| Transfer of the phrenic nerve to the posterior division of the lower trunk to recover thumb and finger extension in brachial plexus palsy. | |
| | |
MedLine Citation:
|
PMID: 20672897 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECT: Hand function is severely impaired in cases of lower root avulsion. In the present study, the authors investigated the clinical effectiveness and safety of phrenic nerve transfer to the posterior division of the lower trunk of the brachial plexus to recover thumb and finger extension. METHODS: Between 2004 and 2006, 10 patients with brachial plexus palsy underwent phrenic nerve transfer as part of a strategy for surgical reconstruction of their plexuses. The mean patient age of was 27.2 years (range 18-44 years), and the mean interval from injury to surgery was 5.7 months (range 3-9 months). The phrenic nerve was always transferred to the posterior division of the lower trunk. RESULTS: The follow-up of the patients ranged from 2.5 to 4.4 years, with an average follow-up length of 3.5 years. There were no major complications related to the surgery. Eight patients recovered to Grade 3 or better (Medical Research Council grade) in extensor digitorum strength, and 7 patients recovered to Grade 3 or better in extensor pollicis strength. None of the patients had any clinical signs or symptoms of respiratory insufficiency. CONCLUSIONS: Satisfactory thumb and finger extension can be achieved by phrenic nerve transfer to the posterior division of the lower trunk of the brachial plexus. This procedure is simple and less traumatic than that of transferring the phrenic nerve to the radial nerve. It is indicated in cases in which the brachial plexus is relatively intact at the division level. |
| | |
Authors:
|
Haodong Lin; Chunlin Hou; Aimin Chen; Zhen Xu |
Related Documents
:
|
20842707 - Minimally invasive peripheral nerve surgery: a short scar technique. 22495277 - Robotic laparoendoscopic single-site surgery:the way forward. 12194397 - Contralateral neurologic deficits following microvascular decompression surgery--a case... 9199377 - Repair of the defect in spondylolysis. durable fixation with pedicle screws and laminar... 7291107 - Tuberculosis after jejuno-ileal bypass for morbid obesity. 7892457 - Gianturco stent placement in malignant caval obstruction: analysis of factors for predi... |
Publication Detail:
|
Type: Journal Article Date: 2010-07-30 |
Journal Detail:
|
Title: Journal of neurosurgery Volume: 114 ISSN: 1933-0693 ISO Abbreviation: J. Neurosurg. Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-01-03 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
|
Languages: eng Pagination: 212-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Orthopedic Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Brachial Plexus / surgery* Brachial Plexus Neuropathies / surgery* Female Fingers / physiology* Follow-Up Studies Hand / physiology Humans Male Nerve Transfer / methods* Paralysis / surgery* Phrenic Nerve / transplantation* Recovery of Function / physiology Retrospective Studies Thumb / physiology* Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of sodium selenite and amiloride on calvarial calcification in closing small cranial defects...
Next Document: Cerebral aneurysm clips in the 3-tesla magnetic field.