Ray Wilson Z, Kasukurthi Rahul, Yee Andrew, Mackinnon Susan E
Hand (N Y). 2010 Sep;5(3):313-7. doi: 10.1007/s11552-009-9242-3. Epub 2009 Nov 10.
The use of end-to-side neurrorhaphy remains a controversial topic in peripheral nerve surgery. The authors report the long-term functional outcome following a modified end-to-side motor reinnervation using the spinal accessory to innervate the suprascapular nerve following a C5 to C6 avulsion injury. Additionally, functional outcomes of an end-to-end neurotization of the triceps branch to the axillary nerve and double fascicular transfer of the ulnar and medial nerve to the biceps and brachialis are presented. Excellent functional recoveries are found in respect to shoulder abduction and flexion and elbow flexion.
The online version of this article (doi:10.1007/s11552-009-9242-3) contains supplementary material, which is available to authorized users.
端侧神经缝合术在周围神经外科手术中仍是一个有争议的话题。作者报告了在C5至C6撕脱伤后,采用改良的端侧运动神经再支配术,利用副神经支配肩胛上神经后的长期功能结果。此外,还展示了肱三头肌分支与腋神经的端端神经移植以及尺神经和正中神经双束转移至肱二头肌和肱肌的功能结果。在肩部外展和屈曲以及肘部屈曲方面发现了极佳的功能恢复。
本文的在线版本(doi:10.1007/s11552-009-9242-3)包含补充材料,授权用户可获取。