Affiliation:
1. Universidade de São Paulo, Brasil
Abstract
ABSTRACT Objective Few donors are available for restoration of sensibility in patients with complete brachial plexus injuries. The objective of our study was to evaluate the anatomical feasibility of using the intercostobrachial nerve (ICBN) as an axon donor to the lateral cord contribution to the median nerve (LCMN). Methods Thirty cadavers were dissected. Data of the ICBN and the LCMN were collected, including diameters, branches and distances. Results The diameters of the ICBN and the LCMN at their point of coaptation were 2.7mm and 3.7mm, respectively. The ICBN originated as a single trunk in 93.3% of the specimens and bifurcated in 73.3%. The distance between the ICBN origin and its point of coaptation to the LCMN was 54mm. All ICBNs had enough extension to reach the LCMN. Conclusion Transfer of the ICBN to the LCMN is anatomically feasible and may be useful for restoring sensation in patients with complete brachial plexus injuries.
Subject
Neurology,Neurology (clinical)
Reference30 articles.
1. Neurotization of avulsed roots of brachial plexus by means of anterior nerves of cervical plexus;Brunelli G;Clin Plast Surg,1984
2. Sensory reconstruction for total brachial plexus palsy of root-avulsed type;Ihara K;J Jpn Soc Surg Hand,1992
3. The postoperative results of nerve transfer for the brachial plexus injuries with root avulsion;Kotani T;Seikeigeka,1971
4. Direct nerve crossing with the intercostal nerve to treat avulsion injuries of the brachial plexus;Nagano A;J Hand Surg Am,1989
5. Reconstruction of sensory function for brachial palsy;Nakatuchi Y;J Jpn Soc Surg Hand,1988
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