Document Detail


Restoration of sensibility in the hand after complete brachial plexus injury.
MedLine Citation:
PMID:  8724465     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
K Ihara; K Doi; K Sakai; N Kuwata; S Kawai
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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    
Affiliation:
Department of Orthopaedic Surgery, Yamaguchi University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brachial Plexus / injuries*
Female
Follow-Up Studies
Hand / innervation*
Humans
Hypesthesia / surgery*
Male
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


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