Al-Qattan M M, Al-Kharfy T M
Department of Surgery, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia ; Medical College, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia.
Medical College, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia ; Department of Pediatrics, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia.
Biomed Res Int. 2014;2014:854084. doi: 10.1155/2014/854084. Epub 2014 Jan 9.
Median nerve to biceps nerve transfer in the arm has been reported only in adults. The following paper reports on 10 cases of this transfer in obstetric brachial plexus palsy. All patients had upper palsy (ERb's or extended ERb's palsy) and presented to the author late (13-19 months of age) with poor or no recovery of elbow flexion. Following the nerve transfer, nine children recovered elbow flexion (a score of 6 in one child and a score of 7 in eight children by the Toronto scale). The remaining child did not recover elbow flexion.
臂丛神经损伤中,正中神经转位至肱二头肌神经的手术仅在成人中有报道。以下论文报道了10例产瘫性臂丛神经麻痹行此转位手术的病例。所有患者均为上肢麻痹(埃尔布氏或扩展性埃尔布氏麻痹),且就诊时年龄较大(13 - 19个月),肘关节屈曲功能恢复不佳或未恢复。神经转位手术后,9名患儿恢复了肘关节屈曲功能(根据多伦多评分标准,1名患儿评分为6分,8名患儿评分为7分)。其余1名患儿肘关节屈曲功能未恢复。