Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 13 03 2019
accepted: 05 08 2019
entrez: 28 11 2019
pubmed: 28 11 2019
medline: 28 11 2019
Statut: epublish

Résumé

A pedicled latissimus dorsi (LD) myocutaneous flap is a reliable reconstructive method for elbow flexion, though there are no reports regarding its application to a terminal nerve level injury of the brachial plexus. A 29-year-old man presented with dysfunction of elbow flexion, wrist extension, and finger extension. Physical examination and electromyography showed that the palsy was caused by an injury at the terminal nerve level of the brachial plexus without dysfunction of the axillary nerve. Bipolar transfer of LD for reconstruction of elbow flexion and subsequent tendon transfer for wrist and finger extension were performed. The final British Medical Research Council grade was 4 for elbow flexion, and active range of motion was 0/135. An injury at the terminal nerve level of the brachial plexus should be listed in the differential diagnosis of elbow flexion dysfunction even if shoulder function is intact, and a suitable reconstructive method for this atypical type of palsy could be bipolar transfer of a LD flap.

Identifiants

pubmed: 31772897
doi: 10.1097/GOX.0000000000002472
pmc: PMC6846311
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e2472

Informations de copyright

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

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Auteurs

Takuya Kameda (T)

Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, Japan.

Ejiri Soichi (E)

Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, Japan.

Takeru Yokota (T)

Department of Orthopaedic Surgery, Iwaki City Medical Center, Fukushima, Japan.

Shin-Ichi Konno (SI)

Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, Japan.

Classifications MeSH