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Information Journal Paper

Title

NERVE TRANSFER FOR ROOT AVULSION IN BRACHIAL PLEXUS INJURY

Pages

  42-45

Abstract

 Background: BRACHIAL PLEXUS avulsion injuries cause major devastating neurological dysfunction. Microsurgical repair with NERVE TRANSFER from either intraplexus or extra plexus origin, sometimes in combination with free muscle transfer, may produce acceptable functional improvement. Materials and Methods: 62 cases of BRACHIAL PLEXUS injury who were treated with NERVE TRANSFER and have a 3 year follow-up, are reported here. The aim was to obtain elbow flexion. 44 patients (group 1) received transfer of spinal accessory nerve either to musculocutaneous nerve or directly to suprascapular nerve. 12 patients (group 2) were treated by transfer of intercostals nerves to musculocutaneous nerve. Part of ulnar nerve was used as NERVE TRANSFER in 6 more patients (group 3). Results: Elbow flexion power of 3 or 4 was achieved in 29 cases of group 1 (91%). 9 patients in group 2 (75%) and 5 cases of group 3 (83%). Pneumothorax in 5 cases in group 2 and muscle weakness in 6 cases in group 3 (flexor carpi ulnaris weakness in 4 and interossei in 2) were the observed complications. Conclusion: Avulsion injuries of BRACHIAL PLEXUS injury are best treated by NERVE TRANSFER. Accessory NERVE TRANSFER to musculocutaneous nerve is the preferred technique with less complication.

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  • Cite

    APA: Copy

    HOSSEINIAN, M.A.. (2004). NERVE TRANSFER FOR ROOT AVULSION IN BRACHIAL PLEXUS INJURY. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 2(3 (7)), 42-45. SID. https://sid.ir/paper/85468/en

    Vancouver: Copy

    HOSSEINIAN M.A.. NERVE TRANSFER FOR ROOT AVULSION IN BRACHIAL PLEXUS INJURY. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2004;2(3 (7)):42-45. Available from: https://sid.ir/paper/85468/en

    IEEE: Copy

    M.A. HOSSEINIAN, “NERVE TRANSFER FOR ROOT AVULSION IN BRACHIAL PLEXUS INJURY,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 2, no. 3 (7), pp. 42–45, 2004, [Online]. Available: https://sid.ir/paper/85468/en

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