foot, to restore sensibility through microneurovascular transfer of a classic motor end-organ.Keywords
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