Dlabal K, Dlabalová V
Sanatorium for Plastic and Aesthetic Surgery, Chotoviny nr. Tábor.
Acta Chir Plast. 1997;39(4):132-4.
In a ten-year-old boy with an atypical partial post-partum paresis of the dextrolateral plexus brachialis the function of the shoulder was affected substantially and the flexion of the elbow completely. The musculature of the forearm and hand was preserved completely from the anatomical and functional aspect. In compliance with the parents wish, the possibility of replacement with a muscle from a remote site by microsurgical transfer was abandoned and the authors used the well known method of transposition of the insertion of the m. pectoralis major and new retrograde transposition of the tendon of the m. flexor carpi radialis into this muscle to restore the function of the m. biceps brachii. Through postoperative rehabilitation, 90 degrees flexion of the elbow in a supine position was achieved.
在一名10岁男孩中，其右侧臂丛神经出现非典型性产后部分麻痹，肩部功能受到严重影响，肘部屈曲功能完全丧失。从前臂和手部的解剖结构及功能方面来看，其肌肉组织完全得以保留。根据患儿家长的意愿，放弃了通过显微外科转移从远处获取肌肉进行替代的可能性，作者采用了众所周知的方法，即将胸大肌止点移位，并将桡侧腕屈肌腱逆行转位至该肌肉，以恢复肱二头肌的功能。通过术后康复，实现了仰卧位时肘部90度的屈曲。
