Relevant bibliographies by topics / Musculocutaneous nerve Surgery

Academic literature on the topic 'Musculocutaneous nerve Surgery'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Musculocutaneous nerve Surgery"

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Samardzic, Miroslav, Danica Grujicic, Lukas Rasulic, and Dragoljub Bacetic. "Transfer of the Medial Pectoral Nerve: Myth or Reality?" Neurosurgery 50, no. 6 (June 1, 2002): 1277–82. http://dx.doi.org/10.1097/00006123-200206000-00019.

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Abstract OBJECTIVE Transfer of the medial pectoral nerve is one of the most controversial procedures used to reinnervate the paralyzed upper arm because of brachial plexus spinal nerve root avulsion or directly irreparable proximal lesions of spinal nerves. The purpose of this study was to determine the value of this type of nerve transfer to the musculocutaneous and axillary nerves. METHODS The 25 patients included in the study comprised 14 patients who had nerve transfer to the musculocutaneous nerve and 11 who underwent nerve transfer to the axillary nerve. These patients’ functional recovery and the time course of their recovery were analyzed according to the type of transfer of one donor nerve or the donor nerve in combination with other donors. RESULTS Useful functional recovery was achieved in 85.7% of patients who had nerve transfer to the musculocutaneous nerve and in 81.8% of patients who underwent nerve transfer to the axillary nerve. There was no significant difference in results with regard to the type of nerve transfer and which recipient nerves were involved. A strong trend toward better results after procedures involving the use of a donor nerve combined with other donors was observed, however. CONCLUSION Our surgical results suggest that the transfer of the medial pectoral nerve to the musculocutaneous nerve and also to the axillary nerve may be a reliable and effective procedure.
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Arora, L., and R. Dhingra. "Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps." Indian Journal of Plastic Surgery 39, no. 02 (July 2006): 172–74. http://dx.doi.org/10.1055/s-0039-1699152.

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ABSTRACTVariations in branching pattern of the brachial plexus are common and have been reported by several investigators. Of the four main nerves traversing the arm, namely median, ulnar, radial and musculocutaneous, the ulnar and median nerve do not give any branches to muscles of the arm. Ulnar nerve after taking origin from medial cord of brachial plexus runs distally through axilla on medial side of axillary artery till middle of arm, where it pierces the medial intermuscular septum and enters the posterior compartment of arm. Ulnar nerve enters forearm between two heads of flexor carpi ulnaris from where it continues further. It supplies flexor carpi ulnaris , flexor digitorum profundus and several intrinsic muscles of hand . We recently observed dual supply of biceps muscle from ulnar and median nerves in arm. Musculocutaneous nerve was absent. Although communications between nerves in arm is rare, the communication between median nerve and musculocutaneous nerve were described from the 19th century which could explain innervation of biceps from median nerve. But no accurate description of ulnar nerve supplying biceps could be found in literature. Knowledge of anatomical variation of these nerves at level of upper arm is essential in light of the frequency with which surgery is performed to transfer nerve fascicles from ulnar nerve to biceps in case of brachial plexus injuries. We also observed third head of biceps, our aim is to describe the exact topography of this variation and to discuss its morphological.
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Haninec, Pavel, Libor Mencl, and Radek Kaiser. "End-to-side neurorrhaphy in brachial plexus reconstruction." Journal of Neurosurgery 119, no. 3 (September 2013): 689–94. http://dx.doi.org/10.3171/2013.6.jns122211.

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Object Although a number of theoretical and experimental studies dealing with end-to-side neurorrhaphy (ETSN) have been published to date, there is still a considerable lack of clinical trials investigating this technique. Here, the authors describe their experience with ETSN in axillary and musculocutaneous nerve reconstruction in patients with brachial plexus palsy. Methods From 1999 to 2007, out of 791 reconstructed nerves in 441 patients treated for brachial plexus injury, the authors performed 21 axillary and 2 musculocutaneous nerve sutures onto the median, ulnar, or radial nerves. This technique was only performed in patients whose donor nerves, such as the thoracodorsal and medial pectoral nerves, which the authors generally use for repair of axillary and musculocutaneous nerves, respectively, were not available. In all patients, a perineurial suture was carried out after the creation of a perineurial window. Results The overall success rate of the ETSN was 43.5%. Reinnervation of the deltoid muscle with axillary nerve suture was successful in 47.6% of the patients, but reinnervation of the biceps muscle was unsuccessful in the 2 patients undergoing musculocutaneous nerve repair. Conclusions The authors conclude that ETSN should be performed in axillary nerve reconstruction but only when commonly used donor nerves are not available.
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Devale, Maksud Mubarak, Gaurav Jatin Kadakia, Vicky Ghewarchand Jain, and Rohit Prakash Munot. "Direct electrical injury to brachial plexus." Indian Journal of Plastic Surgery 50, no. 02 (May 2017): 217–19. http://dx.doi.org/10.4103/ijps.ijps_177_16.

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ABSTRACTElectrical current can cause neurological damage directly or by conversion to thermal energy. However, electrical injury causing isolated brachial plexus injury without cutaneous burns is extremely rare. We present a case of a 17-year-old boy who sustained accidental electrical injury to left upper extremity with no associated entry or exit wounds. Complete motor and sensory loss in upper limb were noted immediately after injury. Subsequently, the patient showed partial recovery in muscles around the shoulder and in ulnar nerve distribution at 6 months. However, there was no improvement in muscles supplied by musculocutaneous, median and radial nerves. On exploration at 6 months after trauma, injury to the infraclavicular plexus was identified. Reconstruction of musculocutaneous, median and radial nerves by means of sural nerve cable grafts was performed. The patient has shown excellent recovery in musculocutaneous nerve function with acceptable recovery of radial nerve function at 1-year post-injury.
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Kubwimana, Olivier, Albert Ndata, Andrew Ivang, Paul Ndahimana, Albert Nzayisenga, Jean Claude Byiringiro, and Julien Gashegu. "Musculocutaneous and median nerve branching: anatomical variations. Case Series from UR clinical anatomy and literature review." African Health Sciences 22, no. 1 (April 29, 2022): 263–8. http://dx.doi.org/10.4314/ahs.v22i1.33.

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Introduction: The brachial plexus is highly variable, which is a well-known anatomical fact. Repeated observations on anatomical variations, however, constitute current trends in anatomical research. Case series: In an anatomical dissection course, three uncommon variations in the brachial plexus were identified in three young adults’ cadavers. In one case, the musculocutaneous nerve gave a branch to the median nerve, while the median nerve gave or received musculocutaneous branches in the two remaining corpses. Conclusion: Anatomical variations of the brachial plexus do occur in our setting. The cases we presented are about anatomical variations of branching patterns of the median and musculocutaneous nerves. Knowledge of those variations is essential for surgery and regional anesthesia of the upper limbs. Keywords: Anatomical variations; brachial plexus; median nerve; musculocutaneous nerve; upper limb.
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Blaauw, Gerhard, and Albert C. J. Slooff. "Transfer of Pectoral Nerves to the Musculocutaneous Nerve in Obstetric Upper Brachial Plexus Palsy." Neurosurgery 53, no. 2 (August 1, 2003): 338–42. http://dx.doi.org/10.1227/01.neu.0000073420.66113.66.

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Abstract OBJECTIVE To investigate the results of transfer of pectoral nerves to the musculocutaneous nerve for treatment of obstetric brachial palsy. METHODS In 25 cases of obstetric brachial palsy (20 after breech deliveries), branches of the pectoral nerve plexus were transferred directly to the musculocutaneous nerve. For all patients, the nerve transfer was part of an extended brachial plexus reconstruction. Results were tested both clinically and with the Mallet scale, at a mean follow-up time of 70 months (standard deviation, 34.3 mo). RESULTS There were two complete failures, which were attributable to disconnection of the transferred nerve endings. The results after transfer were excellent in 17 cases and fair in 5 cases. Steindler flexorplasty improved elbow flexion for three patients. CONCLUSION Transfer of pectoral nerves to the musculocutaneous nerve for treatment of obstetric upper brachial palsy may be effective, if the specific anatomic features of the pectoral nerve plexus are sufficiently appreciated.
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KRISHNAMURTHY, A., S. R. NAYAK, L. VENKATRAYA PRABHU, R. P. HEGDE, S. SURENDRAN, M. KUMAR, and M. M. PAI. "The Branching Pattern and Communications of the Musculocutaneous Nerve." Journal of Hand Surgery (European Volume) 32, no. 5 (October 2007): 560–62. http://dx.doi.org/10.1016/j.jhse.2007.06.003.

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Anatomical variations of peripheral nerves are important and can help explain otherwise incomprehensible clinical findings. A study of 26 right and 18 left formalin-preserved upper limbs identified the fact that the musculocutaneous nerve is subject to considerable anatomical variation, including communication with the median nerve. A study of its branching pattern made us aware of why debility after trauma to the lateral aspect of the upper arm may be more than expected, and this study considers the clinical and surgical importance of these variations of the musculocutaneous nerve.
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Lam, W. L., D. Fufa, N. J. Chang, and D. C. C. Chuang. "Management of infraclavicular (Chuang Level IV) brachial plexus injuries: A single surgeon experience with 75 cases." Journal of Hand Surgery (European Volume) 40, no. 6 (October 7, 2014): 573–82. http://dx.doi.org/10.1177/1753193414553753.

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Infraclavicular brachial plexus injuries (Level IV in Chuang’s classification) have special characteristics, including high incidences of associated scapular fractures, glenohumeral dislocations, and vascular injuries. In addition, there are specific difficulties in surgical dissection and nerve repairs, especially if surgery is delayed (>3 months). A total of 153 patients with Level IV brachial plexus injuries underwent surgery between 1987 and 2008 with 75 patients (average age 29 years) available for a minimum of 4 years follow-up. Accompanying fractures/dislocations were suffered by 48 (64%) patients, and 17 (23%) had associated vascular injuries. The most common nerves to be injured were the axillary and musculocutaneous nerves. Nerve grafts to the axillary, musculocutaneous, and radial nerves achieved impressive results, but less reliable outcomes were achieved with the median and ulnar nerves. Decompression and/or external neurolysis were also beneficial for nerve recovery. Some surgical tips are presented, and the use of the C-loop vascularized ulnar nerve graft and functioning muscle transfers are discussed. Level of Evidence: IV
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9

V., Dhanalakshmi, Santhi B., and Suba Ananthi K. "Bilateral communication between musculocutaneous nerve and median nerve - a case report." National Journal of Clinical Anatomy 01, no. 02 (April 2012): 096–98. http://dx.doi.org/10.1055/s-0039-3401661.

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AbstractDuring routine dissection of an adult male cadaver, we observed bilateral communication between musculocutaneous nerve and median nerve. The level of origin of the communicating branch from musculocutaneous nerve was different in both arms. In left arm it arose before piercing coracobrachialis and in the right arm after piercing it. It is important to be aware of this variation while planning a surgery in the region of arm, as these nerves are more liable to be injured during operations. Any compression over the communicating branch may give rise to varying patterns of weakness that may impose difficulty in diagnosis for the neurologists.
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Samii, Amir, Gustavo Adolpho Carvalho, and Madjid Samii. "Brachial plexus injury: factors affecting functional outcome in spinal accessory nerve transfer for the restoration of elbow flexion." Journal of Neurosurgery 98, no. 2 (February 2003): 307–12. http://dx.doi.org/10.3171/jns.2003.98.2.0307.

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Object. Between 1994 and 1998, 44 nerve transfers were performed using a graft between a branch of the accessory nerve and musculocutaneous nerve to restore the flexion of the arm in patients with traumatic brachial plexus injuries. A retrospective study was conducted, including statistical evaluation of the following pre- and intraoperative parameters in 39 patients: 1) time interval between injury and surgery; and 2) length of the nerve graft used to connect the accessory and musculocutaneous nerves. Methods. The postoperative follow-up interval ranged from 23 to 84 months, with a mean ± standard deviation of 36 ± 13 months. Reinnervation of the biceps muscle was achieved in 72% of the patients. Reinnervation of the musculocutaneous nerve was demonstrated in 86% of the patients who had undergone surgery within the first 6 months after injury, in 65% of the patients who had undergone surgery between 7 and 12 months after injury, and in only 50% of the patients who had undergone surgery 12 months after injury. A statistical comparison of the different preoperative time intervals (0–6 months compared with 7–12 months) showed a significantly better outcome in patients treated with early surgery (p < 0.05). An analysis of the impact of the length of the interposed nerve grafts revealed a statistically significant better outcome in patients with grafts 12 cm or shorter compared with that in patients with grafts longer than 12 cm (p < 0.005). Conclusions. Together, these results demonstrated that outcome in patients who undergo accessory to musculocutaneous nerve neurotization for restoration of elbow flexion following brachial plexus injury is greatly dependent on the time interval between trauma and surgery and on the length of the nerve graft used.
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Book chapters on the topic "Musculocutaneous nerve Surgery"

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Celli, L., C. Rovesta, A. Balli, and M. C. Marongiu. "Isolated traumatic lesions of the musculocutaneous nerve." In Current Concepts in Orthopaedic Surgery, 139–45. Vienna: Springer Vienna, 1991. http://dx.doi.org/10.1007/978-3-7091-4127-4_15.

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Pulos, Bridget P., and Nicholas Pulos. "Nerve Injury After Shoulder Arthroscopy, Stabilization, and Rotator Cuff Repair (Axillary, Musculocutaneous, Suprascapular Nerves)." In Peripheral Nerve Issues after Orthopedic Surgery, 43–56. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-84428-8_3.

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Isla, Alberto, and Julio Pozuelos. "Anatomic Study in Cadaver of the Motor Branch of the Musculocutaneous Nerve." In Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves, 227–32. Vienna: Springer Vienna, 2010. http://dx.doi.org/10.1007/978-3-211-99370-5_35.

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