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[Anatomical cartography of the radial nerve at the elbow level for intraradial nerve transfers for finger extension reconstruction in spastic upper limb - A cadaveric study]. / Cartographie anatomique du nerf radial dans la région du coude pour son application aux transferts nerveux intraradiaux dans la chirurgie de la spasticité.
Maincourt, P; Ramiere, J; Seizeur, R; Hu, W; Perruisseau-Carrier, A.
Afiliación
  • Maincourt P; Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, hôpital de la Cavale-Blanche, Brest, France.
  • Ramiere J; Service de chirurgie orthopédique, HIA Clermont Tonnerre Brest, rue Colonel-Fontferrier, 29240 Brest cedex, France.
  • Seizeur R; Service de neurochirurgie, CHRU de Brest, hôpital de la Cavale-Blanche, Brest, France; Laboratoire d'anatomie de la faculté de médecine de Brest, université de Bretagne Occidentale, Brest, France.
  • Hu W; Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, hôpital de la Cavale-Blanche, Brest, France.
  • Perruisseau-Carrier A; Service de chirurgie de la main et des brûlés, CHU de Grenoble Alpes, hôpital Michallon, Grenoble, France. Electronic address: aperruisseaucarrier@chu-grenoble.fr.
Ann Chir Plast Esthet ; 69(5): 343-354, 2024 Sep.
Article en Fr | MEDLINE | ID: mdl-39107218
ABSTRACT

INTRODUCTION:

Upper limb spasticity is a surgical challenge, both in diminishing agonists spasticity and reconstructing antagonist function. Brachioradialis (BR) is often involved in elbow flexors spasticity. Finger extension is often impaired in spastic patients. This study aims to demonstrate the feasibility of BR motor branch to posterior interosseous nerve (PIN) during BR selective neurectomies, and to describe fascicles topography inside the radial nerve to facilitate PIN dissection. MATERIAL AND

METHOD:

Ten upper limbs from 10 fresh frozen anatomical specimens were dissected. Motor branches to the BR, wrist extensors, supinator, PIN and radial sensory branch were identified. BR to PIN transfer was realized and its feasibility was studies (donor length, tensionless suture).

RESULTS:

BR to PIN transfer was achievable in 9 out of 10 cases. The position of the sensory branch of the radial nerve was inferior or medial in all cases. The position of the PIN was lateral in 90% of the cases.

CONCLUSION:

BR to PIN nerve transfer is achievable in most cases (90%). The lateral topography of the PIN and the inferomedial topography of the sensory branch in most cases allows for an easier intraoperative finding of the PIN when stimulation is not possible. LEVEL IV, feasibility study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Cadáver / Estudios de Factibilidad / Transferencia de Nervios / Dedos / Espasticidad Muscular Límite: Female / Humans / Male Idioma: Fr Revista: Ann Chir Plast Esthet Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nervio Radial / Cadáver / Estudios de Factibilidad / Transferencia de Nervios / Dedos / Espasticidad Muscular Límite: Female / Humans / Male Idioma: Fr Revista: Ann Chir Plast Esthet Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia