NDLI: Results of intercostal nerve transfer to the musculocutaneous nerve in brachial plexus birth palsy.

Please wait, while we are loading the content...

Year: 2017 Volume: 37

Year: 2016 Volume: 36

Year: 2015 Volume: 35

Year: 2014 Volume: 34

Year: 2013 Volume: 33

Year: 2012 Volume: 32

Year: 2011 Volume: 31

Year: 2011 Volume: 31 Issue: 8

Arthrofibrosis after anterior cruciate ligament reconstruction in children and adolescents.

Surgeon learning curve for pediatric supracondylar humerus fractures.

A comparison of locked versus nonlocked Enders rods for length unstable pediatric femoral shaft fractures.

Does the extent of prebending affect the stability of femoral shaft fractures stabilized by titanium elastic nails? A biomechanical investigation on an adolescent femur model.

Minimally invasive treatment for severely displaced proximal humeral fractures in children using titanium elastic nails.

Isocentric reattachment of ligamentum teres: a porcine study.

Drehmann sign and femoro-acetabular impingement in SCFE.

Surgical management of hip subluxation and dislocation in children with cerebral palsy: isolated VDRO or combined surgery?

Can excessive lateral rotation of the ischium result in increased acetabular anteversion? A 3D-CT quantitative analysis of acetabular anteversion in children with unilateral developmental dysplasia of the hip.

Correlations of adolescent idiopathic scoliosis and pectus excavatum.

The 'shadow sign': a radiographic differentiation of stainless steel versus titanium spinal instrumentation in spine surgery.

Guided growth for ankle valgus.

Results of intercostal nerve transfer to the musculocutaneous nerve in brachial plexus birth palsy.

Multiple compartment syndrome in a pediatric patient with CML.

Inter-observer and intra-observer reliability of the Risser sign in a metropolitan scoliosis screening program.

Isolated navicular-medial cuneiform tarsal coalition revisited: a case report.

Year: 2011 Volume: 31 Issue: 7

Year: 2011 Volume: 31 Issue: 6

Year: 2011 Volume: 31 Issue: 5

Year: 2011 Volume: 31 Issue: 4

Year: 2011 Volume: 31 Issue: 3

Year: 2011 Volume: 31 Issue: 2

Year: 2011 Volume: 31 Issue: 2 Supplementary

Year: 2011 Volume: 31 Issue: 1

Year: 2011 Volume: 31 Issue: 1 Supplementary

Year: 2010 Volume: 30

Year: 2009 Volume: 29

Year: 2008 Volume: 28

Year: 2007 Volume: 27

Results of intercostal nerve transfer to the musculocutaneous nerve in brachial plexus birth palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Luo, Peng-Bo Chen, Liang Zhou, Cheng-Huan Hu, Shao-Nan Gu, Yu-Dong
Description	Country affiliation: China Author Affiliation: Luo PB ( Department of Hand Surgery, Huashan Hospital, Fu-dan University, Shanghai, China.)
Abstract	BACKGROUND: Intercostal nerve (ICN) transfer has been one of the main extraplexal nerve transfers in treating brachial plexus root avulsion. This retrospective study evaluated results of ICN transfer for reconstruction of the musculocutaneous nerve (MCN) in brachial plexus birth palsy (BPBP). METHODS: Eighteen boys and 6 girls with BPBP, who had avulsion of at least 2 spinal nerves of the plexus, underwent ICN transfer for reconstruction of MCN, from March 2003 to October 2005. The brachial plexus lesion was diagnosed by clinical assessment, surgical exploration, and intraoperative neurophysiological investigations. The age at surgery ranged from 3 to 11 months of life, with a mean of 5 months. Two intercostals were used for one, 3 intercostals for 9, and 4 intercostals for 14 patients. The intercostals were transferred to MCN in 12 and to the anterior division of the upper trunk in the other 12 cases. RESULTS: Twenty-four children were followed up for 24 to 79 months, with an average of 53 months. No complications were found in the respiratory system. Of 14 transfers with 4 intercostals, biceps gained M4 strength in 8, M3 in 4, and M2 in 2. Of 9 transfers with 3 intercostals, biceps obtained M4 strength in 8 and M3 in 1. One transfer with 2 intercostals got M4 strength of biceps. Twelve patients whose intercostals were transferred to MCN, gained M4 strength of biceps in 11 and M3 in 1, whereas the other 12 patients with intercostals transferred to anterior division of the upper trunk, obtained M4 strength of biceps in 6, M3 in 4, and M2 in 2. The rate of M3 strength or more was 92% and that of M4 was 71%. CONCLUSIONS: ICN transfer is a safe and reliable procedure for reconstruction of the MCN in BPBP. There seems to be no difference of effects between transfers with 3 and those with 4 intercostals. The transferred nerves should be coapted to MCN, rather than a more proximal portion of the plexus. LEVEL OF EVIDENCE: Level III: retrospective comparative study.
File Format	HTM / HTML
ISSN	02716798
Issue Number	8
Volume Number	31
e-ISSN	15392570
Journal	Journal of Pediatric Orthopaedics
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2011-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Brachial Plexus Neuropathies Surgery Intercostal Nerves Musculocutaneous Nerve Nerve Transfer Methods Physiopathology Female Follow-up Studies Humans Infant Male Recovery Of Function Retrospective Studies Treatment Outcome Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health

Central Library (ISO-9001:2015 Certified)
Indian Institute of Technology Kharagpur
Kharagpur, West Bengal, India | PIN - 721302

See location in the Map
03222 282435
Mail: support@ndl.gov.in

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in