Neurotization with the brachialis muscle motor nerve

Function of the wrist and hand in lower root avulsions is severely impaired. Based on anatomic and experimental studies which suggest that the motor nerve of the brachialis muscle could be used as a selective neurotizator in lower root avulsions with intact C5–C6 ± C7 roots (Klumpke paralysis), we c...

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Bibliographic Details
Published in:Microsurgery 2006, Vol.26 (4), p.330-333
Main Authors: Palazzi, Santos, Palazzi, José-Luis, Caceres, Juan-Pablo
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cranial nerves. Peripheral nerves. Autonomic nervous system
Hand - innervation
Humans
Male
Medical sciences
Muscle, Skeletal - innervation
Neurosurgery
Neurosurgical Procedures - methods
Radiculopathy - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Wrist - innervation
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Summary:Function of the wrist and hand in lower root avulsions is severely impaired. Based on anatomic and experimental studies which suggest that the motor nerve of the brachialis muscle could be used as a selective neurotizator in lower root avulsions with intact C5–C6 ± C7 roots (Klumpke paralysis), we considered its use depending on the target. We describe two techniques for the median nerve (in C8–T1 avulsions) and one for the radial nerve (in C7–C8–T1 avulsions). In all cases, we added the lateral cutaneous nerve of the forearm in the neurotization to improve sensibility in the hand. The present report presents the results of its use in our first five patients. © 2006 Wiley‐Liss, Inc. Microsurgery, 2006.
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.20247