Ulnar nerve innervation patterns and muscle fiber type composition of intrinsic hand muscles in mice

Authors

  • Chuxiang Chen Department of Hand Surgery, Huashan Hospital, National Health Commission Key Laboratory of Hand Reconstruction, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Institute of Hand Surgery, The National Clinical Research Center for Aging and Medicine, Department of Hand and Upper Extremity Surgery, Jing’an District Central Hospital, Fudan University, Shanghai, People’s Republic of China; Department of General Surgery, Fengxian District Central Hospital, Shanghai, People’s Republic of China
  • Mingjie Zhou Department of Hand Surgery, Huashan Hospital, National Health Commission Key Laboratory of Hand Reconstruction, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Institute of Hand Surgery, The National Clinical Research Center for Aging and Medicine, Department of Hand and Upper Extremity Surgery, Jing’an District Central Hospital, Fudan University, Shanghai, People’s Republic of China
  • Chenpei Xu Department of Hand Surgery, Huashan Hospital, National Health Commission Key Laboratory of Hand Reconstruction, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Institute of Hand Surgery, The National Clinical Research Center for Aging and Medicine, Department of Hand and Upper Extremity Surgery, Jing’an District Central Hospital, Fudan University, Shanghai, People’s Republic of China
  • Tingzheng Jiang Department of Hand Surgery, Huashan Hospital, National Health Commission Key Laboratory of Hand Reconstruction, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Institute of Hand Surgery, The National Clinical Research Center for Aging and Medicine, Department of Hand and Upper Extremity Surgery, Jing’an District Central Hospital, Fudan University, Shanghai, People’s Republic of China; Department of General Practice, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China
  • Qianru He Department of Pathology, Medical School of Nantong University, Nantong, People’s Republic of China
  • Guillaume Prunieres Hand Surgery, Clinic Saint Francois, Haguenau, France
  • Philippe Liverneaux Department of Hand Surgery, Strasbourg University Hospitals, FMTS, ICube CNRS UMR7357, Strasbourg University, Strasbourg, France
  • Su Jiang Department of Hand Surgery, Huashan Hospital, National Health Commission Key Laboratory of Hand Reconstruction, Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Institute of Hand Surgery, The National Clinical Research Center for Aging and Medicine, Department of Hand and Upper Extremity Surgery, Jing’an District Central Hospital, Fudan University, Shanghai, People’s Republic of China

DOI:

https://doi.org/10.2340/jphs.v61.45556

Keywords:

Peripheral nerve, ulnar nerve, intrinsic hand muscle, muscle fiber type, neuromuscular junction

Abstract

The motor function of the hand is crucial in daily life, with fine motor abilities relying on intrinsic hand muscles. Ulnar nerve injury causes atrophy of the intrinsic hand muscles it innervates, severely impacting patients’ daily activities. However, current understanding of the innervation patterns and muscle fiber composition of these muscles is limited, hindering the development of effective therapies for restoring hand function after such injuries. In this study, we investigated the anatomical basis of ulnar nerve innervation of the lumbrical and interosseous muscles in mice, a common neuromuscular research model. Our findings revealed that the ulnar nerve innervates the third and fourth lumbrical muscles and all interosseous muscles in mice. Six months after median nerve transection, motor endplate (MEP) areas in the ulnar-innervated fourth lumbrical muscle (152.200 ± 10.63 μm², n = 6) and dorsal interosseous muscles (e.g. third dorsal interosseous muscles: 171.100 ± 10.380 μm², n = 6) were preserved, whereas MEPs in the median-innervated first and second lumbricals were nearly abolished (e.g. LM1: 16.600 ± 1.126 μm², p < 0.001, n = 6).​ The third dorsal interosseous muscles predominantly consist of myosin heavy chain (MHC) -I (11.45% ± 1.92%, n = 6) and MHC-IIa (88.55% ± 1.92%, n = 6) fibers, whereas the lumbrical muscles mainly comprise MHC-IIa (31.67% ± 7.31%, n = 6) and MHC-IIb (64.44% ± 7.17%, n = 6) fibers. These results provide an essential anatomical and histological foundation for using mice to study the functional recovery of intrinsic hand muscles following ulnar nerve injury.

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Published

2026-03-16

How to Cite

Chen, C., Zhou, M., Xu, C., Jiang, T., He, Q., Prunieres, G., … Jiang, S. (2026). Ulnar nerve innervation patterns and muscle fiber type composition of intrinsic hand muscles in mice. Journal of Plastic Surgery and Hand Surgery, 61(1), 35–43. https://doi.org/10.2340/jphs.v61.45556

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Original Research Articles