Avaliação do ganho funcional do cotovelo com a cirurgia de Steindler na lesão do plexo braquial

Rezende, Marcelo Rosa de; Massa, Bruno Sérgio Ferreira; Furlan, Fernando Henrique; Mattar, Rames; Paula, Emygdio José Leomil de; Santos, Simone Silva e; Freitas, Maura Cristina

doi:10.1590/s1413-78522011000300008

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…In performing this technique, this musculature is made to act as an elbow flexor. Our experience with this procedure confirms other authors' experience (53) that indicated that this transfer is efficient for boosting elbow flexion, i.e., when the existing elbow flexor musculature is at least grade 2 (54). This transfer has been shown to be insufficient for achieving functional elbow flexion on its own.…”

Section: Diagnostic Methodssupporting

confidence: 87%

What has changed in brachial plexus surgery?

Rezende¹,

Silva²,

Paula³

et al. 2013

Clinics

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Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes.In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury.

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Section: Diagnostic Methodssupporting

confidence: 87%

What has changed in brachial plexus surgery?

Rezende¹,

Silva²,

Paula³

et al. 2013

Clinics

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show abstract

“…Of the 18 patients who underwent functional evaluation, seven (38.89%) were not able to dissociate the flexion movement of the elbow from the flexion movements of the wrist and fingers (Group 1) and 11 (61.11%) were able to dissociate these movements (Group 2) 15 . Five patients from Group 1 and five from Group 2 presented injury at C5, C6, and C7.…”

Section: Resultsmentioning

confidence: 99%

Correlation between the elbow flexion and the hand and wrist flexion after neurotization of the fascicles of the ulnar nerve to the motor branch to the biceps

Escudero

Rezende

Wataya

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveGain in elbow flexion in patients with brachial plexus injury is extremely important. The transfer of a fascicle from the ulnar nerve to the motor branch of the musculocutaneous nerve (Oberlin surgery) is a treatment option. However, in some patients, gain in elbow flexion is associated with wrist and finger flexion. This study aimed to assess the frequency of this association and the functional behavior of the limb.MethodsCase–control study of 18 patients who underwent the Oberlin surgery. Group 1 included patients without disassociation of range of elbow flexion and that of the fingers and wrist; Group 2 included patients in whom this disassociation was present. In the functional evaluation, the Sollerman and DASH tests were used.ResultsIt was observed that 38.89% of the patients did not present disassociation of elbow flexion with flexion of the wrist and fingers. Despite the existence of a favorable difference in the group with disassociation of the movement, when the Sollerman protocol was applied to the comparison between both groups, this difference was not statistically significant. With the DASH test, however, there was a statistically significant difference in favor of the group of patients who managed to disassociate the movement.ConclusionThe association of elbow flexion with flexion of the wrist and fingers, in the group studied, was shown to be a frequent event, which influenced the functional result of the affected limb.

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Free Reverse Gracilis Muscle Combined With Steindler Flexorplasty for Elbow Flexion Reconstruction After Failed Primary Repair of Extended Upper-Type Paralysis of the Brachial Plexus

Bertelli

2019

The Journal of Hand Surgery

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Avaliação do ganho funcional do cotovelo com a cirurgia de Steindler na lesão do plexo braquial

Cited by 4 publications

References 21 publications

What has changed in brachial plexus surgery?

What has changed in brachial plexus surgery?

Correlation between the elbow flexion and the hand and wrist flexion after neurotization of the fascicles of the ulnar nerve to the motor branch to the biceps

Free Reverse Gracilis Muscle Combined With Steindler Flexorplasty for Elbow Flexion Reconstruction After Failed Primary Repair of Extended Upper-Type Paralysis of the Brachial Plexus

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