Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury
Introduction: Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_225_16 |
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| author | Pothula Durga Prasada Rao Rayidi Venkata Koteswara Rao R. Srikanth |
| author_facet | Pothula Durga Prasada Rao Rayidi Venkata Koteswara Rao R. Srikanth |
| author_sort | Pothula Durga Prasada Rao |
| collection | DOAJ |
| description | Introduction: Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used. Material and Methods: We have transferred one of the heads of triceps muscle to restore the elbow flexion in such cases. In addition to return of elbow flexion, extension of elbow following surgery is retained. Ten patients suffering from upper brachial plexus injuries underwent transfer of one head of triceps to biceps tendon between December 2011 and August 2015. Results: The recovery of elbow flexion was Grade 5 in 1, Grade 4 in 4 and Grade 3 in 2; only three of the ten patients had no functionally useful elbow flexion. Seven of the ten patients had an adequate elbow extension following the procedure. |
| format | Article |
| id | doaj-art-dc89e742a94f453bb1106d1487b7ee31 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-dc89e742a94f453bb1106d1487b7ee312025-08-20T02:21:37ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2017-01-01500103504210.4103/ijps.IJPS_225_16Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injuryPothula Durga Prasada Rao0Rayidi Venkata Koteswara Rao1R. Srikanth2Department of Plastic Surgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaDepartment of Plastic Surgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaDepartment of Plastic Surgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaIntroduction: Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used. Material and Methods: We have transferred one of the heads of triceps muscle to restore the elbow flexion in such cases. In addition to return of elbow flexion, extension of elbow following surgery is retained. Ten patients suffering from upper brachial plexus injuries underwent transfer of one head of triceps to biceps tendon between December 2011 and August 2015. Results: The recovery of elbow flexion was Grade 5 in 1, Grade 4 in 4 and Grade 3 in 2; only three of the ten patients had no functionally useful elbow flexion. Seven of the ten patients had an adequate elbow extension following the procedure.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_225_16loss of elbow flexionpedicled muscle transfertriceps muscleupper brachial plexus injury |
| spellingShingle | Pothula Durga Prasada Rao Rayidi Venkata Koteswara Rao R. Srikanth Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury Indian Journal of Plastic Surgery loss of elbow flexion pedicled muscle transfer triceps muscle upper brachial plexus injury |
| title | Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| title_full | Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| title_fullStr | Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| title_full_unstemmed | Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| title_short | Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| title_sort | triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury |
| topic | loss of elbow flexion pedicled muscle transfer triceps muscle upper brachial plexus injury |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_225_16 |
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