Document Detail


Modified Steindler procedure for the treatment of brachial plexus injuries.
MedLine Citation:
PMID:  16273378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective follow-up study was completed on ten patients who suffered from a brachial plexus injury that was treated with a modified Steindler procedure. The mean postoperative period was 6.8 years. The postoperative elbow joint range of motion was -42 degrees of extension (range -5 degrees to -65 degrees ) and 107 degrees of flexion (range 90 degrees -130 degrees ). Manual muscle testing showed grade 4 or 5 in eight patients and grade 3 in two patients. In the subjective assessment, the patients scored 20 out of 30 points and were able to perform almost all activities with the exception of shoulder elevation. Innervation of the musculocutaneous nerve was evaluated by electromyography and no correlation was seen between preoperative and postoperative amplitude of the biceps brachii by electromyogram. Based on these results, we concluded that a modified Steindler procedure is useful for reconstruction of upper brachial plexus injuries, and recovery of the biceps brachii was difficult to predict by an electromyogram.
Authors:
Osamu Ishida; Toru Sunagawa; Osami Suzuki; Mitsuo Ochi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-11-05
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  126     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-11-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  63-5     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hiroshima University Faculty of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan. ishida@hiroshima-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Brachial Plexus / injuries,  surgery*
Brachial Plexus Neuropathies / etiology,  physiopathology,  surgery*
Child
Elbow / physiopathology,  surgery*
Electromyography
Female
Humans
Male
Middle Aged
Muscle, Skeletal / transplantation*
Range of Motion, Articular
Reconstructive Surgical Procedures / methods*
Recovery of Function
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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