Cephalic vein wrapping flap (CVWF) in superficial branch radial nerve injuries

Superficial Branch of the Radial Nerve (SBRN) is one of the most vulnerable nervous structures in wrist injuries. That is due to its superficial anatomical position: the radial nerve at the wrist is protected only by a thin layer of soft tissue. The incidence of peripheral nerve injuries among the trauma population is 2 to 2.8%[1, 2], they occur mainly in young men and in the most productive age group [1, 3-5] becoming a social and economic issue [6]. More commonly nerve injuries are reported in the upper limbs with the most affected being digital, ulnar and radial nerves [1, 3, 5, 7]. In the series of Noble et al.[1] radial nerve is the most frequently involved; the main etiological factors are motor vehicle accidents and lacerations with sharp objects. Kouyoumdjian, in his retrospective survey, analyzed the recurrence of SBRN injury mechanisms: penetrating trauma (glass wounds and knife), falls, vehicle accidents (car or motorcycle), and gun-shot wounds [5].