Hand prehension recovery after brachial plexus avulsion injury by performing a full-length phrenic nerve transfer via endoscopic thoracic surgery
| Autor: | Lei Xu, Jian-Guang Xu, Jiu-Zhou Lu, Yan-Qun Qiu, Yu-Dong Gu, Jiang Su, Wen-Dong Xu |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Avulsion Cohort Studies Thoracoscopy Medicine Humans Brachial Plexus Prospective cohort study Nerve Transfer Phrenic nerve medicine.diagnostic_test Hand Strength business.industry General Medicine Recovery of Function medicine.disease Hand Median nerve Surgery Phrenic Nerve Treatment Outcome Brachial plexus injury Cardiothoracic surgery Anesthesia business Brachial plexus |
| Zdroj: | Journal of neurosurgery. 108(6) |
| ISSN: | 0022-3085 |
| Popis: | Object The functional recovery of hand prehension after complete brachial plexus avulsion injury (BPAI) remains an unsolved problem. The authors conducted a prospective study to elucidate a new method of resolving this injury. Methods Three patients with BPAI underwent a new procedure during which the full-length phrenic nerve was transferred to the medial root of the median nerve via endoscopic thoracic surgery support. All 3 patients were followed up for a postoperative period of > 3 years. Results The power of the palmaris longus, flexor pollicis longus, and the flexor digitorum muscles of all 4 fingers reached Grade 3–4/5, and no symptoms of respiratory insufficiency occurred. Conclusions Neurotization of the phrenic nerve to the medial root of the median nerve via endoscopic thoracic surgery is a feasible means of early hand prehension recovery after complete BPAI. |
| Databáze: | OpenAIRE |
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