INTERCOSTAL NERVE CROSSING TO RESTORE ELBOW FLEXION AND SENSIBILITY OF THE HAND FOR A ROOT AVULSION TYPE OF BRACHIAL-PLEXUS INJURY

被引:40
作者
OGINO, T [1 ]
NAITO, T [1 ]
机构
[1] SAPPORO MED UNIV,SCH MED,DEPT PHYS THERAPY,SAPPORO,HOKKAIDO 060,JAPAN
关键词
D O I
10.1002/micr.1920160812
中图分类号
R61 [外科手术学];
学科分类号
摘要
Ten patients with a root avulsion type of brachial plexus injury were treated with simultaneous intercostal nerve crossing to the musculocutaneous and median nerves, and nine cases were followed for more than 40 months, The average interval from injury to surgery was 2.7 months, The average age at operation was 18.6 years, The elbow flexor was M4 in six patients, M3 in two patients, and M1 in one patient. The wrist flexor was more than M3 in six patients and less than M2 in four patients, The finger flexor was more than M3 in four patients and less than M2 in five patients. Protective sensation in the areas innervated by the musculocutaneous and median nerves was restored in all cases. (C) 1995 Wiley-Liss, Inc.
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收藏
页码:571 / 577
页数:7
相关论文
共 12 条
[1]  
Narakas A, Hents V, Neurotization in brachial plexus injuries, indication and results, Clin Orthop, 237, pp. 43-56, (1988)
[2]  
Doi K, Sakai K, Kuwata N, Ihara K, Kawai S, Reconstruction of finger and elbow function after complete avulsion of the brachial plexus palsy, J Hand Surg, 16 A, pp. 796-803, (1991)
[3]  
Nakatuchi Y, Saitou S, Sugiura K, Sugimoto Y, Yagi R, Study on brachial plexus palsy‐multiple nerve transfers for the cases with multiple root avulsions, J Jpn Soc Surg Hand, 2, pp. 631-635, (1985)
[4]  
Takahashi M, Ueno M, Nishiura Y, Nakamura K, Uchinishi K, Experience of intercostal nerve cross‐anastomosis to the musculocutaneous and median nerves on the root avulsion type of brachial plexus injury, Seikeigeka, 42, pp. 499-505, (1991)
[5]  
Omer GE, Report of the Committee for Evaluation of the Clinical Result in Peripheral Nerve Injury, J Hand Surg, 8, pp. 754-759, (1983)
[6]  
Nagano A, Tsuyama N, Ochiai N, Hara T, Takahashi M, Direct nerve crossing with the intercostal nerve to treat avulsion injuries of the brachial plexus, J Hand Surg, 14 A, pp. 980-985, (1989)
[7]  
Krakauer JD, Wood MB, Intercostal nerve transfer for brachial plexopathy, J Hand Surg, 19 A, pp. 829-835, (1994)
[8]  
Gu Y-D, Zhang G-M, Chen D-S, Yan J-G, Cheng X-M, Seventh cervical nerve root transfer from the contralateral healthy side for treatment of brachial plexus root avulsion, J Hand Surg, 17 B, pp. 518-521, (1992)
[9]  
Chuang DC-C, Wei F-C, Noordhoff MS, Cross‐chest C7 nerve grafting followed by free muscle transplantations for the treatment of total avulsed brachial plexus injuries: A preliminary report, Plast Reconstr Surg, 92, pp. 717-725, (1993)
[10]  
Chuang DC-C, Yeh M-C, Wei F-C, Intercostal nerve transfer of the musculocutaneous nerve in avulsed brachial plexus injuries: Evaluation of 66 patients, J Hand Surg, 17 A, pp. 822-828, (1992)