Pet Mitchell A, Ray Wilson Z, Yee Andrew, Mackinnon Susan E
Division of Plastic and Reconstructive Surgery and Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Hand Surg Am. 2011 Mar;36(3):398-405. doi: 10.1016/j.jhsa.2010.11.024.
These case reports review the clinical outcomes of 4 patients who underwent nerve transfer to a triceps motor branch of the radial nerve. Mean follow-up was 26 ± 15 months. Two patients had a transfer using an ulnar nerve fascicle to the flexor carpi ulnaris muscle, yielding a motor recovery of grade M5 elbow extension strength in one case and M4+ in the other. In 1 patient, a thoracodorsal nerve branch was used as the donor; this patient recovered M4 strength. One patient had a transfer using a radial nerve fascicle to the extensor carpi radialis longus muscle and recovered M5 strength. These outcomes indicate that expendable fascicles of the ulnar, thoracodorsal, and radial nerves are viable donors in the surgical reconstruction of elbow extension.
这些病例报告回顾了4例接受桡神经肱三头肌运动支神经移植患者的临床结果。平均随访时间为26±15个月。2例患者采用尺神经束移植至尺侧腕屈肌，其中1例患者的肘伸展力量恢复至M5级，另1例为M4+级。1例患者采用胸背神经分支作为供体，该患者恢复至M4级力量。1例患者采用桡神经束移植至桡侧腕长伸肌，恢复至M5级力量。这些结果表明，尺神经、胸背神经和桡神经的可利用束在肘关节伸展的手术重建中是可行的供体。
