Proximal nerve injury can lead to devastating functional impairment. Because axonal regeneration is slow, timely reinnervation of denervated muscle does not occur. These denervated muscles atrophy and lose function. Sensory protection is a surgical technique thought to prevent denervated muscle impairment using local sensory nerves to provide trophic support to the muscle until motor nerves can...

Soft tissue sarcomas are investigated by magnetic resonance imaging (MRI) both for initial staging and follow-up. We describe the presence of increased signal on T2-weighted images caused by a neurotized muscle flap following reconstructive surgery. This raised concern about possible sarcoma recurrence that was not clinically evident. On post-operative imaging of sarcomas the presence of recurr...

Background: The ulnar nerve injury induce sever hand malfunction due to intrinsic muscle paralysis. repair in proximal area (high injury) seldom leads function because of long distance return. Therefore, the best techniques restore patient with high is distal transfer minimize regeneration time and distance. Objective: aim this study describe surgical results obtained motor branch anterior inte...

Introduction: Contralateral cervical 7 (CC7) nerve transfer can be used in the absence of neurotizer BPI total root avulsion case. CC7 was introduced by Gu et al. 1986, and aimed to restore motor sensory function hand. The purpose this paper is report patients with nearly using median nerve. Case Presentation: A man suffered a motorcycle accident March 2010. There complete loss right upper limb...

Introduction The concept of double free functioning muscle transfer (DFFMT) reconstruction for total arm type brachial plexus injury (BPI) had been successfully reported by Professor Doi from Japan. However, to overcome the weakness of finger/wrist extension after serving two functions by one gracilis muscle as described by Doi, we invented a new method of triple FFMT. This study was aimed to e...

Proximal nerve injuries are well‐known to produce atrophy of the distal effectors. This is evident in injuries of major nerve trunks in the upper limb. The ulnar nerve has shown to have the lowest regenerative rate.[1,2] Distal neurotization through end‐to‐side coaptation has been employed[3] to bring new axons into distal effectors in case of proximal nerve trunk injury to avoid distal effecto...