The radio‐radial nerve transfer for elbow extension restoration in C5 to C7 nerve root injury
- 17 October 2011
- journal article
- case report
- Published by Wiley in Microsurgery
- Vol. 32 (1), 55-59
- https://doi.org/10.1002/micr.20964
Abstract
Extension of the elbow is required to oppose gravity; however, activation of the triceps brachii is frequently underestimated during the surgical planning for brachial plexus injuries. This report aims to describe a novel technique of distal nerve transfer designed for elbow extension reconstruction in patients sustaining a C5–C7 nerve root injury. We report a patient sustaining a brachial plexus injury with triceps palsy and preserved finger extension motion; after careful intraneural dissection of the radial nerve, a fascicle innervating the extensor digitorum communis muscle was sectioned, derouted and connected to a motor branch to the lateral head of the triceps. Eleven months after surgery, elbow extension strength scored MRC M4. No deficits on finger extension were observed. © 2011 Wiley Periodicals, Inc. Microsurgery, 2012.Keywords
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