Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York.
Oper Neurosurg (Hagerstown). 2019 Jan 1;16(1):23-26. doi: 10.1093/ons/opy064.
The use of nerve transfers to restore nerve function following traumatic avulsion injuries has been described, though there is still a paucity in the literature documenting technique and long-term outcomes for these procedures. The double Oberlin nerve transfer involves transferring fascicles from the median and ulnar nerves to the musculocutaneous nerve to restore elbow flexion in patients with a C5-C6 avulsion injury. The purpose of this case report is to present our indications and technique for a double Oberlin transfer in addition to exhibiting video footage at follow-up time points documenting the incremental improvement in elbow flexion following the injury.
The patient is a 25-yr old, left-hand dominant male who presented 5 mo following a motor vehicle accident. He had 0/5 biceps muscle strength on the left with a computed tomography myelogram that demonstrated pseudomeningoceles from C2-C3 to C7-T1 with root avulsions of C5 and C6. He was subsequently indicated for a double Oberlin nerve transfer to restore elbow flexion.
In this case report, we present our technique and outcomes for a double Oberlin transfer with restoration of elbow flexion at 1-yr follow-up for a patient with traumatic brachial plexus injury. We believe that the double Oberlin transfer serves as a safe and effective method to restore elbow flexion in this patient population.
已经有描述使用神经转移来恢复创伤性撕脱伤后的神经功能，尽管在文献中仍然缺乏这些手术的技术和长期结果的记录。双 Oberlin 神经转移术涉及将正中神经和尺神经的束转移到肌皮神经，以恢复 C5-C6 撕脱伤患者的肘部屈曲功能。本病例报告的目的是介绍我们在这种情况下进行双 Oberlin 转移的适应证和技术，并在随访时间点展示视频片段，记录受伤后肘部屈曲功能的逐渐改善。
患者是一位 25 岁、左利手的男性，在机动车事故后 5 个月就诊。他的左侧肱二头肌肌力为 0/5，计算机断层脊髓造影显示 C2-C3 至 C7-T1 存在假性脑脊膜膨出，C5 和 C6 的神经根撕脱。随后，他被指示进行双 Oberlin 神经转移以恢复肘部屈曲功能。
在这个病例报告中，我们介绍了一名创伤性臂丛神经损伤患者进行双 Oberlin 转移的技术和结果，在 1 年随访时恢复了肘部屈曲功能。我们认为，双 Oberlin 转移术是恢复该患者群体肘部屈曲功能的一种安全有效的方法。
