2000Chinese Journal of Practical Hand SurgeryRequires access

Fascicle of median nerve or ulnar nerve transfer to reconstruct the function of elbow flexion

Zhu Yin

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Abstract

ve To observe the clinical effect of fascicle of median nerve or ulnar nerve transfera-tion. Methods Thirty - six patients with absent elbow flexion secondary to brachial plexus injury underwent nerve transfer using a part of median and ulnar nerve to the motor branch of the biceps muscle. Follow-up period ranged from 6 months to 65 months (average 29. 2 months) . Results Twenty-three patients had biceps strength M4 and flexed elbow joint more than 90 degree. Eleven patients had biceps strength M3 and flexed elbow joint 60 - 90 degree. Only two patients had poor result. The type and cause of injury, interval, donor nerve, age and rehabilitation would have effect the result. Conclusion Fascicle of median nerve or ulnar nerve transferation is a safe and effective way to treat some brachial plexus injury.

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ve To observe the clinical effect of fascicle of median nerve or ulnar nerve transfera-tion. Methods Thirty - six patients with absent elbow flexion secondary to brachial plexus injury underwent nerve transfer using a part of median and ulnar nerve to the motor branch of the biceps muscle. Follow-up period ranged from 6 months to 65 months (average 29. 2 months) . Results Twenty-three patients had biceps strength M4 and flexed elbow joint more than 90 degree. Eleven patients had biceps strength M3 and flexed elbow joint 60 - 90 degree. Only two patients had poor result. The type and cause of injury, interval, donor nerve, age and rehabilitation would have effect the result. Conclusion Fascicle of median nerve or ulnar nerve transferation is a safe and effective way to treat some brachial plexus injury.

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Available abstract

ve To observe the clinical effect of fascicle of median nerve or ulnar nerve transfera-tion. Methods Thirty - six patients with absent elbow flexion secondary to brachial plexus injury underwent nerve transfer using a part of median and ulnar nerve to the motor branch of the biceps muscle. Follow-up period ranged from 6 months to 65 months (average 29. 2 months) . Results Twenty-three patients had biceps strength M4 and flexed elbow joint more than 90 degree. Eleven patients had biceps strength M3 and flexed elbow joint 60 - 90 degree. Only two patients had poor result. The type and cause of injury, interval, donor nerve, age and rehabilitation would have effect the result. Conclusion Fascicle of median nerve or ulnar nerve transferation is a safe and effective way to treat some brachial plexus injury.

Key concepts: Medicine, Ulnar nerve, Biceps, Elbow, Musculocutaneous nerve, Fascicle, Elbow flexion, Median nerve

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