## Abstract Five male patients with avulsions of the C5 and C6 roots of the brachial plexus underwent transfer of one fascicle of the median nerve to the motor branch of the biceps muscle. The mean period of follow‐up was 32 months. The average reinnervation time of the biceps was 3.4 months. Four
The radio-radial nerve transfer for elbow extension restoration in C5 to C7 nerve root injury
✍ Scribed by Leandro Pretto Flores
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 555 KB
- Volume
- 32
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
Extension of the elbow is required to oppose gravity; however, activation of the triceps brachii is frequently underestimated during the surgical planning for brachial plexus injuries. This report aims to describe a novel technique of distal nerve transfer designed for elbow extension reconstruction in patients sustaining a C5–C7 nerve root injury. We report a patient sustaining a brachial plexus injury with triceps palsy and preserved finger extension motion; after careful intraneural dissection of the radial nerve, a fascicle innervating the extensor digitorum communis muscle was sectioned, derouted and connected to a motor branch to the lateral head of the triceps. Eleven months after surgery, elbow extension strength scored MRC M4. No deficits on finger extension were observed. © 2011 Wiley Periodicals, Inc. Microsurgery, 2012.
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