Anatomy of Profunda Brachial Artery in the Axilla and Its Relationship With the Radial Nerve: Fresh-Cadaver Anatomical Study and Clinical Observations

Bertelli, Jayme Augusto; Goklani, Mayur Sureshlal; Hill, Elspeth J R

doi:10.1016/j.jhsa.2022.06.025

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“…Based on prior anatomic studies, the HSN of each of the 3 heads of the triceps would involve an extensive approach and dissection in the posterior arm. 20,21,27,30 We recommend a combined technique with HSN to the triceps MH and fractional tendon lengthening of triceps LH and LaH. The muscle-tendon junction of the LH and LaH have a broad area of overlap and are amenable to FL.…”

Section: Technique Rationalementioning

confidence: 99%

Combined Hyperselective Neurectomy and Fractional Lengthening Technique for Triceps Spasticity

Pino,

Wu,

Rhee

2023

Techniques in Hand &Amp; Upper Extremity Surgery

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Triceps spasticity can occur in patients with upper motor neuron syndrome. It is often undetected when there is predominant elbow flexion spasticity and/or contracture. This condition can become apparent after surgery for elbow flexor spasticity, leading to impaired active elbow. Although triceps muscle-tendon lengthening procedures can be performed, these techniques do not directly address the issue of spasticity which is neurally mediated. This article presents a surgical technique for addressing triceps spasticity with a combined approach of hyperselective neurectomy of the medial head of the triceps and muscle-tendon lengthening of the long and lateral heads.

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Section: Technique Rationalementioning

confidence: 99%