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Wheeless' Textbook of Orthopaedics
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Martin Gruber Anastomosis



- Discussion:
    - motor nerve may cross over from the median to ulnar nerve in the forearm;
    - it occurs in two patterns:
    - from median nerve in proximal forearm to ulnar nerve in middle to distal third of forearm, & from AIN to ulnar nerve;
    - other anastomoses between median nerve & ulnar nerve includes:
          - motor branch of median nerve to superficial head of FPB & ulnar nerve to the deep head of the FPB;
          - anastomosis, of median nerve & ulnar motor branches thru first lumbrical or thru innervation of & adductor pollicis;
          - branch of median nerve to third lumbrical joining neural branch to this muscle from deep branch of ulnar nerve;
          - median nerve may also form anastomoses w/ branch of radial nerve in   vicinity of   apb & have radial nerve innervate this muscle;
          - first dorsal interosseous, adductor pollicis, or even abductor digiti minimi may be innervated by the median nerve;




Martin-Gruber anastomosis revisited.














Original Text by Clifford R. Wheeless, III, MD.