Transfer of brachialis branch of musculocutaneous nerve for finger flexion: anatomic study and case report

Microsurgery
Yudong GuLin Chen

Abstract

Based on an anatomic study, a transfer of the brachialis muscle branch of the musculocutaneous nerve (BMBMCN) to finger flexor functional fascicles of the median nerve was designed. Preliminary results of clinical application of this new procedure are reported. Dissection of 32 cadaver upper limbs revealed that BMBMCN derives from the musculocutaneous nerve at the distal 1/3 upper arm level. Mostly it is of single-branch type, with an average dissectable length of 5.2 cm. At this level, functional fascicles of finger flexors are located at the posterior 1/3 of the median nerve. BMBMCN can be directly coapted to these finger flexion fascicles. In one case of brachial plexus lower trunk injury, this neurotization procedure was done. No impairment of elbow flexion and wrist flexion was found postoperatively. Recovery of finger and thumb flexion was seen 1 year postoperatively. This neurotization is safe and effective for treating lower trunk injuries.

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Citations

May 4, 2010·Journal of Neurosurgery·Jayme A Bertelli
Jan 21, 2016·The Journal of Hand Surgery·Zhongyu LiBeth P Smith
Oct 29, 2011·Clinics in Plastic Surgery·Laurent WehrliDimitri J Anastakis
Oct 22, 2008·Hand Clinics·Justin M Brown, Susan E Mackinnon
May 29, 2016·Archives of Physical Medicine and Rehabilitation·Jodie HahnNatasha van Zyl
Sep 14, 2017·The Journal of Hand Surgery, European Volume·Yun-Dong ShenWen-Dong Xu
Nov 17, 2020·Surgical Neurology International·Fernando Henrique SouzaHildo Rocha Cirne Azevedo-Filho

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