Restoration of Elbow Flexion in Traumatic Upper Brachial Plexus Palsy in Adults: Outcome with Intraplexus Distal Nerve Transfers in 78 Patients

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author SIQUEIRA, Mario G. FMUSP-HC
MARTINS, Roberto S. FMUSP-HC
JUNIORS, Wilson Faglioni
FORONIS, Luciano FMUSP-HC
HEISE, Carlos Otto FMUSP-HC
dc.date.issued 2018
dc.identifier.citation BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.37, n.4, p.285-290, 2018
dc.identifier.issn 0103-5355
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/30279
dc.description.abstract Objective To present the functional outcomes of distal nerve transfer techniques for restoration of elbow flexion after upper brachial plexus injury. Method The files of 78 adult patients with C5, C6, +/- C7 lesions were reviewed. The attempt to restore elbow flexion was made by intraplexus distal nerve transfers using a fascicle of the ulnar nerve (group A, n = 43), or a fascicle of the median nerve (group B, n = 16) or a combination of both (group C, n = 19). The result of the treatment was defined based on the British Medical Research Council grading system: muscle strength <M3 was considered a poor result. Results The global incidence of good/excellent results with these nerve transfers was 80.7%, and for different surgical techniques (groups A, B, C), it was 86%, 56.2% and 100% respectively. Patients submitted to ulnar nerve transfer or double transfer (ulnar thorn median fascicles transfer) had a better outcome than those submitted to median nerve transfer alone (p < 0.05). There was no significant difference between the outcome of ulnar transfer and double transfer. Conclusion In cases of traumatic injury of the upper brachial plexus, good and excelent results in the restoration of elbow flexion can be obtained using distal nerve transfers.
dc.language.iso eng
dc.publisher GEORG THIEME VERLAG KG
dc.relation.ispartof Brazilian Neurosurgery-Arquivos Brasileiros de Neurocirurgia
dc.rights openAccess
dc.subject brachial plexus palsy; distal nerve transfers; elbow flexion restoration
dc.subject.other double fascicular transfer; biceps muscle; ulnar nerve; surgical-treatment; comparing single; injuries; avulsion; lesions; c5-c6; reconstruction
dc.title Restoration of Elbow Flexion in Traumatic Upper Brachial Plexus Palsy in Adults: Outcome with Intraplexus Distal Nerve Transfers in 78 Patients
dc.type article
dc.rights.holder Copyright GEORG THIEME VERLAG KG
dc.description.group LIM/15
dc.description.group LIM/45
dc.identifier.doi 10.1055/s-0038-1676533
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author SIQUEIRA, Mario G.:HC:IPQ
hcfmusp.author MARTINS, Roberto S.:HC:IPQ
hcfmusp.author FORONIS, Luciano:HC:IPQ
hcfmusp.author HEISE, Carlos Otto:FM:
hcfmusp.author.external · JUNIORS, Wilson Faglioni:Univ Sao Paulo, Inst Psiquiatria, Fac Med, Peripheral Nerve Surg Unit,Div Funct Neurosurg, Rua Dr Ovidio Pires de Campos 875, BR-05403903 Sao Paulo, SP, Brazil
hcfmusp.origem.id WOS:000452871000001
hcfmusp.publisher.city STUTTGART
hcfmusp.publisher.country GERMANY
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dc.description.index WoS
dc.identifier.eissn 2359-5922
hcfmusp.citation.wos 0
hcfmusp.affiliation.country Brasil


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