Contribution on substitution of lost elbow flexion in atypical post-partum paresis of the plexus brachialis.
In a ten-year-old boy with an atypical partial post-partum paresis of the dextrolateral plexus brachialis the function of the shoulder was affected substantially and the flexion of the elbow completely. The musculature of the forearm and hand was preserved completely from the anatomical and functional aspect. In compliance with the parents wish, the possibility of replacement with a muscle from a remote site by microsurgical transfer was abandoned and the authors used the well known method of transposition of the insertion of the m. pectoralis major and new retrograde transposition of the tendon of the m. flexor carpi radialis into this muscle to restore the function of the m. biceps brachii. Through postoperative rehabilitation, 90 degrees flexion of the elbow in a supine position was achieved.
Dlabal
K
K
Sanatorium for Plastic and Aesthetic Surgery, Chotoviny nr. Tábor.
Dlabalová
V
V
D001917:Brachial Plexus / Q000503:physiopathology*; D002648:Child; D004551:Elbow Joint / Q000503:physiopathology*; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000601:surgery; D008297:Male; D008866:Microsurgery; D009133:Muscular Atrophy / Q000209:etiology; D010291:Paresis / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D010369:Pectoralis Muscles / Q000637:transplantation*; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular / Q000502:physiology; D016683:Supine Position; D013524:Surgical Flaps; D013710:Tendons / Q000637:transplantation