Freehafer A A, Peckham P H, Keith M W, Mendelson L S
Department of Orthopaedics, Case Western Reserve University, Cleveland, Ohio.
J Hand Surg Am. 1988 Jan;13(1):99-104. doi: 10.1016/0363-5023(88)90210-9.
We have studied the brachioradialis muscle both physiologically and clinically for its suitability for tendon transfer in the tetraplegic. Intraoperative measurements have shown that the muscle is strong, provides excellent excursion, and is commonly available for transfer in the absence of other candidate muscles. The anatomic features that limit its use can be overcome during the operation. Postsurgical assessment of the muscle using electromyography and muscle-force measurement have shown that the muscle is voluntarily activated and provides strength for the intended function. Our experience with transfer of the brachioradialis to the hand of a tetraplegic patient has been highly positive.
我们从生理和临床两方面研究了肱桡肌，以确定其是否适合用于四肢瘫痪患者的肌腱转移。术中测量表明，该肌肉力量强大，具有出色的活动度，并且在没有其他合适肌肉可供转移时，通常可以用于转移。手术中可以克服限制其使用的解剖学特征。术后通过肌电图和肌力测量对该肌肉进行评估，结果表明该肌肉可自主激活，并能为预期功能提供力量。我们将肱桡肌转移至一名四肢瘫痪患者手部的经验非常成功。
