臂丛上干慢性损伤患者中从肱三头肌至肱二头肌的肌肉转移术

MUSCLE TRANSFER FROM TRICEPS TO BICEPS IN PATIENTS WITH CHRONIC INJURY OF THE UPPER TRUNK OF THE BRACHIAL PLEXUS.

作者信息

Souza Fabiano Inúcio de, Saito Mateus, Kimura Luiz Koiti, Júnior Rames Mattar, Zumiotti Arnaldo Valdir

机构信息

PhD student and MSc in Medicine from the Institute of Orthopedics and Traumatology, Hospital das Clínicas, University of Sao Paulo School of Medicine.

Attending Physicians in the Hand and Microsurgery Group, Institute of Orthopedics and Traumatology, Hospital das Clínicas, University of Sao Paulo School of Medicine.

出版信息

Rev Bras Ortop. 2015 Nov 17;45(4):409-12. doi: 10.1016/S2255-4971(15)30389-X. eCollection 2010 Jul-Aug.

DOI:10.1016/S2255-4971(15)30389-X

PMID:27022572

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4799097/

Abstract

OBJECTIVE

To evaluate the results from transposition of the triceps for elbow flexion in patients with chronic and complete injury to the upper trunk of the brachial plexus.

METHODS

This was a retrospective study, including only patients who had biceps grade 0 and triceps grade 5, who underwent anterior transfer of the triceps muscle, performed between 1998 and 2005. The affected side, sex, type of accident, strength of elbow flexion, complications and patient satisfaction were investigated in 11 cases.

RESULTS

10 patients were male; the age range was from 24 to 49 years, with a mean of 33.7 years. The minimum time between injury and surgery was 21 months (range 21-74 months). The left side was affected in eight cases, and the right only in three. Good results were obtained in 10 patients, who acquired elbow flexion strength of grade 3 (two cases) and grade 4 (eight cases), while one evolved unfavorably with grade 2 strength. Two cases had complications (initial compartment syndrome and insufficient tensioning). All the patients said that they were satisfied with the procedure.

CONCLUSION

Anterior transposition of the triceps muscle provided patient satisfaction in all cases except one, attaining strength grade 4 in eight cases, grade 3 in two cases and grade 2 in one case.

摘要

目的

评估肱丛上干慢性完全损伤患者行肱三头肌移位术以实现肘关节屈曲的效果。

方法

这是一项回顾性研究，仅纳入1998年至2005年间接受肱三头肌前移位术、肱二头肌肌力为0级且肱三头肌肌力为5级的患者。对11例患者的患侧、性别、事故类型、肘关节屈曲力量、并发症及患者满意度进行调查。

结果

10例患者为男性；年龄范围为24至49岁，平均33.7岁。受伤至手术的最短时间为21个月（范围21 - 74个月）。8例左侧受累，3例右侧受累。10例患者效果良好，获得了3级（2例）和4级（8例）的肘关节屈曲力量，1例患者效果不佳，肌力为2级。2例出现并发症（初始骨筋膜室综合征和张力不足）。所有患者均表示对该手术满意。