Flaccid Dysfunction of the Elbow

Larsen, Mikko; Bishop, Allen T.; Shin, Alexander Y.

doi:10.1016/b978-1-4160-2902-1.50076-0

Cited by 2 publications

(4 citation statements)

References 197 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Restoration of elbow flexion is the first priority, followed by shoulder external rotation and grasp function. Elbow extension is considered less often but becomes relevant when using a functional free muscle transfer that crosses the elbow to enhance grasp capabilities (49). In Nagano (50) documented the use of multiple nerve transfers for lesions specifically affecting the C5-6 region, including the utilization of intercostal nerves to reinnervate the musculocutaneous nerve.…”

Section: Donor Nerve Requirementsmentioning

confidence: 99%

Advancements in autologous peripheral nerve transplantation care: a review of strategies and practices to facilitate recovery

Xu,

Zou,

Dong

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

Autologous peripheral nerve transplantation, a pioneering technique in nerve injury treatment, has demonstrated remarkable progress. We examine recent nursing strategies and methodologies tailored to various anatomical sites, highlighting their role in postoperative recovery enhancement. Encompassing brachial plexus, upper limb, and lower limb nerve transplantation care, this discussion underscores the importance of personalized rehabilitation plans, interdisciplinary collaboration, and innovative approaches like nerve electrical stimulation and nerve growth factor therapy. Moreover, the exploration extends to effective complication management and prevention strategies, encompassing infection control and pain management. Ultimately, the review concludes by emphasizing the advances achieved in autologous peripheral nerve transplantation care, showcasing the potential to optimize postoperative recovery through tailored and advanced practices.

show abstract

Section: Donor Nerve Requirementsmentioning

confidence: 99%

Advancements in autologous peripheral nerve transplantation care: a review of strategies and practices to facilitate recovery

Xu,

Zou,

Dong

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…The surgical management involves neurotization and/or muscle transfer procedures. 38 The planning of these procedures involves nuanced decision-making. The patient and carers must be involved closely in the process and need to be highly motivated to do postoperative physical therapy which is vital to the success of these complex procedures.…”

Section: Elbow Paralysismentioning

confidence: 99%

“…While the details are beyond the scope of this review, we have summarized the nerve/muscle units reported to have been used in various situations 38 in Table 3.…”

Section: Elbow Paralysismentioning

confidence: 99%

“…-Spinal Accessory N. (terminal part extended via graft) 48 -Intercostals 3e5 49 -Phrenic N. (partial, extended via graft) 50 -Opposite C7 N. root (pref. partial, extended via ipsilateral vascularized ulnar n. graft) 51 Free transfer of Gracilis or Rectus femoris; powered by intercostal nerves/spinal accessory nerve as in neurotization 38 For Elbow Extension-usually in tetraplegic patients to aid transfers Recipient: Radial N. Branch to long head of triceps Donors:…”

Section: Conclusion/summarymentioning

confidence: 99%

See 1 more Smart Citation

The flail elbow: Every surgeon's nightmare

Kumar

Mishra

Arya

et al. 2021

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

A flail elbow joint has an excessive or abnormal degree of mobility resulting in loss of function. Such a situation can arise from structural damage or loss of neuromuscular control. Structural damage may be in terms of loss of integrity of bony, ligamentous, or both components, and this is commonly caused by trauma, failed arthroplasty, infections -either in the native joint or associated with the above, or inflammatory arthritides. Arm paralysis from any cause may also leads to a loss of muscle control making the elbow flail.The management of the condition varies according to etiology; and concurrent issues like infection and instability need to be addressed in addition to the structural problems. Treatment can be nonsurgical with the use of orthotics to support the elbow, and maybe more appropriate in certain circumstances. Surgical treatment can involve fixation, repair or reconstruction. Often the deficiency is not amenable to these methods and arthroplasty has to be considered. The situation becomes more fraught in case of failure of arthroplasty and/or infection, where reconstruction can be challenging.In this review we have considered diverse clinical scenarios that fall under this broad umbrella, with a focus on those encountered commonly in practice.

show abstract

Flaccid Dysfunction of the Elbow

Cited by 2 publications

References 197 publications

Advancements in autologous peripheral nerve transplantation care: a review of strategies and practices to facilitate recovery

Advancements in autologous peripheral nerve transplantation care: a review of strategies and practices to facilitate recovery

The flail elbow: Every surgeon's nightmare

Contact Info

Product

Resources

About