Abstract
Restoration of elbow flexion is one of the main objectives in the treatment of brachial plexus palsies affecting the upper roots. The “Ulnar-Biceps Median-Brachialis” double nerve transfer described by Oberlin became a standard procedure in C5-C6 and C5-C6-C7 injuries. Selected fasciculi of the ulnar and median nerves are transferred onto branches from the musculocutaneous nerve, dedicated to the biceps and the brachialis muscles, respectively. Perioperative nerve stimulation is essential for choosing an ulnar nerve motor branch supplying the flexor carpi ulnaris, and a median nerve motor branch for the pronator teres muscle and/or to the palmaris longus muscle, with the aim of sparing the priority functions of the hand.
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References
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Belkheyar, Z., Cambon-Binder, A., Oberlin, C. (2021). Upper Brachium Approach: The “Ulnar-Biceps Median-Brachialis” Double Nerve Transfer. In: Shin, A.Y., Pulos, N. (eds) Operative Brachial Plexus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-69517-0_25
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DOI: https://doi.org/10.1007/978-3-030-69517-0_25
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