Fridén Jan, Gohritz Andreas
Department of Hand Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
J Hand Surg Am. 2012 Aug;37(8):1606-8. doi: 10.1016/j.jhsa.2012.05.005. Epub 2012 Jun 30.
Active wrist extension allowing tenodesis grip is the key function in high-level tetraplegic patients. It is absent and cannot be restored by traditional tendon transfer in patients who have no transferable muscle below the elbow. We present a 36-year-old man with high-level tetraplegia treated 12 months after injury who regained active wrist extension after transfer of the brachialis muscle branch of the musculocutaneous nerve to the extensor carpi radialis longus muscle branch of the radial nerve. No functional deficit of elbow flexion occurred after reconstruction.
主动腕背伸以实现肌腱固定抓握是高位四肢瘫患者的关键功能。对于肘部以下无可转移肌肉的患者，该功能缺失且无法通过传统肌腱转移恢复。我们报告一名36岁高位四肢瘫男性患者，受伤12个月后接受治疗，在将肌皮神经的肱肌分支转移至桡神经的桡侧腕长伸肌分支后恢复了主动腕背伸。重建后未出现屈肘功能障碍。
