Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Platysma motor branch transfer in brachial plexus repair: report of the first case"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Platysma motor branch transfer in brachial plexus repair: report of the first case. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Case report Open Access Platysma motor branch transfer in brachial plexus repair report of the first case Jayme Augusto Bertelli Address Department of Orthopedic Surgery Governador Celso Ramos Hospital. Praẹa Getulio Vargas 322 Florianopolis SC 88020030 Brazil Email Jayme Augusto Bertelli - bertelli@matrix.com.br Corresponding author Published 2 May 2007 Received 14 March 2007 Journal of Brachial Plexus and Peripheral Nerve Injury 2007 2 12 doi 10.1186 1749-7221-2- Accepted 2May 2007 12 This article is available from http www.JBPPNI.cOm content 2 1 12 2007 Bertelli licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Nerve transfers are commonly employed in the treatment of brachial plexus injuries. We report the use of a new donor for transfer the platysma motor branch. Methods A patient with complete avulsion of the brachial plexus and phrenic nerve paralysis had the suprascapular nerve neurotized by the accessory nerve half of the hypoglossal nerve transferred to the musculocutaneous nerve and the platysma motor branch connected to the medial pectoral nerve. Results The diameter of both the platysma motor branch and the medial pectoral nerve was around 2 mm. Eight years after surgery the patient recovered 45 of abduction. Elbow flexion and shoulder adduction were rated as M4 according to the BMC. There was no deficit after the use of the above-mentioned nerves for transfer. Volitional control was acquired for independent function of elbow flexion and shoulder adduction. Conclusion The use of the platysma motor branch seems promising. This nerve is expendable its section led to no deficits and the relearning of motor control was not .