RESUMEN
This prospective study was carried out to assess motor and sensory recovery after contralateral C7 root to median nerve neurotization in brachial plexus injuries with total root avulsions. The survey was carried out from 1993 to 1995 and the patients were followed up for at least 3 years. There were 96 male patients with ages ranging from 13 to 48 years. All had a unilateral brachial plexus injury with avulsion of all roots. This was confirmed by clinical assessment and exploration. The anterior part of the contralateral C7 root was used for neurotization via a reversed pedicular ulnar nerve graft and the proximal end of the graft was connected to the median nerve. Furthermore, phrenic nerve to suprascapular nerve and spinal accessory nerve (via a sural nerve graft) to musculocutaneous nerve neurotizations were also carried out to obtain shoulder abduction and elbow flexion. At the 3 year follow-up, most patients had encouraging recovery of sensory function in the hand but motor function of the forearm and hand muscles was rather poor. Acceptable motor function was found in only 50 to 60% of the patients who were younger than 18 years.
Asunto(s)
Plexo Braquial/lesiones , Plexo Braquial/cirugía , Plexo Cervical/cirugía , Nervio Mediano/cirugía , Transferencia de Nervios/métodos , Adolescente , Adulto , Recolección de Datos , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Actividad Motora/fisiología , Estudios Prospectivos , Sensación/fisiología , Resultado del TratamientoRESUMEN
Trigger finger in children is a rare condition. Thirty-three patients with 45 trigger fingers (40 thumbs and five other fingers) were reviewed. As no case was detected at birth, the condition was suggested to be developmental. Surgi cal release was performed in 31 cases, with satisfactory results in all cases. Ten of 31 cases were older than 3 years (range, 3-5 years). The age of the patient when the operation was indicated could be between 1 and 5 years.
Asunto(s)
Articulaciones de los Dedos/cirugía , Deformidades Adquiridas de la Mano/fisiopatología , Deformidades Adquiridas de la Mano/cirugía , Preescolar , Femenino , Articulaciones de los Dedos/fisiopatología , Estudios de Seguimiento , Deformidades Adquiridas de la Mano/diagnóstico , Humanos , Masculino , Rango del Movimiento Articular , Tailandia , Resultado del TratamientoRESUMEN
We report a case of an unusual pattern of fracture in an 11 year-old girl who sustained a distal femoral epiphyseal injury of her right knee after a motorcycle accident. It is a combination of type I and type III epiphyseal injury. This is the so-called biplane fracture of distal femoral epiphysis. The pathomechanism of the injury is a combined adduction and hyperextension type. Open reduction and internal fixation are used in order to achieve anatomic reduction. Three months after operation the fracture was healed with good functional result.