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Results of the Nerve Transfers and Secondary Procedures to Restore Shoulder and Elbow Function in Traumatic Upper Brachial Plexus Palsy.
J Clin Med
December 2024
Department of Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, 61-545 Poznań, Poland.
Damage to the upper trunk of the brachial plexus, often caused by high-energy trauma, leads to significant functional impairment of the upper limb. This injury primarily affects the C5 and C6 roots, resulting in paralysis of muscles critical for shoulder and elbow function. If spontaneous nerve regeneration does not occur within 3-6 months post-injury, surgical intervention, including nerve transfers, is recommended to restore function.
View Article and Find Full Text PDFSymptomatic Ulnar Nerve Compression After Biceps-to-Triceps Tendon Transfer for Elbow Extension Reconstruction in Tetraplegia: A Case Report.
Spinal Cord Ser Cases
December 2024
Division of Plastic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, QC, Canada.
Introduction: Medially routed biceps-to-triceps tendon transfer for elbow extension reconstruction in spinal cord injury (SCI) has proven to be a reliable procedure. This technique classically places the tendon transfer superficial to a paralyzed ulnar nerve, with a theoretical risk of compression neuropathy.
Case Presentation: A 21-year-old male with a C5 American Spinal Injury Association Impairment Scale (AIS) grade B SCI who underwent bilateral biceps-to-triceps tendon transfers presented with new-onset paresthesias in the ring and small fingers 10.
Effects of ankle joint degree of freedom of knee-ankle-foot orthoses on loading patterns and triceps surae muscle activity on the paretic side in individuals with subacute severe hemiplegia: a retrospective study.
J Neuroeng Rehabil
September 2024
Department of Physical Medicine and Rehabilitation, Kansai Medical University Hospital, 2-3-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.
Background: Individuals with subacute severe hemiplegia often undergo alternate gait training to overcome challenges in achieving walking independence. However, the ankle joint setting in a knee-ankle-foot orthosis (KAFO) depends on trunk function or paralysis stage for alternate gait training with a KAFO. The optimal degree of ankle joint freedom in a KAFO and the specific ankle joint conditions for effective rehabilitation remain unclear.
View Article and Find Full Text PDF[Applied anatomy study and preliminary clinical application of hyper selective neurectomy of triceps branches combined with partial neurotomy of S nerve root to relieve spastic equinus foot].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
August 2024
Department of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, 100035, P. R. China.
Article Synopsis
- The objective of the study was to explore hyper selective neurectomy (HSN) of triceps branches and neurotomy of the S nerve root to treat spastic equinus foot.
- Anatomical studies were performed on 12 cadaver specimens, and treatment was administered to 4 patients, aged 5 to 46, with varying causes such as traumatic brain injury and cerebral palsy, over a period from February to November 2023.
- Results showed specific anatomical measurements related to the S nerve root, with assessments of muscle tone, strength, and lower limb function before and after the procedure using established grading scales.
Surgical Reconstruction of Elbow Extension in Spinal Cord Injury and Tetraplegia: A Systematic Review.
J Hand Surg Glob Online
March 2024
Department of Orthopaedics & Traumatology, University of Hong Kong, Hong Kong SAR.
Purpose: Surgical reconstruction of elbow extension can help restore function in patients with tetraplegia and triceps paralysis because of spinal cord injury. Both posterior deltoid-to-triceps tendon transfer and transfer of the branch of the axillary nerve to the triceps motor branch of the radial nerve have been described for triceps reanimation. This systematic review aimed at reviewing current evidence in the two schools of surgery in terms of their outcome and complication profile.
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