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]

Details

Serval ID
serval:BIB_F3F37B4B3896
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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]
Journal
Annales de Chirurgie de la Main : organe officiel des sociétés de chirurgie de la main
Author(s)
Narakas A., Bonnard C.
ISSN
0753-9053
Publication state
Published
Issued date
1986
Volume
5
Number
3
Pages
219-224
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Abstract
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.
Keywords
Brachial Plexus/injuries, Hand/innervation, Hand/surgery, Humans, Methods, Palliative Care, Paralysis/etiology
Pubmed
Create date
04/03/2008 17:19
Last modification date
20/08/2019 16:20
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