Delayed selective neurotization for restoration of elbow and hand functions in late presenting obstetrical brachial plexus palsy
| Autor: | Tarek Abdalla El-Gammal, Yasser Farouk Ragheb, Mohamed Kotb, Omar el-Refai, Waleed Riad Saleh, Amr El-Sayed |
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| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Flexor Carpi Ulnaris Elbow Intercostal nerves Biceps Birth Injuries medicine Humans Brachial Plexus Range of Motion Articular Ulnar nerve Brachial Plexus Neuropathies Nerve Transfer Palsy business.industry Infant Hand surgery Recovery of Function musculoskeletal system Hand Surgery Nerve Regeneration body regions medicine.anatomical_structure Treatment Outcome Child Preschool Female business Brachial plexus Follow-Up Studies |
| Zdroj: | Journal of reconstructive microsurgery. 30(4) |
| ISSN: | 1098-8947 |
| Popis: | The published experience of obstetrical brachial plexus palsy (OBPP) cases with poor recovery and late neurosurgical intervention are sparse. This study included 19 cases who presented after the age of 1 year with poor recovery of elbow and/or hand function and electrophysiological evidence of reinnervation. Age at surgery averaged 41 months, and the follow-up averaged 50 months. Distal neurotization was performed for restoration of elbow flexion in 11 cases, elbow extension in 3 cases, and finger flexion and/or sensibility in 5 cases. Active elbow flexion increased from an average of 2.7 to 91.8 degrees with an average gain of 89 degrees. Active elbow extension increased from an average of 10 to 56.7 degrees with an average gain of 46.7 degrees. Although, three out of five cases (60%) showed satisfactory recovery of finger flexion, all cases scored |
| Databáze: | OpenAIRE |
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