Journal of Hand Surgery. Vol.25 B, No.4 (2000), 325-328
Suggested Citation
A. Sungpet, C. Suphachatwong, V. Kawinwonggowit, A. Patradul Transfer of a single fascicle from the ulnar nerve to the biceps muscle after avulsions of upper roots of the brachial plexus. Journal of Hand Surgery. Vol.25 B, No.4 (2000), 325-328. doi:10.1054/jhsb.2000.0367 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/26330
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Transfer of a single fascicle from the ulnar nerve to the biceps muscle after avulsions of upper roots of the brachial plexus
Thirty-six patients with avulsions of upper roots of the brachial plexus underwent transfer of a single fascicle from the ulnar nerve to the proximal motor branch of the biceps muscle to restore elbow flexion. The mean period of follow-up was 22 months. The average reinnervation time for the biceps muscle was 3.3 months. Thirty-four patients achieved biceps strength of Medical Research Council grade 3 or better. The operative results in the patients with C5, C6 avulsions were better than those with C5, C6, C7 avulsions. At the last follow-up examination, grip strength, pinch strength, moving two-point discrimination and the strength of flexion of the wrist on the affected side was not worse than before surgery in any patient.