Triceps motor branch transfer for isolated axillary nerve injury: Outcomes in 9 patients
| Autor: | Jiabin Liu, Zhao-Ru Dong, Xi Yang, Cheng-Gang Zhang, Jinsong Tong, Bingjun Xu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Weakness medicine.medical_specialty Deltoid curve Triceps reflex Cohort Studies Disability Evaluation Young Adult 03 medical and health sciences 0302 clinical medicine Dash Humans Medicine Brachial Plexus Orthopedics and Sports Medicine Range of Motion Articular Nerve Transfer Axillary nerve injury Retrospective Studies 030222 orthopedics Shoulder Joint business.industry Retrospective cohort study Middle Aged Surgery body regions Anesthesia Axilla Female Axillary nerve medicine.symptom business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 103:1283-1286 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2017.07.002 |
| Popis: | Introduction Triceps motor branch transfer has been used for more than ten years to restore deltoid function after axillary nerve injury. However, there have been few reports of the outcome of this procedure in isolated axillary nerve injury. Hypothesis Triceps motor branch transfer could be an effective method to restore deltoid function for patients with isolated axillary nerve injury. Materials and methods Nine patients who underwent triceps motor branch transfer for treatment of isolated axillary nerve injury were followed up for at least 22 months. Shoulder abduction was assessed for all patients. The DASH outcome questionnaire was completed by every patient. Electrophysiological study was performed on 7 patients. Results All patients regained ≥ 90° (mean, 137°) shoulder abduction. Mean DASH score decreased from 35.2 before surgery to 13.1 at the last follow-up. There was no noticeable weakness of elbow extension in any patient. Discussion Triceps motor branch transfer provided good results and may be a feasible alternative to nerve grafting for the treatment of complete isolated axillary nerve injury. Type of study IV, retrospective cohort study. |
| Databáze: | OpenAIRE |
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