The Outcome of Spinal Accessory Nerve Transfer to the Musculocutaneous Nerve in Birth Brachial Plexus Palsy.

Purpose: Patients with brachial plexus birth injury with limited intraplexal donors require the use of extraplexal donors. Concern regarding the potential for respiratory problems resulting from the harvest of intercostal nerves or the phrenic nerve suggests the need for other options. Transfer of the spinal accessory nerve (SAN) is one option for restoring elbow flexion in adult patients; however, there are few reports of the results of this transfer in brachial plexus birth injury.

Ulnar Nerve Strain in Functional Elbow and Shoulder Motions.

Shoulder and elbow motions can affect ulnar nerve strain. However, there is no evidence that links this kind of strain to specific activities. The purpose of this study was to examine ulnar nerve strain at the elbow resulting from normal daily activities.

Distal anastomosis patterns of the descending branch of the lateral circumflex femoral artery.

Background: The reverse anterolateral thigh (ALT) flap has shown good results in the treatment of patients who have skin and soft tissue defects around the knee and shin. The objective of this study was to show the anastomotic patterns of the descending branch of lateral femoral circumflex artery (db-LCFA) and locate the appropriate pivot point for reverse ALT flap.

Materials And Methods: Fifty thighs from 25 embalmed cadavers from the Anatomy Department, Khon Kaen University in 2012, were dissected.

Validity of the Thai version of Disability of the Arm, Shoulder and Hand Questionnaire (KKU-DASH) in patients with brachial plexus injury.

Objective: To assess the reliability and validity of the Thai version of the Disability of the Arm, Shoulder and Hand (KKU-DASH) questionnaire in patients with brachial plexus injuries.

Material And Method: The Thai KKU-DASH version was performed based on translation/back translation methodology. Thirty-four Thai-speaking patients with brachial plexus injuries completed the KKU-DASH and the 36-item short-form health survey (SF-36) questionnaires preoperatively and then were reassessed for test-retest reliability two months later Reliability was investigated for reproducibility and internal consistency The validity was evaluated by using component analysis and the correlations coefficients between the KKU-DASH and the SF-36.

Anatomical study of arcade of Struthers.

The incidence and the anatomical location of the arcade of Struthers as related to the arm length were studied in 62 arms of adult fresh-frozen cadavers. The distance between the greater tuberosity and the lateral epicondyle was designated as the arm length. The arcades of Struthers were identified in 85.

Intra-tendon sheath injection for trigger finger: the randomized controlled trial.

The most common technique used for non-surgical treatment of trigger fingers is the direct injection of steroids into the flexor tendon sheath over the metacarpal head. However, this method causes more pian to the patient and can result in tendon rupture due to insertion of needle into the tendon. Carlson and Curtis described the mid-axial injection technique which is simple and relatively painless.

Anatomic safe zone for proximal ulnar fixation: a cadaver study.

Objective: To study the location and characterization of the safe zone with respect to bony landmarks on volar surface of proximal ulna for the protrusion of various ulnar fixations.

Material And Method: The present study was done on 39 upper extremities from 20 embalmed human, adult cadavers. The average ages of the cadavers were 67.

Vascular anatomy of the proximal fibula from embalmed cadaveric dissection.

Objectives: To study the vascular pattern of proximal fibula with use of embalmed cadaveric specimens.

Material And Method: The present study was done on 33 lower extremities from 19 embalmed human, adult cadavers. The average ages of the cadavers were 68.

A comparative biomechanical study of the looped square slip knot and the simple surgical knot.

The looped square slip knot was introduced as a technique for skin closure to avoid the use of sharp instruments in suture removal after hand surgery. We compared the biomechanical properties of this knot with the simple surgical square knot. The ultimate strength of the looped square slip knot was significantly (p = 0.

Congenital metacarpal synostosis treated by double bone blocks technique: a case report from Thailand.

Congenital metacarpal synostosis is a rare congenital anomaly in the hand, especially in our area. There were several reports of surgical techniques for correction deformities. We report this rare condition in our hospital and treatment with the metacarpal osteotomy and double bone blocks technique of grafting.