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Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury

Abdul Rashid, Mohammad Azrul and Khalid, Kamarul Ariffin and Ismail, Raffael (2018) Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury. International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 60. E-ISSN 1823-4631

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Introduction: Neurotization procedures to the elbow flexors are commonly done in traumatic brachial plexus injury (BPI). The objective of this study was to evaluate the recovery of elbow flexors in patients who underwent neurotization procedure to musculocutaneous nerve in the panplexus and upper trunk BPI. Materials and Methods: This was a cross sectional study involving 70 patients who underwent neurotization to elbow flexor. A total of 31 patients (44%) had panplexus injury and 39 (56%) had upper trunk BPI. Elbow flexor motor power and post-operative Disabilities of the Arm, Shoulder and Hand (DASH) score were evaluated. Results: The mean age of the patients was 22.7 years. Patients with panplexus BPI underwent neurotization to the elbow flexor using spinal accessory nerve as a donor and patients with upper trunk BPI used either ulnar or median nerve as a donor. The results of elbow flexors recovery in panplexus BPI were good (MRC grade 4 and 5) in 11 patients (35.5%) and poor in 20 patients (64.5%). Conversely, the recovery of elbow flexors in upper trunk BPI were better with 28 patients (71.8%). Good post-operative DASH score (score <50 points) were noted in 29 patients (74.4%) with upper trunk BPI. Only seven patients (22.6%) with panplexus BPI showed good post-operative DASH score. Majority of patients with panplexus BPI demonstrated poor recovery of elbow flexor and post-operative DASH score as compare to upper trunk BPI (p= 0.002). Conclusion: Overall, this study showed significantly better functional outcome of neurotization procedure to elbow flexor in upper trunk BPI than in panplexus BPI.

Item Type: Article (Meeting Abstract)
Additional Information: 2295/69340
Uncontrolled Keywords: neurotization, musculocutaneous nerve, traumatic brachial plexus injury
Subjects: R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User: Raffael Ismail
Date Deposited: 18 Jan 2019 15:02
Last Modified: 18 Jan 2019 15:02
URI: http://irep.iium.edu.my/id/eprint/69340

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