Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury
To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to r...
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Veröffentlicht in: | Acta ortopedica brasileira 2012-12, Vol.20 (6), p.317-323 |
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creator | Rezende, Marcelo Rosa De Rabelo, Neylor Teofilo Araújo Silveira, Clóvis Castanho Petersen, Pedro Araújo Paula, Emygdio José Leomil De Mattar, Rames |
description | To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury.
19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months.
Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC |
doi_str_mv | 10.1590/S1413-78522012000600001 |
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19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months.
Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function.
The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term.
IV, Case Series.</description><identifier>ISSN: 1413-7852</identifier><identifier>EISSN: 1809-4406</identifier><identifier>DOI: 10.1590/S1413-78522012000600001</identifier><identifier>PMID: 24453624</identifier><language>eng</language><publisher>Brazil: Brazilian Society of Orthopedics and Traumatology</publisher><subject>Original</subject><ispartof>Acta ortopedica brasileira, 2012-12, Vol.20 (6), p.317-323</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3861952/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3861952/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24453624$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rezende, Marcelo Rosa De</creatorcontrib><creatorcontrib>Rabelo, Neylor Teofilo Araújo</creatorcontrib><creatorcontrib>Silveira, Clóvis Castanho</creatorcontrib><creatorcontrib>Petersen, Pedro Araújo</creatorcontrib><creatorcontrib>Paula, Emygdio José Leomil De</creatorcontrib><creatorcontrib>Mattar, Rames</creatorcontrib><title>Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury</title><title>Acta ortopedica brasileira</title><addtitle>Acta Ortop Bras</addtitle><description>To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury.
19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months.
Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function.
The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term.
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19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injury and surgery was 7.5 months. Four patients had cervical fractures associated with brachial plexus injury. The postoperative follow-up was 15.7 months.
Eight patients recovered elbow flexion strength MRC grade 4; two, MRC grade 3 and nine, MRC <3. There was no impairment of the previous ulnar nerve function.
The surgical results of ulnar nerve neurotization at the motor branch of brachii biceps muscle are dependent on the interval between brachial plexus injury and surgical treatment, the presence of associated fractures of the cervical spine and occipital condyle, residual function of the C8-T1 roots after the injury and the involvement of the C7 root. Signs of reinnervation manifested up to 3 months after surgery showed better results in the long term.
IV, Case Series.</abstract><cop>Brazil</cop><pub>Brazilian Society of Orthopedics and Traumatology</pub><pmid>24453624</pmid><doi>10.1590/S1413-78522012000600001</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Original |
title | Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury |
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