Brachialis Muscle Transfer to the Forearm Muscles in Obstetric Brachial Plexus Palsy

Author:

BERTELLI J. A.1

Affiliation:

1. From the Department of Plastic Surgery, Joana de Gusmão Children’s Hospital, Florianópolis, SC, Brazil and the Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Tubarão, SC, Brazil

Abstract

Tendon transfers are frequently needed to improve hand function in obstetric brachial plexus injuries. The reconstruction cannot always be achieved using local donor transfers in the forearm as these are not always available. In such cases, we propose the use of the brachialis muscle as a useful donor for transfer. Five adolescents with obstetric brachial plexus palsy were operated on to reconstruct wrist extension and/or pronation using the brachialis muscle transfer to the pronator teres ( n = 1) extensor carpi radialis brevis ( n = 1) and extensor carpi radialis longus ( n = 3). Twelve months after surgery, average active motion recovery was 20° for wrist extension and 14° for pronation. Active and passive range of motion was similar.

Publisher

SAGE Publications

Subject

Transplantation,Surgery

Reference13 articles.

1. Forearm Supination Deformity after Obstetric Paralysis

2. Surgical Correction of Supination Deformity in Children with Obstetric Brachial Plexus Palsy

3. BirchRBonneyGWynn ParryCBSurgical disorders of the peripheral nerves1998aLondonChurchill Livingstone415450

4. BirchRBonneyGWynn ParryCBSurgical disorders of the peripheral nerves1998bLondonChurchill Livingstone81

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