Bauer Andrea S, Rabinovich Remy V, Waters Peter M
Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.
Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.
J Hand Surg Am. 2019 Apr;44(4):345.e1-345.e6. doi: 10.1016/j.jhsa.2018.10.019. Epub 2018 Nov 27.
Nerve transfers are an increasingly popular method for surgical treatment of nerve injuries. One of the most popular of these is the transfer of radial nerve triceps fascicles to the axillary nerve. The most common approach for this transfer is the posterior approach, which gives excellent access to both nerves but is not easy to combine with other nerve transfers. We describe here an alternative, the anterior approach, that offers safe access to both radial and axillary nerves and has the added advantage of compatibility with approaches for other common nerve transfers.
神经移位术是治疗神经损伤越来越常用的外科手术方法。其中最常用的一种是将桡神经三头肌束转移至腋神经。这种转移术最常用的入路是后入路，该入路能很好地显露两条神经，但不易与其他神经移位术联合应用。我们在此描述一种替代方法——前入路，该入路能安全地显露桡神经和腋神经，并且还有一个额外的优点，即与其他常见神经移位术的入路兼容。
