Document Detail

Restoration of sensibility in the hand after complete brachial plexus injury.
MedLine Citation:
PMID:  8724465     Owner:  NLM     Status:  MEDLINE    
Twenty-one patients with complete brachial plexus palsy due to the avulsion of multiple cervical nerve roots underwent motor and sensory reconstruction. Of these, 15 patients who had been followed for at least 2 years were included in the present study. Sensory reconstruction was performed by nerve graft or nerve crossing to the median nerve. The donor nerves included the supraclavicular nerve in 10 patients, the intercostal nerve in 3, and the C5 nerve root in the first 2 patients. Limited sensibility in the median nerve distribution of the hand was restored in 12 patients, and the results were classified as S2+ in 2, S2 in 4, S1 in 6, and S0 in 3, according to the S0 to S4 grading system. No moving two-point discrimination was restored in any case. While the best recovery obtained was only at the S2+ level, even this limited sensibility was useful for otherwise completely anesthetic patients.
K Ihara; K Doi; K Sakai; N Kuwata; S Kawai
Related Documents :
6707065 - Surgical reconstruction of the hand with triple nerve palsy.
23929385 - Assessment of nonlethal methods for predicting muscle tissue mercury concentrations in ...
6202895 - Special microanatomical features surrounding the intracorpora cavernosa nerves and thei...
12371025 - Practical anatomy of the carpal tunnel.
6741695 - Cross-bridge states in invertebrate muscles.
22499735 - Dynamic transcriptional regulation of autocrine/paracrine igfbp1, 2, 3, 4, 5, and 6 in ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  21     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-10-30     Completed Date:  1996-10-30     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  381-6     Citation Subset:  IM    
Department of Orthopaedic Surgery, Yamaguchi University School of Medicine, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Brachial Plexus / injuries*
Follow-Up Studies
Hand / innervation*
Hypesthesia / surgery*
Microsurgery / methods
Muscle, Skeletal / innervation
Nerve Transfer / methods*
Neurologic Examination
Peripheral Nerves / transplantation*
Postoperative Complications / etiology
Spinal Nerve Roots / injuries*,  surgery
Treatment Outcome

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

Previous Document:  Innervated radial thenar flap for sensory reconstruction of fingers.
Next Document:  Spinal accessory neurotization for restoration of elbow flexion in avulsion injuries of the brachial...