Adult traumatic brachial plexus injuries: advances and current updates

被引：2

作者：

Goubier, Jean-Noel ^{[1
,2
,3
]}

Battiston, Bruno ^{[4
]}

Casanas, Joaquim ^{[5
]}

Quick, Tom ^{[6
,7
,8
]}

机构：

[1] Brachial Plexus & Nerve Surg Inst, 92 Bd Courcelles, F-75017 Paris, France

[2] Hop Prive Paul Egine, Clin Francilienne, Champigny Sur Marne, France

[3] Inst Main, Clin Bizet, Paris, France

[4] AOU Citta Salute & Sci Torino, UOD Reconstruct Microsurg, Turin, Italy

[5] Hosp Quiron Teknon, Traumaunit, Barcelona, Spain

[6] UCL, Inst Orthopaed & Musculoskeletal Sci, London, England

[7] Royal Natl Orthopaed Hosp, Peripheral Nerve Injury Unit, Stanmore, England

[8] UCL, Ctr Nerve Engn, London, England

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2024年 / 49卷 / 06期

关键词：

Brachial plexus palsy; nerve transfers; root avulsions; intraoperative nerve recording; outcome measurement; PHRENIC-NERVE TRANSFER; SUPRASCAPULAR NERVE; PERIPHERAL-NERVE; RHOMBOID NERVE; MOTOR BRANCH; ULNAR NERVE; ACCESSORY NERVE; CARPI RADIALIS; LONG HEAD; ELBOW;

D O I：

10.1177/17531934241229201

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Nerve grafting, tendon transfer and joint fusion are routinely used to improve the upper limb function in patients with brachial plexus palsies. Newer techniques have been developed that provide additional options for reconstruction. Nerve transfer is a tool for restoring upper limb function in total root avulsions where nerve grafting is not possible. In partial brachial plexus injuries, nerve transfers can greatly improve shoulder, elbow, wrist and hand function. Intraoperative electrical stimulation can be used to diagnose precisely which nerve is injured and to choose which nerve fascicles should be transferred. Finally, measuring the postoperative outcome can improve the evaluation of our techniques. The aim of this article was to present the current techniques used to treat patients with brachial plexus injury.

引用

页码：734 / 746

页数：13

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