Bertelli J A, Soldado F, Ghizoni M F, Rodríguez-Baeza A
1 Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Santa Catarina, Brazil.
2 Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Tubarão, Brazil.
J Hand Surg Eur Vol. 2017 Sep;42(7):710-714. doi: 10.1177/1753193417694585. Epub 2017 Feb 1.
We report the study of the anatomical feasibility of transferring the nerve to the brachialis muscle to the upper medial head motor branch that innervate the triceps, and outcomes of such transfers in restoring elbow extension in five patients with posterior cord lesion of the brachial plexus. The length of the branches to the brachialis muscle measured 7.6 cm and the triceps upper medial head motor branch was 5 cm in 10 adult cadavers. Five male patients were treated with this transfer 5 months after the injury (range 4 to 6 months) after posterior cord injury of the brachial plexus with a mean follow-up of 31 months (range 28 to 36 months). Elbow extension scored M4 in all cases. No complications occurred. These preliminary results suggest that transferring the nerve to the brachialis muscle is an effective technique for the reconstruction of elbow extension after posterior cord brachial plexus injuries.
IV.
我们报告了将支配肱肌的神经转移至支配三头肌的内侧头肌运动支的解剖学可行性研究，以及该转移术在5例臂丛后束损伤患者中恢复肘关节伸展功能的效果。在10具成年尸体中，支配肱肌的分支长度为7.6厘米，三头肌内侧头肌运动支长度为5厘米。5例男性患者在臂丛后束损伤后4至6个月（平均5个月）接受了该转移术治疗，平均随访31个月（范围28至36个月）。所有病例的肘关节伸展功能评分为M4。未发生并发症。这些初步结果表明，将支配肱肌的神经转移是臂丛后束损伤后重建肘关节伸展功能的有效技术。
IV级。
