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

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 tr...

Full description

Saved in:
Bibliographic Details
Main Authors: Abdul Rashid, Mohammad Azrul, Khalid, Kamarul Ariffin, Ismail, Raffael
Format: Article
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:
Online Access:http://irep.iium.edu.my/69340/1/Functional%20Outcome%20of%20Neurotization%20to%20The%20Musculocutaneous%20Nerve%20in%20Traumatic%20Brachial%20Plexus%20Injury.pdf
http://irep.iium.edu.my/69340/
http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-61.pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Universiti Islam Antarabangsa Malaysia
Language: English
id my.iium.irep.69340
record_format dspace
spelling my.iium.irep.693402019-01-18T07:02:20Z http://irep.iium.edu.my/69340/ Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury Abdul Rashid, Mohammad Azrul Khalid, Kamarul Ariffin Ismail, Raffael RD701 Orthopedics 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. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/69340/1/Functional%20Outcome%20of%20Neurotization%20to%20The%20Musculocutaneous%20Nerve%20in%20Traumatic%20Brachial%20Plexus%20Injury.pdf 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. http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-61.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Abdul Rashid, Mohammad Azrul
Khalid, Kamarul Ariffin
Ismail, Raffael
Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
description 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.
format Article
author Abdul Rashid, Mohammad Azrul
Khalid, Kamarul Ariffin
Ismail, Raffael
author_facet Abdul Rashid, Mohammad Azrul
Khalid, Kamarul Ariffin
Ismail, Raffael
author_sort Abdul Rashid, Mohammad Azrul
title Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
title_short Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
title_full Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
title_fullStr Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
title_full_unstemmed Functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
title_sort functional outcome of neurotization to the musculocutaneous nerve in traumatic brachial plexus injury
publisher Kulliyyah of Medicine, International Islamic University Malaysia
publishDate 2018
url http://irep.iium.edu.my/69340/1/Functional%20Outcome%20of%20Neurotization%20to%20The%20Musculocutaneous%20Nerve%20in%20Traumatic%20Brachial%20Plexus%20Injury.pdf
http://irep.iium.edu.my/69340/
http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-61.pdf
_version_ 1643618886370721792