关键词: Grasp Nerve transfer Spinal cord injury Tendon transfer Tetraplegia

Mesh : Humans Tendon Transfer / methods Quadriplegia / surgery physiopathology Thumb / innervation surgery Male Nerve Transfer / methods Range of Motion, Articular Hand Strength / physiology Fingers / surgery innervation

来  源:   DOI:10.1142/S2424835524720135

Abstract:
Distal nerve transfers can restore precise motor control in tetraplegic patients. When nerve transfers are not successful, tendon transfers may be used for subsequent reconstruction. In this case, an extensor carpi radialis brevis (ECRB) tendon transfer was used to restore thumb and finger flexion following an unsuccessful ECRB to anterior interosseous nerve transfer in a young tetraplegic patient. Twelve months following tendon transfer, the patient demonstrated functional grip and pinch strength and was using both hands for daily activities. Level of Evidence: Level V (Therapeutic).
摘要:
远端神经转移可以恢复四肢瘫痪患者的精确运动控制。当神经转移不成功时,肌腱转移可用于后续重建。在这种情况下,在年轻的四肢瘫痪患者中,在ECRB未能成功转移到骨间前神经转移后,使用了radi短伸肌(ECRB)肌腱转移来恢复拇指和手指屈曲。肌腱转移后12个月,患者表现出功能性握力和捏力,并使用双手进行日常活动.证据等级:V级(治疗)。
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