Eberhard D
Division of Plastic and Reconstructive Surgery, University of Vienna Medical School, Austria.
J Hand Surg Br. 1997 Apr;22(2):261-3. doi: 10.1016/s0266-7681(97)80077-0.
In nine patients with obstetric brachial plexus lesions (Klumpke type), an impingement of the bicipital tuberosity on the ulna was the main cause for the forearm and hand to be fixed in supination. A surgical technique using reinsertion of the biceps tendon on the bicipital tuberosity is described in detail. It has substantially improved all patients. After a mean follow-up of 29.4 months the hand was in a more functional position than preoperatively in all patients. In seven cases pronation could be increased by contraction of the biceps muscle. By relaxing the biceps muscle and by contraction of the supinator muscle a limited active supination was possible in six cases.
在9例产科臂丛神经损伤（克伦佩克型）患者中，肱二头肌结节对尺骨的撞击是前臂和手固定于旋前位的主要原因。详细描述了一种将肱二头肌肌腱重新附着于肱二头肌结节的手术技术。该技术使所有患者的病情都有了显著改善。平均随访29.4个月后，所有患者的手都处于比术前更具功能的位置。7例患者通过肱二头肌收缩可增加旋前角度。6例患者通过放松肱二头肌并收缩旋后肌可实现有限的主动旋后。
