tailieunhanh - Báo cáo y học: "Functioning transferred free muscle innervated by part of the vascularized ulnar nerve connecting the contralateral cervical seventh root to themedian nerve: case repor"

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: Functioning transferred free muscle innervated by part of the vascularized ulnar nerve connecting the contralateral cervical seventh root to themedian nerve: case report. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Case report Open Access Functioning transferred free muscle innervated by part of the vascularized ulnar nerve connecting the contralateral cervical seventh root to themedian nerve case report Ryosuke Kakinoki Ryosuke Ikeguchi Ken Nakayama and Takashi Nakamura Address Department of Orthopedic Surgery Rehabilitation Medicine Graduate School of Medicine Kyoto University Kyoto Japan Email Ryosuke Kakinoki - kakinoki@ Ryosuke Ikeguchi - ikeguchi@ Ken Nakayama - ken102419naka@ Takashi Nakamura - ntaka@ Corresponding author Published 21 September 2007 Received 3 May 2007 Journal of Brachial Plexus and Peripheral Nerve Injury 2007 2 18 doi 1749-7221-2- Accepted 21 September 2007 18 This article is available from http content 2 1 18 2007 Kakinoki et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The limited nerve sources available for the reconstruction and restoration of upper extremity function is the biggest obstacle in the treatment of brachial plexus injury BPI . We used part of a transplanted vascularized ulnar nerve as a motor source of a free muscle graft. Case presentation A 21-year-old man with a left total brachial plexus injury had received surgical intercostal nerve transfer to the musculocutaneous nerve and a spinal accessory nerve transfer to the suprascapular nerve in another hospital previously. He received transplantation of a free vascularized gracilis muscle innervated by a part of the transplanted vascularized ulnar nerve connecting the contralateral healthy cervical seventh nerve root CC7 to the median nerve and recovered wrist .

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