Transfer of Supinator Motor Branches to the Posterior Interosseous Nerve to Reconstruct Thumb and Finger Extension in Tetraplegia: Case Report

被引:85
作者
Bertelli, Jayme A.
Tacca, Cristiano P.
Ghizoni, Marcos F.
Kechele, Paulo Roberto
Santos, Marcos Antonio
机构
[1] Univ S Santa Catarina Unisul, Ctr Biol & Hlth Sci, Tubarao, SC, Brazil
[2] Governador Celso Ramos Hosp, Dept Orthoped Surg, Florianopolis, SC, Brazil
[3] Univ Fed Santa Catarina, Dept Operat Tech, Florianopolis, SC, Brazil
[4] Homero Miranda Gomes Hosp, Dept Orthoped Surg, Sao Jose, SC, Brazil
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2010年 / 35A卷 / 10期
关键词
Nerve transfer; neurotization; supinator muscle; spinal cord injury; tetraplegia; SURGICAL RECONSTRUCTION;
D O I
10.1016/j.jhsa.2010.07.012
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 treated a patient with tetraplegia who had paralysis of thumb and finger extension by transferring supinator motor branches to the posterior interosseous nerve. Surgery was performed bilaterally, 7 months after a spinal cord injury. Six months after surgery, with the wrist in neutral, extension of the thumb and finger were almost full, bilaterally. In tetraplegic patients with strong wrist extensors, supinator motor branch transfer is a promising new alternative for the reconstruction of thumb and finger extension. (J Hand Surg 2010;35A:1647-1651. Copyright (C) 2010 by the American Society for Surgery of the Hand. All rights reserved.)
引用
收藏
页码:1647 / 1651
页数:5
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