• J Hand Surg Am · Mar 2011

    Case Reports

    Nerve transfer to the triceps after brachial plexus injury: report of four cases.

    • Mitchell A Pet, Wilson Z Ray, Andrew Yee, and Susan E Mackinnon.
    • Division of Plastic and Reconstructive Surgery and Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
    • J Hand Surg Am. 2011 Mar 1; 36 (3): 398-405.

    AbstractThese case reports review the clinical outcomes of 4 patients who underwent nerve transfer to a triceps motor branch of the radial nerve. Mean follow-up was 26 ± 15 months. Two patients had a transfer using an ulnar nerve fascicle to the flexor carpi ulnaris muscle, yielding a motor recovery of grade M5 elbow extension strength in one case and M4+ in the other. In 1 patient, a thoracodorsal nerve branch was used as the donor; this patient recovered M4 strength. One patient had a transfer using a radial nerve fascicle to the extensor carpi radialis longus muscle and recovered M5 strength. These outcomes indicate that expendable fascicles of the ulnar, thoracodorsal, and radial nerves are viable donors in the surgical reconstruction of elbow extension.Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

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