Brunelli G A, Brunelli G R, Haerle H
Orthopädische Universitätsklinik Brescia, Italien.
Orthopade. 1997 Aug;26(8):696-700. doi: 10.1007/s001320050143.
Brachial plexus lesions generate complex paralysis and deficient sensitivity in the concerned upper extremity. The clinical features are represented in numberless variations, and in any case several nerves will be involved. Isolated median nerve palsies can only be produced by a lesion of its single terminal branch. For this reason, any secondary surgery aiming at restoring muscle function in the median nerve area should consider the entire upper extremity as a functional unit. Using special "charts" will give a better overview and simplify the choice for the most convenient muscles to transfer.
臂丛神经损伤会导致相关上肢出现复杂的瘫痪和感觉缺失。临床特征表现出无数种变化,而且在任何情况下,多条神经都会受累。孤立的正中神经麻痹只能由其单一终末分支的损伤引起。因此,任何旨在恢复正中神经区域肌肉功能的二次手术都应将整个上肢视为一个功能单元。使用特殊的“图表”将能提供更好的总体情况,并简化对最适合进行转移的肌肉的选择。