Transfer of brachialis branch of musculocutaneous nerve for finger flexion: anatomic study and case report.

Abstract:

:Based on an anatomic study, a transfer of the brachialis muscle branch of the musculocutaneous nerve (BMBMCN) to finger flexor functional fascicles of the median nerve was designed. Preliminary results of clinical application of this new procedure are reported. Dissection of 32 cadaver upper limbs revealed that BMBMCN derives from the musculocutaneous nerve at the distal 1/3 upper arm level. Mostly it is of single-branch type, with an average dissectable length of 5.2 cm. At this level, functional fascicles of finger flexors are located at the posterior 1/3 of the median nerve. BMBMCN can be directly coapted to these finger flexion fascicles. In one case of brachial plexus lower trunk injury, this neurotization procedure was done. No impairment of elbow flexion and wrist flexion was found postoperatively. Recovery of finger and thumb flexion was seen 1 year postoperatively. This neurotization is safe and effective for treating lower trunk injuries.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Gu Y,Wang H,Zhang L,Zhang G,Zhao X,Chen L

doi

10.1002/micr.20053

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

358-62

issue

5

eissn

0738-1085

issn

1098-2752

journal_volume

24

pub_type

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