The intercostobrachial nerve as a sensory donor for hand reinnervation in brachial plexus reconstruction is a feasible technique and may be useful for restoring sensation.

Abstract:

Objective:Few donors are available for restoration of sensibility in patients with complete brachial plexus injuries. The objective of our study was to evaluate the anatomical feasibility of using the intercostobrachial nerve (ICBN) as an axon donor to the lateral cord contribution to the median nerve (LCMN). Methods:Thirty cadavers were dissected. Data of the ICBN and the LCMN were collected, including diameters, branches and distances. Results:The diameters of the ICBN and the LCMN at their point of coaptation were 2.7mm and 3.7mm, respectively. The ICBN originated as a single trunk in 93.3% of the specimens and bifurcated in 73.3%. The distance between the ICBN origin and its point of coaptation to the LCMN was 54mm. All ICBNs had enough extension to reach the LCMN. Conclusion:Transfer of the ICBN to the LCMN is anatomically feasible and may be useful for restoring sensation in patients with complete brachial plexus injuries.

journal_name

Arq Neuropsiquiatr

authors

Foroni L,Siqueira MG,Martins RS,Oliveira GP

doi

10.1590/0004-282X20170073

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

439-445

issue

7

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2017000700439

journal_volume

75

pub_type

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