臂丛神经产伤患儿脊髓副神经与肩胛上神经转移的结果

IF 2 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-European Volume Pub Date : 2024-09-14 DOI:10.1177/17531934241276372

Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Mika Helminen, Jarkko Jokihaara

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引用次数: 0

摘要

臂丛神经产伤后的肩关节外旋可以通过将脊髓附属神经转移到肩胛上神经或更远的冈下神经分支来恢复。我们对 52 名术后随访至少 12 个月（平均 7.3 年）的患者进行了这些神经转移的结果研究。将背侧脊髓附属神经转移至肩胛上神经主干后，肩关节外旋的术后改善幅度中位数为120°（四分位数间距[IQR] 45-135）；将背侧脊髓附属神经转移至肩胛下神经主干后，肩关节外旋的改善幅度中位数为110°（四分位数间距[IQR] 83-120）；将背侧脊髓附属神经转移至冈下神经分支后，肩关节外旋的改善幅度中位数为110°（四分位数间距[IQR] 80-125）。20个月后手术的患者获得≥90°外旋的频率较低。该研究结果表明，建议在患者1.5岁时决定是否进行远端神经转移以治疗肩关节外旋：证据等级：III

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Results of spinal accessory nerve to suprascapular nerve transfers in children with brachial plexus birth injury

Shoulder external rotation after brachial plexus birth injury can be restored by transfer of the spinal accessory nerve to the suprascapular nerve, or more distally to its infraspinatus branch. We studied the outcome of these nerve transfers in 52 patients with a minimum postoperative follow-up of 12 months (mean 7.3 years). The median postoperative improvement in shoulder external rotation was 120° (interquartile range [IQR] 45–135) after anterior and 110° (IQR 83–120) after dorsal spinal accessory nerve transfer to the suprascapular nerve main trunk, and 110° (IQR 80–125) after transfer to the infraspinatus branch. Patients operated after 20 months obtained external rotation ≥90° less frequently. The results of this study suggest that a decision about distal nerve transfer for shoulder external rotation is recommended at 1.5 years of age.Level of evidence: III

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来源期刊

Journal of Hand Surgery-European Volume 医学-外科

CiteScore

3.10

自引率

16.70%

发文量

190

审稿时长

4-8 weeks

期刊介绍： The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.