Transfer of the musculocutaneous nerve branch to the brachialis muscle to the triceps for elbow extension: Anatomical study and report of five cases

J. A. Bertelli, F. Soldado, M. F. Ghizoni, A. Rodríguez-Baeza

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)

Abstract

© The British Society for Surgery of the Hand. We report the study of the anatomical feasibility of transferring the nerve to the brachialis muscle to the upper medial head motor branch that innervate the triceps, and outcomes of such transfers in restoring elbow extension in five patients with posterior cord lesion of the brachial plexus. The length of the branches to the brachialis muscle measured 7.6 cm and the triceps upper medial head motor branch was 5 cm in 10 adult cadavers. Five male patients were treated with this transfer 5 months after the injury (range 4 to 6 months) after posterior cord injury of the brachial plexus with a mean follow-up of 31 months (range 28 to 36 months). Elbow extension scored M4 in all cases. No complications occurred. These preliminary results suggest that transferring the nerve to the brachialis muscle is an effective technique for the reconstruction of elbow extension after posterior cord brachial plexus injuries.
Original languageEnglish
Pages (from-to)710-714
JournalJournal of Hand Surgery: European Volume
Volume42
DOIs
Publication statusPublished - 1 Sep 2017

Keywords

  • Brachial plexus
  • elbow extension
  • nerve grafts
  • nerve transfer

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