PERCUTANEOUS PHENOL BLOCK OF THE MUSCULOCUTANEOUS NERVE TO CONTROL ELBOW FLEXOR SPASTICITY

被引：30

作者：

KEENAN, MAE

TOMAS, ES

STONE, L

GERSTEN, LM

机构：

[1] Adult Brain Injury Service, Rancho Los Amigos Medical Center, Downey, CA

[2] Department of Orthopaedic Surgery, University of Southern California School of Medicine, Los Angeles, CA

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 02期

关键词：

D O I：

10.1016/0363-5023(90)90120-G

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twenty-three extremities in 17 brain-injured adults were prospectively studied to evaluate the effectiveness of percutaneous phenol blocks of the musculocutaneous nerve in controlling spasticity of the biceps and brachialis muscles. Twenty-one (93%) of the extremities improved after the initial injection. The mean resting position decreased from 120 degrees of flexion to 69 degress. Elbow range of motion increased an average of 53 degrees. There were no complications. Two patients did not respond to the initial injection and required repeat nerve blocks. Concomitant phenol motor point block of the brachioradialis muscle further improved elbow motion. The mean duration of the block was 5 months. Follow-up averaged 21 months. This study indicates that percutaneous phenol injection of the musculocutaneous nerve provides reliable, temporary relief of spasticity in patients with potential for further neurologic improvement. © 1990.

引用

页码：340 / 346

页数：7

共 29 条

[1]

Anderson, McLaurin, The national head and spinal cord injury survey, Journal of Neurosurgery, 53, pp. S1-S43, (1980)

[2]

Botte, Keenan, Reconstructive surgery of the upper extremity in the patient with head trauma, J Head Trauma Rehabil, 2, 2, pp. 34-45, (1987)

[3]

Botte, Keenan, Korchek, Waters, Modified technique for the superficialis-to-profundus transfer in the treatment of adults with spastic clenched fist deformity, J Hand Surg, 12 A, pp. 639-640, (1987)

[4]

Felsenthal, Pharmacology of phenol in peripheral nerve blocks: a review, Arch Phys Med Rehabil, 55, pp. 13-16, (1974)

[5]

Heiden, Small, Caton, Weiss, Kurze, Severe head injury and outcome: a prospective study, Neural trauma, pp. 181-193, (1979)

[6]

Keenan, The orthopaedic management of spasticity, J Head Trauma Rehabil, 2, 2, pp. 62-71, (1987)

[7]

Keenan, Todderud, Henderson, Botte, Management of intrinsic spasticity in the hand with phenol injection or neurectomy of the motor branch of the ulnar nerve, J Hand Surg, 12 A, pp. 734-739, (1987)

[8]

Keenan, Botte, Technique of percutaneous phenol block of the recurrent motor branch of the median nerve, J Hand Surg, 12 A, pp. 806-807, (1987)

[9]

Keenan, Korchek, Botte, Garland, Results of transfer of the flexor digitorum superficialis tendons to flexor digitorum profundus tendons in adults with acquired spasticity of the hand, J Bone Joint Surg, 69 A, pp. 1127-1132, (1987)

[10]

Keenan, Haider, Stone, Electromyographic assessment of hand placement in brain-injured adults, Arch Phys Med Rehabil, 69, (1988)

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