Brachialis muscle transfer for reconstructing digital flexion after brachial plexus injury or forearm injury

Shen, Yun-Dong; Zheng, Mou‐Xiong; Hua, Xu‐Yun; Qiu, Yan‐Qun; Hu, Kejia; Xu, Wendong

doi:10.1177/1753193417730656

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…5), instead, is to preserve the brachialis as a backup in the event of failure of nerve transfers, for a tendon transfer to the FDPs and FPL. This has been shown to be effective in reconstruction of finger and thumb flexion 13,14 .…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Prehension in C7-T1 Brachial Plexus Injury with Nerve and Tendon Transfers

Chim

2023

JBJS Case Connector

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Case: Reconstruction of function in C7-T1 lower brachial plexus injury requires restoration of finger flexion and extension with nerve or tendon transfers. A 22-year-old man was involved in an all-terrain vehicle rollover accident. First-stage nerve transfers included extensor carpi radialis brevis to the anterior interosseous nerve and supinator to the posterior interosseous nerve. After second-stage (15 months later) side-to-side flexor digitorum profundus and Camitz abductorplasty, he was able to achieve tripod pinch and power grip. Conclusion: A combined approach with nerve transfers followed by tendon transfers allows restoration of prehension in lower BPI while preserving the brachialis as a backup donor.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Prehension in C7-T1 Brachial Plexus Injury with Nerve and Tendon Transfers

Chim

2023

JBJS Case Connector

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“…Выполняют шов между сухожилиями глубоких сгибателей 2-5-го пальцев и дистальным концом трансплантата и шов между проксимальным концом трансплантата и сухожилием плечевой мышцы. Натяжение должно быть таким, чтобы пальцы были на расстоянии не более чем 2 см от ладони при сгибании локтевого сустава под углом 30° и разгибании лучезапястного сустава [9]. Недостатком этого метода считают очень ограниченную область применения, а именно изолированные отрывы нижних корешков сплетения без нарушения функций плечевой и двуглавой мышц.…”

Section: обзор донорских двигательных единицunclassified

“…Средняя сила захвата в представленной группе больных составила 20 ± 4 кг. Таким образом, методом перемещения плечевой мышцы возможно восстановить функцию сгибания пальцев у пострадавших с нижними повреждениями плечевого сплетения [9].…”

Section: обзор донорских двигательных единицunclassified

Transposition of functioning muscles in complex treatment of adult patients with injuries of the bracheric plexus (literature review)

Nevedrov¹,

Kelban²,

Алейникова³

et al. 2023

Nejrohirurgiâ (Mosk.)

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Introduction. Injuries to the brachial plexus are one of the most severe types of injuries to the nerves of the upper limb, and variants with the separation of the roots from the spinal cord represent a very difficult category of injuries to treat. Among patients who have received such injuries, there is a very high incidence of disability, since it is possible to achieve only partial restoration of the function of the upper limb. Recently, the method of transposition of functioning muscles has been growing in popularity due to its reliability and relatively short recovery time of function.The purpose of the work is to analyze the literature data on the possibility of using the method of transposition of functioning muscles in the complex treatment of victims with brachial plexus injuries.The authors have searched PubMed and RSCI databases over the past 25 years for keywords: peripheral nerve damage, tendon transposition, transposition of functioning muscles, nerve injury, brachial plexus injury, spinal cord root avulsion. In the selected 23 most relevant papers, the muscles used for transposition, indications and timing of operations, results and complications were analyzed, compared with other methods of surgical treatment of brachial plexus injuries. The analysis of studies has shown that the transposition of functioning muscles allows in most cases to restore the target movement to the useful level of M3–M4 on the MRC scale, is a more reliable method and allows achieving better results, especially in patients with severe complete injuries of the brachial plexus. An important disadvantage of free hip thin muscle transplantation operations is the risk of microanastomosis thrombosis, which requires detailed preoperative planning and good microsurgical technique of the operating team.Conclusion. Free transplantation of 2 functioning muscles is currently the method of choice for restoring upper limb movements in patients with complete brachial plexus injuries.

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Lower-Type Injuries of the Brachial Plexus (C6–T1, C7–T1, and C8–T1 Root Involvement)

Bertelli¹,

Patel

Soldado

2021

Operative Brachial Plexus Surgery

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Brachialis muscle transfer for reconstructing digital flexion after brachial plexus injury or forearm injury

Abstract: IV.

Cited by 6 publications

References 8 publications

Reconstruction of Prehension in C7-T1 Brachial Plexus Injury with Nerve and Tendon Transfers

Reconstruction of Prehension in C7-T1 Brachial Plexus Injury with Nerve and Tendon Transfers

Transposition of functioning muscles in complex treatment of adult patients with injuries of the bracheric plexus (literature review)

Lower-Type Injuries of the Brachial Plexus (C6–T1, C7–T1, and C8–T1 Root Involvement)

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