Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis

Purpose: to investigate anatomic features of the long head of triceps brachii in relation to its using as a pedicle flap for restoration of active forearm flexion in patients with arthrogryposis. Material and methods. Anatomical studies were performed on 15 fresh frozen human upper limbs from 9 cada...

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Main Authors: S. I. Trofimova, N. F. Fomin, O. E. Agranovich
Format: Article
Language:Russian
Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2013-06-01
Series:Travmatologiâ i Ortopediâ Rossii
Subjects:
Online Access:https://journal.rniito.org/jour/article/view/331
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author S. I. Trofimova
N. F. Fomin
O. E. Agranovich
author_facet S. I. Trofimova
N. F. Fomin
O. E. Agranovich
author_sort S. I. Trofimova
collection DOAJ
description Purpose: to investigate anatomic features of the long head of triceps brachii in relation to its using as a pedicle flap for restoration of active forearm flexion in patients with arthrogryposis. Material and methods. Anatomical studies were performed on 15 fresh frozen human upper limbs from 9 cadavers. Arteries were perfused with radiopaque masses and following preparation, sectional roentgenography, morphometry of anatomical structures were carried. 29 patients with the lack of active elbow flexion aged from 8 months to 15 years were examined (clinical, neurological and physiological studies) and treated in Turner Scientific and Research Institute for Children's Orthopedics from 2008 to 2012. Results and conclusion. Anatomical studies demonstrated the possibility of transposition of the long head of triceps to forearm flexors position. The long head of triceps can be simply separated from the other two heads, it has independent innervation and blood supply, its vascular pedicle is easily identified, and length of extraorgan vessels and nerves is sufficient to transfer the muscle as a pedicle flap. Clinical study has shown the principal possibility and effectiveness of restoration of active forearm flexion in patients with arthrogryposis using the long head of triceps brachii.
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spelling doaj.art-5123101df8ff4ad38c551fc6ad5217092022-12-21T20:14:56ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332013-06-0102475610.21823/2311-2905-2013-0-2-84-86325Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposisS. I. Trofimova0N. F. Fomin1O. E. Agranovich2Turner Scientific and Research Institute for Children 's OrthopedicsKirov Military Medical AcademyTurner Scientific and Research Institute for Children 's OrthopedicsPurpose: to investigate anatomic features of the long head of triceps brachii in relation to its using as a pedicle flap for restoration of active forearm flexion in patients with arthrogryposis. Material and methods. Anatomical studies were performed on 15 fresh frozen human upper limbs from 9 cadavers. Arteries were perfused with radiopaque masses and following preparation, sectional roentgenography, morphometry of anatomical structures were carried. 29 patients with the lack of active elbow flexion aged from 8 months to 15 years were examined (clinical, neurological and physiological studies) and treated in Turner Scientific and Research Institute for Children's Orthopedics from 2008 to 2012. Results and conclusion. Anatomical studies demonstrated the possibility of transposition of the long head of triceps to forearm flexors position. The long head of triceps can be simply separated from the other two heads, it has independent innervation and blood supply, its vascular pedicle is easily identified, and length of extraorgan vessels and nerves is sufficient to transfer the muscle as a pedicle flap. Clinical study has shown the principal possibility and effectiveness of restoration of active forearm flexion in patients with arthrogryposis using the long head of triceps brachii.https://journal.rniito.org/jour/article/view/331активное сгибание предплечьядлинная головка трехглавой мышцы плечаартрогрипозactive forearm flexionlong head of tricepsarthrogryposis
spellingShingle S. I. Trofimova
N. F. Fomin
O. E. Agranovich
Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
Travmatologiâ i Ortopediâ Rossii
активное сгибание предплечья
длинная головка трехглавой мышцы плеча
артрогрипоз
active forearm flexion
long head of triceps
arthrogryposis
title Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
title_full Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
title_fullStr Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
title_full_unstemmed Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
title_short Anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
title_sort anatomical and clinical substantiation of the long head of triceps transposition to restore active forearm flexion in patients with arthrogryposis
topic активное сгибание предплечья
длинная головка трехглавой мышцы плеча
артрогрипоз
active forearm flexion
long head of triceps
arthrogryposis
url https://journal.rniito.org/jour/article/view/331
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AT nffomin anatomicalandclinicalsubstantiationofthelongheadoftricepstranspositiontorestoreactiveforearmflexioninpatientswitharthrogryposis
AT oeagranovich anatomicalandclinicalsubstantiationofthelongheadoftricepstranspositiontorestoreactiveforearmflexioninpatientswitharthrogryposis