Transfer of Nerve Branch to the Brachialis to Reconstruct Elbow Extension in Incomplete Tetraplegia: Case Report

被引：29

作者：

Bertelli, Jayme Augusto ^{[1
]}

Ghizoni, Marcos Flavio ^{[1
]}

机构：

[1] Univ S Santa Catarina Unisul, Dept Neurosurg, Ctr Biol & Hlth Sci, Tubarao, SC, Brazil

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2012年 / 37A卷 / 10期

关键词：

Brachialis nerve; central cord syndrome; elbow extension; nerve transfer; tetraplegia; CENTRAL CORD SYNDROME; PLEXUS PALSY; MUSCLE TRANSFER; RECOVERY; MOTOR;

D O I：

10.1016/j.jhsa.2012.07.010

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：

100224 [整形外科学];

摘要：

We undertook a brachialis to triceps nerve transfer to restore elbow extension in a 53-year-old man 5 months after he sustained a spine injury that resulted in a central cord syndrome. Within 3 months of surgery, the patient had recovered active elbow extension and had M3 level strength, which increased to M4 and 5 kg of strength by 12 months postoperatively. Despite transferring an antagonist nerve for triceps reinnervation, the patient had no problems controlling active elbow flexion-extension. Harvesting the brachialis nerve caused no permanent decrease in elbow flexion strength. (J Hand Surg 2012;37A:1990-1993. Copyright (C) 2012 by the American Society for Surgery of the Hand. All rights reserved.)

引用

页码：1990 / 1993

页数：4

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