Nerve Transfer for Elbow Flexion in Radiation-Induced Brachial Plexopathy: A Case Report
Identifieur interne : 001D31 ( Pmc/Curation ); précédent : 001D30; suivant : 001D32Nerve Transfer for Elbow Flexion in Radiation-Induced Brachial Plexopathy: A Case Report
Auteurs : Thomas H. Tung [États-Unis] ; Daniel Z. Liu [États-Unis] ; Susan E. Mackinnon [États-Unis]Source :
- Hand (New York, N.Y.) [ 1558-9447 ] ; 2008.
Abstract
Radiation-induced brachial plexopathy is an uncommon but devastating late complication seen in patients receiving radiation therapy to the chest wall and axilla. Treatment options are unfortunately limited. We report a case of a 59-year-old woman treated with radiation therapy for breast cancer 12 years earlier, who presented with loss of elbow flexion and marked shoulder weakness. Electromyogram and intraoperative stimulation of the musculocutaneous nerve branches were consistent with a proximal motor nerve conduction block. Microsurgical transfer of median and ulnar nerve fascicles to the biceps and brachialis branches of the musculocutaneous nerve, respectively, were performed. The patient recovered MRC grade 4/5 elbow flexion after surgery. The characteristics of this disorder and surgical treatment options are reviewed.
Url:
DOI: 10.1007/s11552-008-9136-9
PubMed: 18843522
PubMed Central: 2686782
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Tung</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis, MO 63110 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis</wicri:cityArea></affiliation></author><author><name sortKey="Liu, Daniel Z" sort="Liu, Daniel Z" uniqKey="Liu D" first="Daniel Z." last="Liu">Daniel Z. 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Mackinnon</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis, MO 63110 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis</wicri:cityArea></affiliation></author></analytic><series><title level="j">Hand (New York, N.Y.)</title><idno type="ISSN">1558-9447</idno><idno type="eISSN">1558-9455</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Radiation-induced brachial plexopathy is an uncommon but devastating late complication seen in patients receiving radiation therapy to the chest wall and axilla. Treatment options are unfortunately limited. We report a case of a 59-year-old woman treated with radiation therapy for breast cancer 12 years earlier, who presented with loss of elbow flexion and marked shoulder weakness. Electromyogram and intraoperative stimulation of the musculocutaneous nerve branches were consistent with a proximal motor nerve conduction block. Microsurgical transfer of median and ulnar nerve fascicles to the biceps and brachialis branches of the musculocutaneous nerve, respectively, were performed. The patient recovered MRC grade 4/5 elbow flexion after surgery. The characteristics of this disorder and surgical treatment options are reviewed.</p></div></front></TEI><pmc xml:lang="EN" article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Hand (N Y)</journal-id><journal-title>Hand (New York, N.Y.)</journal-title><issn pub-type="ppub">1558-9447</issn><issn pub-type="epub">1558-9455</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18843522</article-id><article-id pub-id-type="pmc">2686782</article-id><article-id pub-id-type="publisher-id">9136</article-id><article-id pub-id-type="doi">10.1007/s11552-008-9136-9</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Nerve Transfer for Elbow Flexion in Radiation-Induced Brachial Plexopathy: A Case Report</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Tung</surname><given-names>Thomas H.</given-names></name><address><phone>+1-314-3624586</phone><fax>+1-314-3624536</fax><email>tungt@wustl.edu</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Liu</surname><given-names>Daniel Z.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mackinnon</surname><given-names>Susan E.</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">Division of Plastic & Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, St. Louis, MO 63110 USA</aff></contrib-group><pub-date pub-type="epub"><day>9</day><month>10</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2009</year></pub-date><volume>4</volume><issue>2</issue><fpage>123</fpage><lpage>128</lpage><history><date date-type="received"><day>26</day><month>6</month><year>2008</year></date><date date-type="accepted"><day>12</day><month>9</month><year>2008</year></date></history><permissions><copyright-statement>© American Association for Hand Surgery 2008</copyright-statement></permissions><abstract xml:lang="EN"><p>Radiation-induced brachial plexopathy is an uncommon but devastating late complication seen in patients receiving radiation therapy to the chest wall and axilla. Treatment options are unfortunately limited. We report a case of a 59-year-old woman treated with radiation therapy for breast cancer 12 years earlier, who presented with loss of elbow flexion and marked shoulder weakness. Electromyogram and intraoperative stimulation of the musculocutaneous nerve branches were consistent with a proximal motor nerve conduction block. Microsurgical transfer of median and ulnar nerve fascicles to the biceps and brachialis branches of the musculocutaneous nerve, respectively, were performed. The patient recovered MRC grade 4/5 elbow flexion after surgery. The characteristics of this disorder and surgical treatment options are reviewed.</p></abstract><kwd-group><title>Keywords</title><kwd>Nerve transfer</kwd><kwd>Radiation brachial plexopathy</kwd><kwd>Fascicular transfer</kwd></kwd-group><custom-meta-wrap><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© American Association for Hand Surgery 2009</meta-value></custom-meta></custom-meta-wrap></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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