Role of muscle transfers and tendon transfers in birth brachial plexus injury

2015 ◽  
Vol 26 (1) ◽  
pp. 9-14
Author(s):  
Rujuta Mehta ◽  
Ashok Johari ◽  
Ratna Maheshwari
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Tendon Transfers ◽  
Muscle Transfers

Tendon Transfers for Treatment of the Paralyzed Hand Following Brachial Plexus Injury

Hand Clinics ◽  
1989 ◽  
Vol 5 (1) ◽  
pp. 33-41
Author(s):  
Michel Merle ◽  
Guy Voucher ◽  
Francois Dap ◽  
Christian Bour
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Tendon Transfers

Role of tacrolimus in return of hand function after brachial plexus injury in a lung transplantation patient

2020 ◽  
Vol 13 (5) ◽  
pp. e233788
Author(s):  
Tiam M Saffari ◽  
Christopher J Arendt ◽  
Robert J Spinner ◽  
Alexander Y Shin
Keyword(s):  
Lung Transplantation ◽  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Hand Function ◽  
Left Hand ◽  
Lower Trunk ◽  
Bilateral Lung Transplantation ◽  
Bilateral Lung ◽  
Transplantation Patient

We report a patient who has been on tacrolimus for bilateral lung transplantation and presented with a brachial plexus injury (BPI), with unusual improvement of lower trunk innervated hand function. The lower trunk injury with resultant left hand paralysis had developed after his sternotomy 18 months ago. He has been treated with tacrolimus as part of his immunosuppression protocol since the surgery, without severe side effects. Physical examination at 18 months demonstrated unusual excellent grip pattern and full opposition of his thumb with slight claw deformity of his ulnar two digits. While the neurotoxic effects of tacrolimus are more emphasised, the neuroregenerative properties have been recently explored. The recovery in this patient is unique and unusual after BPI and is most likely as a result of the low dose tacrolimus treatment.

scholarly journals DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT

2019 ◽  
Vol 8 (1) ◽  
pp. 19
Author(s):  
Heri Suroto ◽  
Teddy Heri Wardhana ◽  
Farindra Ridhalhi
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Muscle Transfer ◽  
Motorcycle Accident ◽  
Longus Muscle ◽  
Muscle Transfers ◽  
Operative Evaluation ◽  
One Year ◽  
Adductor Longus ◽  
Functional Muscle Transfer

Free functional muscle transfer for brachial plexus injury is one of the alternatives to repair the upper extremity function, where usually one type of muscle is used, the gracillis. The method of using two donor muscles to restore the motor function is worth considering for a better improvement of the quality. A 36 years old man with a complete left brachial plexus injury from C5-T1 due to motorcycle accident. A double free functional muscle transfer was performed using the gracillis muscle and the adductor longus muscle with the arterial source from the thoraco-acromial artery with the phrenic and accessory nerves. The gracillis muscle is used to flex the fingers while the adductor is used for flexing the elbow. A one year post-operative evaluation showed the patient was already capable of flexing his elbow with the muscle score of 3 and also the fingers with the muscle score of 1. The double free functional muscle transfer procedure is effective in achieving the moving function of both the elbow and the hand.

Tendon Transfers for Brachial Plexus Injury

Hand Clinics ◽  
1988 ◽  
Vol 4 (2) ◽  
pp. 273-288
Author(s):  
Robert D. Leffert ◽  
Gary M. Pess
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Tendon Transfers

Differences in management and treatment of traumatic adult pan brachial plexus injuries: a global perspective regarding continental variations

2021 ◽  
pp. 175319342110396
Author(s):  
Alexander Y. Shin ◽  
Mariano Socolovsky ◽  
Ketan Desai ◽  
Michael Fox ◽  
Shufeng Wang ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Treatment Strategies ◽  
Global Perspective ◽  
Patient Demographics ◽  
Injury Mechanisms ◽  
Muscle Transfers ◽  
Injury Patient ◽  
Outcomes Management ◽  
Regional Comparisons

An expert opinion study was designed to query five countries and six brachial plexus surgeons regarding the demographics, mechanisms of injury, evaluation, timing of surgery, reconstructive strategies and controversies in adult traumatic pan brachial plexus injuries. Variations in assessing outcomes, management of neuropathic pain and future considerations were elucidated. Clear differences in regional demographics, mechanisms of injury, patient evaluation and treatment strategies were identified. The role of phrenic nerve and contralateral C7 transfer, acute use of free functioning muscle transfers, root reimplantation and amputation/myoelectric prosthetic fitting were regional/surgeon dependent. Comparison of outcomes across regions requires an understanding of the regional nuances of patient demographics, injury mechanisms, preferred reconstructive strategies and how outcomes are measured. Future studies are required to allow accurate regional comparisons.

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