A TECHNIQUE FOR MAXIMIZING BICEPS RECOVERY IN BRACHIAL-PLEXUS RECONSTRUCTION

被引：130

作者：

BRANDT, KE ^{[1
]}

MACKINNON, SE ^{[1
]}

机构：

[1] WASHINGTON UNIV,SCH MED,DIV PLAST SURG,1 BARNES HOSP PLAZA 17424,ST LOUIS,MO 63110

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 04期

关键词：

D O I：

10.1016/0363-5023(93)90328-Z

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：

In 21 cadaver dissections the intramuscular anatomy of the musculocutaneous nerve and the relative relationship of the motor and sensory components of this nerve were evaluated. Nearly one half of the fibers entering the musculocutaneous nerve terminate in cutaneous receptors. We report five cases in which biceps reinnervation was performed by a surgical technique that minimizes the period of denervation by using motor nerves (medial pectoral nerves) very close to the biceps muscle. This technique also redirects the cutaneous portion (lateral antebrachial cutaneous nerve) of the musculocutaneous nerve into the biceps muscle to ensure that the motor fibers are not directed toward cutaneous receptors.

引用

页码：726 / 733

页数：8

共 17 条

[1]

Sedel, The results of surgical repair of brachial plexus injuries, J Bone Joint Surg, 64 B, pp. 54-65, (1982)

[2]

Mackinnon, Dellon, Surgery of the peripheral nerve, pp. 423-454, (1991)

[3]

Manktelow, McKee, Vettese, An anatomical study of the pectoralis major muscle as related to functional free muscle transfer, Plast Reconstr Surg, 65, pp. 610-615, (1980)

[4]

Yu-Dong, Min-Ming, Yi-Lu, Et al., Phrenic nerve transfer for brachial plexus motor neurotization, Microsurgery, 10, pp. 287-289, (1989)

[5]

Narakas, Hentz, Neurotization in brachial plexus injuries indication and results, Clin Orthop Relat Res, 237, pp. 43-56, (1988)

[6]

Leffert, Brachial plexus injuries, (1985)

[7]

McNamara, Garrett, Seaber, Goldner, Neurorrhaphy, nerve grafting and neurotization: a functional comparison of nerve reconstruction techniques, J Hand Surg, 12 A, pp. 354-360, (1987)

[8]

Brunelli, Monini, Direct muscular neurotization, J Hand Surg, 10 A, pp. 993-997, (1985)

[9]

Mackinnon, McLean, Hunter, Direct muscle neurotization recovers gastrocnemius muscle function, J Reconstr Microsurg, 9, pp. 77-80, (1993)

[10]

Kline, Judice, Operative management of selected brachial plexus lesions, J Neurosurg, 58, pp. 631-649, (1983)

← 1 2 →