Brachial plexus palsy caused by traction injury, especially spinal nerve-root avulsion, represents a severe handicap for the patient. Despite recent progress in diagnosis and microsurgical repair, the prognosis in such cases remains unfavorable. Neurotization is the only possibility for repair in cases of spinal nerve-root avulsion. Intercostal neurotization is a well-established technique in the treatment of some severe brachial plexus ... إقراء المزيد

We reviewed 18 patients who had received double free muscle transfers and wrist arthrodesis to determine the effect of the stiff wrist on digital motion and function. METHODS The patients were 15 men and 3 women with a mean age of 24 years. We determined the total active motion of the metacarpophalangeal and interphalangeal joints just before performing the arthrodesis ... إقراء المزيد

In Erb (C5YC6) type of palsy due to traumatic brachial plexus injury, function is dependent upon the ability of the arm to maneuver and stabilize the hand for action. Complete loss of power of elbow flexion after brachial plexus injuries is a severe disability. If there is control of the shoulder, elbow flexion is of major importance. Various types of ... إقراء المزيد

We reviewed 36 traumatic brachial plexus injury patients with C5 nerve root injury. We used the choline acetyltransferase (CAT) activity measurement as a gold standard indicator of repairability to assess the reliability of the conventional techniques (preoperative clinical, electrophysiologic, and radiologic examination and intraoperative clinical and electrophysiologic examinations). We proposed a repairability scoring system composed of the correlated conventional techniques ... إقراء المزيد

Wrist arthrodesis after double free muscle transfer إقراء المزيد

Introduction: A medial rotation position and then contracture of the glenohumeral joint is frequent in children suffering severe THE JOURNAL OF HAND SURGERY VOL. 28B SUPPLEMENT 1 Conclusion: The medial rotation contracture of the shoulder in these children is a complex progressive deformity, which requires a selective and stepwise approach. So far, we have preferred early correction by dynamic soft ... إقراء المزيد