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Transfert de la branche motrice du triceps brachial dans les atteintes isolées du nerf axillaire : à propos de 9 cas
Revue de chirurgie orthopédique et traumatologique 103 (2017) 922
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Mémoire original
Transfert de la branche motrice du triceps brachial dans les atteintes isolées du nerf axillaire : à propos de 9 cas夽 Triceps motor branch transfer for isolated axillary nerve injury: Outcomes in 9 patients X. Yang 1 , B. Xu 1 , J.-S. Tong , C.-G. Zhang , Z. Dong , J.-B. Liu ∗ Department of hand surgery, Huashan hospital, Fudan university, Shanghai, République populaire de Chine
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a r t i c l e
Historique de l’article : ´ 2016 Rec¸u le 9 decembre Accepté le 26 juillet 2017 Keywords: Deltoid paralysis Axillary nerve Triceps motor branch Nerve transfer
a b s t r a c t Introduction. – Triceps motor branch transfer has been used for more than ten years to restore deltoid function after axillary nerve injury. However, there have been few reports of the outcome of this procedure in isolated axillary nerve injury. Hypothesis. – Triceps motor branch transfer could be an effective method to restore deltoid function for patients with isolated axillary nerve injury. Materials and methods. – Nine patients who underwent triceps motor branch transfer for treatment of isolated axillary nerve injury were followed up for at least 22 months. Shoulder abduction was assessed for all patients. The DASH outcome questionnaire was completed by every patient. Electrophysiological study was performed on 7 patients. Results. – All patients regained ≥ 90◦ (mean, 137◦ ) shoulder abduction. Mean DASH score decreased from 35.2 before surgery to 13.1 at the last follow-up. There was no noticeable weakness of elbow extension in any patient. Discussion. – Triceps motor branch transfer provided good results and may be a feasible alternative to nerve grafting for the treatment of complete isolated axillary nerve injury. Type of study. – IV, retrospective cohort study. © 2017 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2017.07.002. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresse e-mail : [email protected] (J.-B. Liu). 1 Ces auteurs ont contribué de manière égale à l’article et doivent tous deux être considérés comme premier auteur. https://doi.org/10.1016/j.rcot.2017.07.010 ´ ´ 1877-0517/© 2017 Elsevier Masson SAS. Tous droits reserv es.
Disponible en ligne sur
ScienceDirect www.sciencedirect.com
Mémoire original
Transfert de la branche motrice du triceps brachial dans les atteintes isolées du nerf axillaire : à propos de 9 cas夽 Triceps motor branch transfer for isolated axillary nerve injury: Outcomes in 9 patients X. Yang 1 , B. Xu 1 , J.-S. Tong , C.-G. Zhang , Z. Dong , J.-B. Liu ∗ Department of hand surgery, Huashan hospital, Fudan university, Shanghai, République populaire de Chine
i n f o
a r t i c l e
Historique de l’article : ´ 2016 Rec¸u le 9 decembre Accepté le 26 juillet 2017 Keywords: Deltoid paralysis Axillary nerve Triceps motor branch Nerve transfer
a b s t r a c t Introduction. – Triceps motor branch transfer has been used for more than ten years to restore deltoid function after axillary nerve injury. However, there have been few reports of the outcome of this procedure in isolated axillary nerve injury. Hypothesis. – Triceps motor branch transfer could be an effective method to restore deltoid function for patients with isolated axillary nerve injury. Materials and methods. – Nine patients who underwent triceps motor branch transfer for treatment of isolated axillary nerve injury were followed up for at least 22 months. Shoulder abduction was assessed for all patients. The DASH outcome questionnaire was completed by every patient. Electrophysiological study was performed on 7 patients. Results. – All patients regained ≥ 90◦ (mean, 137◦ ) shoulder abduction. Mean DASH score decreased from 35.2 before surgery to 13.1 at the last follow-up. There was no noticeable weakness of elbow extension in any patient. Discussion. – Triceps motor branch transfer provided good results and may be a feasible alternative to nerve grafting for the treatment of complete isolated axillary nerve injury. Type of study. – IV, retrospective cohort study. © 2017 Elsevier Masson SAS. All rights reserved.
DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2017.07.002. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresse e-mail : [email protected] (J.-B. Liu). 1 Ces auteurs ont contribué de manière égale à l’article et doivent tous deux être considérés comme premier auteur. https://doi.org/10.1016/j.rcot.2017.07.010 ´ ´ 1877-0517/© 2017 Elsevier Masson SAS. Tous droits reserv es.