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- Title
Successful recovery of sensation loss in upper brachial plexus injuries.
- Authors
Emamhadi, Mohammadreza; Andalib, Sasan
- Abstract
Objective: Injuries of the upper trunk of the brachial plexus may trigger motor and sensory deficits. There exists a growing body of literature with respect to the reconstruction of motor deficits in upper trunk brachial plexus injuries by using nerve transfers; albeit to date, very few old reports have focused on the reconstruction of sensory loss resulting from upper trunk injuries. In this case series, we review six cases (five males and one female) with upper trunk brachial plexus injuries undergoing sensory nerve transfers.Methods: Sensory reconstruction was carried out by using transfer of the ulnar to the median nerves, innervating adjacent aspects of the little and ring fingers (the fourth web space) and adjacent aspects of the thumb and the index finger (the first web space), respectively.Results: The mean age of our six patients was 30.5 ± 9 years old (range 20-45). The mean time interval between the injury and subsequent surgery was 6.6 ± 1.8 months (range 5-10). Five patients achieved S3 or S3+ in both the thumb and the index finger while the sixth one regained S2+ in the index finger while also achieving S3 in the thumb according to the Highet-Zachary system scoring scale.Conclusion: These results suggest that nerve transfers can achieve satisfactory outcomes in patients having sensory reconstruction after upper brachial plexus injuries, and thus, we lay emphasis on reviving the use of sensory nerve transfer techniques in such patients.
- Subjects
BRACHIAL plexus diseases; NEURAL conduction; NEUROPATHY; CERVICAL plexus; MOTOR ability
- Publication
Acta Neurochirurgica, 2018, Vol 160, Issue 10, p2019
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-018-3648-z