Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level
Summary:. 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 exte...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2019-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002472 |
| _version_ | 1811196690422562816 |
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| author | Takuya Kameda, MD, PhD Ejiri Soichi, MD, PhD Takeru Yokota, MD Shin-ichi Konno, MD, PhD |
| author_facet | Takuya Kameda, MD, PhD Ejiri Soichi, MD, PhD Takeru Yokota, MD Shin-ichi Konno, MD, PhD |
| author_sort | Takuya Kameda, MD, PhD |
| collection | DOAJ |
| description | Summary:. 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. |
| first_indexed | 2024-04-12T01:03:13Z |
| format | Article |
| id | doaj.art-33434ef4533b4f08acfe6d3f371adf48 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T01:03:13Z |
| publishDate | 2019-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-33434ef4533b4f08acfe6d3f371adf482022-12-22T03:54:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-10-01710e247210.1097/GOX.0000000000002472201910000-00039Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve LevelTakuya Kameda, MD, PhD0Ejiri Soichi, MD, PhD1Takeru Yokota, MD2Shin-ichi Konno, MD, PhD3From the *Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, JapanFrom the *Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, Japan†Department of Orthopaedic Surgery, Iwaki City Medical Center, Fukushima, Japan.From the *Department of Regional Medical Support for Orthopaedics, Fukushima Medical University, Fukushima, JapanSummary:. 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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002472 |
| spellingShingle | Takuya Kameda, MD, PhD Ejiri Soichi, MD, PhD Takeru Yokota, MD Shin-ichi Konno, MD, PhD Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level Plastic and Reconstructive Surgery, Global Open |
| title | Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level |
| title_full | Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level |
| title_fullStr | Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level |
| title_full_unstemmed | Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level |
| title_short | Restoration of Elbow Flexion with a Pedicled Latissimus Dorsi Myocutaneous Flap to a Brachial Plexus Injury at the Terminal Nerve Level |
| title_sort | restoration of elbow flexion with a pedicled latissimus dorsi myocutaneous flap to a brachial plexus injury at the terminal nerve level |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002472 |
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