Pectoralis Major Reinnervation by Retrograde Nerve Regeneration after Complete Paralysis of the Brachial Plexus.

Autor: Bertelli JA; Department of Traumatology and Orthopedics, Governador Celso Ramos Hospital, Florianopolis, Santa Catarina, Brazil.; Department of Surgical Techniques, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil., Shah HR; Department of Traumatology and Orthopedics, Governador Celso Ramos Hospital, Florianopolis, Santa Catarina, Brazil.; Department of Plastic, Hand and Reconstructive Surgery, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India., Lanzarin LD; Department of Traumatology and Orthopedics, Governador Celso Ramos Hospital, Florianopolis, Santa Catarina, Brazil.
Jazyk: angličtina
Zdroj: The journal of hand surgery Asian-Pacific volume [J Hand Surg Asian Pac Vol] 2023 Aug; Vol. 28 (4), pp. 499-501. Date of Electronic Publication: 2023 Sep 25.
DOI: 10.1142/S2424835523720153
Abstrakt: Spontaneous neuronal recovery is an expected phenomenon in brachial plexus palsy patients. However, the spontaneous recovery owing to retrograde regeneration is an evolving phenomenon with dearth of adequate research on it. Pectoralis major contraction on stimulation of median nerve (in the arm) is an unexpected phenomenon, in the absence of any anomalous communication and with distal coaptation site of intraplexal nerve repair. We presumably attribute it to the retrograde regrowth of axons. The case described supports our hypothesis. Level of Evidence: Level V (Therapeutic).
Databáze: MEDLINE