Hand prehension recovery after brachial plexus avulsion injury by performing a full-length phrenic nerve transfer via endoscopic thoracic surgery.

Abstract:

OBJECT:The functional recovery of hand prehension after complete brachial plexus avulsion injury (BPAI) remains an unsolved problem. The authors conducted a prospective study to elucidate a new method of resolving this injury. METHODS:Three patients with BPAI underwent a new procedure during which the full-length phrenic nerve was transferred to the medial root of the median nerve via endoscopic thoracic surgery support. All 3 patients were followed up for a postoperative period of > 3 years. RESULTS:The power of the palmaris longus, flexor pollicis longus, and the flexor digitorum muscles of all 4 fingers reached Grade 3-4/5, and no symptoms of respiratory insufficiency occurred. CONCLUSIONS:Neurotization of the phrenic nerve to the medial root of the median nerve via endoscopic thoracic surgery is a feasible means of early hand prehension recovery after complete BPAI.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Xu WD,Lu JZ,Qiu YQ,Jiang S,Xu L,Xu JG,Gu YD

doi

10.3171/JNS/2008/108/6/1215

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1215-9

issue

6

eissn

0022-3085

issn

1933-0693

journal_volume

108

pub_type

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