Neurotization from Two Medial Pectoral Nerves to Musculocutaneous Nerve in a Pediatric Brachial Plexus Injury

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Neurotization from Two Medial Pectoral Nerves to Musculocutaneous Nerve in a Pediatric Brachial Plexus Injury

Traumatic brachial plexus injuries can be devastating, causing partial to total denervation of the muscles of the upper extremities. Surgical reconstruction can restore motor and/or sensory function following nerve injuries. Direct nerve-to-nerve transfers can provide a closer nerve source to the target muscle, thereby enhancing the quality and rate of recovery. Restoration of elbow flexion is ...

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Medial pectoral nerve to musculocutaneous nerve neurotization for the treatment of persistent birth-related brachial plexus palsy: an 11-year institutional experience.

OBJECT Medial pectoral nerve (MPN) to musculocutaneous nerve (MCN) neurotization for recovery of elbow flexion by biceps reinnervation is a valid option following traumatic injury to the upper brachial plexus. A major criticism of the application of this technique in infants is the smaller size of the MPN and mismatch of viable axons. We describe our institutional experience utilizing this proc...

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Phrenic nerve transfer to the musculocutaneous nerve for the repair of brachial plexus injury: electrophysiological characteristics

Phrenic nerve transfer is a major dynamic treatment used to repair brachial plexus root avulsion. We analyzed 72 relevant articles on phrenic nerve transfer to repair injured brachial plexus that were indexed by Science Citation Index. The keywords searched were brachial plexus injury, phrenic nerve, repair, surgery, protection, nerve transfer, and nerve graft. In addition, we performed neuroph...

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Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury

OBJECTIVE To evaluate the factors influencing the results of ulnar nerve neurotization at the motor branch of the brachii biceps muscle, aiming at the restoration of elbow flexion in patients with brachial plexus injury. METHODS 19 patients, with 18 men and 1 woman, mean age 28.7 years. Eight patients had injury to roots C5-C6 and 11, to roots C5-C6-C7. The average time interval between injur...

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A Variant Two Trunked Brachial Plexus with Complete Fusion of Musculocutaneous & Median Nerve – A Case Report

Brachial plexus is a network of spinal nerves supplying the upper limb with the root value C5-T1. These roots join with each other to form three trunks viz; the upper, middle and lower by union of C5, C6; continuation of C7 and union of the C8 and T1 respectively. During the routine dissection of left upper limb of an adult male cadaver, a variant pattern of two trunked brachial plexus was enco...

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ژورنال

عنوان ژورنال: Journal of Korean Neurosurgical Society

سال: 2012

ISSN: 2005-3711,1598-7876

DOI: 10.3340/jkns.2012.52.3.267