Les paralysies de la musculature intrinsèque de la main dans les lésions du plexus brachial [Paralysis of intrinsic muscles of the hand in lesions of the brachial plexus]

Détails

ID Serval
serval:BIB_F3F37B4B3896
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Les paralysies de la musculature intrinsèque de la main dans les lésions du plexus brachial [Paralysis of intrinsic muscles of the hand in lesions of the brachial plexus]
Périodique
Annales de Chirurgie de la Main : organe officiel des sociétés de chirurgie de la main
Auteur(s)
Narakas A., Bonnard C.
ISSN
0753-9053
Statut éditorial
Publié
Date de publication
1986
Volume
5
Numéro
3
Pages
219-224
Langue
français
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Résumé
240 patients out of 752 seen over a period of 21 years with traction lesions of the brachial plexus including a palsy of the intrinsic muscles of the hand have been studied by the authors. This study is biased by a high number of imprecisions. Nevertheless it shows that the fate of the intrinsic muscles depends essentially on the initial severity of injury whatever the type of conservative or operative treatment. There is no useful recovery when the lesions of these pathways are more severe than the 2nd degree of Sunderland. Palliative surgery is indicated in cases when all muscles of the forearm have reached a good function after conservative or operative treatment. Reconstructive surgery is however limited or prone to fail in 2/3 of cases because in the vast majority of patients with traction lesions of the brachial plexus there is no recovery of wrist and long finger extensors.
Mots-clé
Brachial Plexus/injuries, Hand/innervation, Hand/surgery, Humans, Methods, Palliative Care, Paralysis/etiology
Pubmed
Création de la notice
04/03/2008 18:19
Dernière modification de la notice
03/03/2018 22:43
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