International journal of surgery case reports · 2017
Triceps nerve to deltoid nerve transfer after an unsatisfactory intra-plexus neurotization of the posterior division of the upper trunk.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Al-Qattan Mohammad M, Kattan Abdullah E, Al-Qahtany Bayan S, Al-Qattan Omar M, Al-Qattan Heba M
Аннотация
INTRODUCTION: Our literature review did not reveal any study on the results of triceps to deltoid nerve transfer done as a secondary procedure after an unsatisfactory primary intraplexus neurotization of the posterior division of the upper trunk.
PRESENTATION OF CASES: We report on three adults with C5-C6 brachial plexus injury who had an unsatisfactory deltoid function following primary intraplexus neurotization. Patients presented to our clinic late (14-16 months after injury). All patients had poor shoulder abduction (<40°) despite the presence of visible and palpable deltoid contractions. A triceps to deltoid nerve transfer resulted in an excellent shoulder abduction (> 150°) in all patients.
DISCUSSION: The primary surgery in our patients acted as a "baby-sitter" procedure; explaining the good results of the late secondary distal nerve transfer.
CONCLUSION: Good results may be obtained from a late distal nerve transfer for the deltoid muscle as long as there is partial innervation of the muscle.
PRESENTATION OF CASES: We report on three adults with C5-C6 brachial plexus injury who had an unsatisfactory deltoid function following primary intraplexus neurotization. Patients presented to our clinic late (14-16 months after injury). All patients had poor shoulder abduction (<40°) despite the presence of visible and palpable deltoid contractions. A triceps to deltoid nerve transfer resulted in an excellent shoulder abduction (> 150°) in all patients.
DISCUSSION: The primary surgery in our patients acted as a "baby-sitter" procedure; explaining the good results of the late secondary distal nerve transfer.
CONCLUSION: Good results may be obtained from a late distal nerve transfer for the deltoid muscle as long as there is partial innervation of the muscle.