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...

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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:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/69340/ http://irep.iium.edu.my/69340/ http://irep.iium.edu.my/69340/1/Functional%20Outcome%20of%20Neurotization%20to%20The%20Musculocutaneous%20Nerve%20in%20Traumatic%20Brachial%20Plexus%20Injury.pdf

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spelling	iium-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. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-61.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
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/ http://irep.iium.edu.my/69340/ http://irep.iium.edu.my/69340/1/Functional%20Outcome%20of%20Neurotization%20to%20The%20Musculocutaneous%20Nerve%20in%20Traumatic%20Brachial%20Plexus%20Injury.pdf
first_indexed	2023-09-18T21:38:26Z
last_indexed	2023-09-18T21:38:26Z
_version_	1777412977956225024

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

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