Partial ulnar nerve transfer to the branch of the long head of the triceps to recover elbow extension in C5, C6 and C7 brachial plexus palsy

Goubier, J.-N.; Maillot, Cédric; Asmar, G.; Teboul, F.

doi:10.1016/j.injury.2019.10.052

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…Pronator quadratus to extensor carpi radialis brevis muscle motor branch nerve transfer can yield a 90% success rate for the reconstruction of wrist extension scored M4 in patients with C5-8 brachial plexus palsy [ 83 – 85 ]. Meanwhile, partial ulnar nerve transfer to the branch of the long head of the triceps has been performed to recover elbow extension, and 90% of patients can achieve M4 or higher elbow extension strength [ 86 – 88 ]. We can come to a conclusion that antagonist nerve transfer in the upper limbs is an effective method.…”

Section: Cns Plasticity After Peripheral Nerve Transfermentioning

confidence: 99%

Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer

Shen¹

2022

Neural Plasticity

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Peripheral nerve injury can lead to partial or complete loss of limb function, and nerve transfer is an effective surgical salvage for patients with these injuries. The inability of deprived cortical regions representing damaged nerves to overcome corresponding maladaptive plasticity after the reinnervation of muscle fibers and sensory receptors is thought to be correlated with lasting and unfavorable functional recovery. However, the concept of central nervous system plasticity is rarely elucidated in classical textbooks involving peripheral nerve injury, let alone peripheral nerve transfer. This article is aimed at providing a comprehensive understanding of central nervous system plasticity involving peripheral nerve injury by reviewing studies mainly in human or nonhuman primate and by highlighting the functional and structural modifications in the central nervous system after peripheral nerve transfer. Hopefully, it will help surgeons perform successful nerve transfer under the guidance of modern concepts in neuroplasticity.

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Section: Cns Plasticity After Peripheral Nerve Transfermentioning

confidence: 99%

Plasticity of the Central Nervous System Involving Peripheral Nerve Transfer

Shen¹

2022

Neural Plasticity

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“…Internal rotation contractures and posterior humeral subluxation are the most prevalent long-term complications in BPI ( Heise et al, 2015 ; Smith et al, 2018 ), and shoulder stiffness with internal rotation is commonly observed in the context of partial recovery with or without nerve surgery ( Goubier et al, 2019 ). For infancy in rapid Developmental stages, injury of brachial plexus is more serious than in adults, except for long-term complications of upper limb, but also secondary lesions such as short upper limb and small hand deformity on the injured side.…”

Section: Introductionmentioning

confidence: 99%

Single Blind Randomized Controlled Trial of Modified Constraint-Induced Movement Therapy in Infants With the Sequelas of Unilateral Brachial Plexus Injury

Cui

Liu²,

Chen

et al. 2022

Front. Hum. Neurosci.

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ObjectiveTo explore the effect of modified constraint-induced movement therapy (mCIMT) on upper limbs residual dysfunction for infancy with the sequelas of unilateral brachial plexus injury (uBPI).MethodsSingle blind randomized controlled trial of mCIMT vs. standard care. An enrolling 31 infants with a uBPI exhibiting residual dysfunction of the affected upper limb for over 6 months was conducted. And functional outcomes pertaining to the affected upper limb were assessed via AMS, GRES, RHS, and MSS at 0, 3, and 6 months after treatment.ResultsNo differences were found in baseline (acquisition phase) AMS, MSS, GRES, or RHS between the control and mCIMT groups [F(1, 14) = 0.062, P = 0.086; F(1, 14) = 0.483, P = 0.499; F(1, 14) = 0.272, P = 0.610; Z = −0.336, P = 7.373]. At the 3- and 6-month follow-up time points, AMS, MSS, and GRES scores were significantly improved over baseline in both groups [mCIMT: F(2, 30) = 183.750, 128.614, 110.085, P < 0.05; Control: F(2, 28) = 204.007, 75.246, 51.070, P < 0.05]. No significant differences were found between two treatment groups at the 3-month follow-up time point [F(1, 14) = 0.565, P = 0.465; F(1, 14) = 0.228, P = 0.641; F(1, 14) = 0.713, P = 0.413; Z = −0.666, P = 0.505]. However, at the 6-month follow-up time point, AMS and MSS scores were significantly improved in the mCIMT group relative to the control group [F(1, 14) = 8.077, P = 0.013; F(1, 14) = 18.692, P = 0.001].ConclusionmCIMT may benefit the rehabilitation of residual upper limb dysfunction associated with a uBPI in infants.Clinical Trial Registration[www.chictr.org.cn], identifier [ChiCTR1900022119].

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