Adult traumatic brachial plexus injuries: advances and current updates.
| Autor: | Goubier JN; Brachial Plexus and Nerve Surgery Institute, Paris, France.; Hôpital Privé Paul d'Égine, Clinique la Francilienne, Champigny sur Marne, France.; Institut de la Main, Clinique Bizet, Paris, France., Battiston B; UOD Reconstructive Microsurgery, AOU Città della Salute e della Scienza di Torino, Torino, Italy., Casanas J; Traumaunit, Hospital Quirón-Teknon, Barcelona, Spain., Quick T; Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK.; Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, UK.; Centre for Nerve Engineering, University College London, London, UK. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2024 Jun; Vol. 49 (6), pp. 734-746. Date of Electronic Publication: 2024 Feb 16. |
| DOI: | 10.1177/17531934241229201 |
| Abstrakt: | Nerve grafting, tendon transfer and joint fusion are routinely used to improve the upper limb function in patients with brachial plexus palsies. Newer techniques have been developed that provide additional options for reconstruction. Nerve transfer is a tool for restoring upper limb function in total root avulsions where nerve grafting is not possible. In partial brachial plexus injuries, nerve transfers can greatly improve shoulder, elbow, wrist and hand function. Intraoperative electrical stimulation can be used to diagnose precisely which nerve is injured and to choose which nerve fascicles should be transferred. Finally, measuring the postoperative outcome can improve the evaluation of our techniques. The aim of this article was to present the current techniques used to treat patients with brachial plexus injury. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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