Brachialis-to-Extensor Carpi Radialis Longus Selective Nerve Transfer to Restore Wrist Extension in Tetraplegia: Case Report

被引：50

作者：

Friden, Jan ^{[1
]}

Gohritz, Andreas

机构：

[1] Sahlgrens Univ Hosp, Dept Hand Surg, SE-41345 Gothenburg, Sweden

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2012年 / 37A卷 / 08期

基金：

瑞典研究理事会;

关键词：

Musculocutaneous nerve; radial nerve; nerve transfer; tetraplegia; wrist extension; MUSCULOCUTANEOUS NERVE; FINGER FLEXION; BRANCH;

D O I：

10.1016/j.jhsa.2012.05.005

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：

Active wrist extension allowing tenodesis grip is the key function in high-level tetraplegic patients. It is absent and cannot be restored by traditional tendon transfer in patients who have no transferable muscle below the elbow. We present a 36-year-old man with high-level tetraplegia treated 12 months after injury who regained active wrist extension after transfer of the brachialis muscle branch of the musculocutaneous nerve to the extensor carpi radialis longus muscle branch of the radial nerve. No functional deficit of elbow flexion occurred after reconstruction. (J Hand Surg 2012;37A:1606-1608. Copyright (C) 2012 by the American Society for Surgery of the Hand. All rights reserved.)

引用

页码：1606 / 1608

页数：3

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