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著作: Kawabata Hidehiko/Shibata Toru/[松井 好人]/[安井 夏生]/Use of intercostal nerves for neurotization of the musculocutaneous nerve in infants with birth-related brachial plexus palsy/[Journal of Neurosurgery]

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EID
86564
EOID
853256
Map
0
LastModified
2017年4月15日(土) 19:59:37
Operator
大家 隆弘
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TRUE
Censor
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Owner
安井 夏生
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種別 必須 学術論文(審査論文)
言語 必須 英語
招待 推奨
審査 推奨 Peer Review
カテゴリ 推奨
共著種別 推奨
学究種別 推奨
組織 推奨
著者 必須
  1. (英) Kawabata Hidehiko
    役割 任意
    貢献度 任意
    学籍番号 推奨
  2. (英) Shibata Toru
    役割 任意
    貢献度 任意
    学籍番号 推奨
  3. 松井 好人
    役割 任意
    貢献度 任意
    学籍番号 推奨
  4. 安井 夏生
    役割 任意
    貢献度 任意
    学籍番号 推奨
題名 必須

(英) Use of intercostal nerves for neurotization of the musculocutaneous nerve in infants with birth-related brachial plexus palsy

副題 任意
要約 任意

(英) The use of intercostal nerves (ICNs) for the neurotization of the musculocutaneous nerve (MCN) in adult patients with traumatic brachial plexus palsy has been well described. However, its use for brachial plexus palsy in infants has rarely been reported. The authors surgically created 31 ICN-MCN communications for birth-related brachial plexus palsy and present the surgical results. Thirty-one neurotizations of the MCN, performed using ICNs, were conducted in 30 patients with birth-related brachial plexus palsy. In most cases other procedures were combined to reconstruct all upper-extremity function. The mean patient age at surgery was 5.8 months and the mean follow-up period was 5.2 years. Intercostal nerves were transected 1 cm distal to the mammary line and their stumps were transferred to the axilla, where they were coapted directly to the MCN. Two ICNs were used in 26 cases and three ICNs in five cases. The power of the biceps muscle of the arm was rated Grade M4 in 26 (84%) of 31 patients. In the 12 patients who underwent surgery when they were younger than 5 months of age, all exhibited a grade of M4 (100%) in their biceps muscle power. These results are better than those previously reported in adults. Neurotization of the MCN by surgically connecting ICNs is a safe, reliable, and effective procedure for reconstruction of the brachial plexus in patients suffering from birth-related palsy.

キーワード 推奨
  1. (英) Axilla
  2. (英) Brachial Plexus
  3. (英) Brachial Plexus Neuropathies
  4. (英) Contracture
  5. (英) Elbow Joint
  6. (英) Follow-Up Studies
  7. (英) Humans
  8. (英) Infant
  9. (英) Intercostal Nerves
  10. (英) Movement
  11. (英) Muscle, Skeletal
  12. (英) Musculocutaneous Nerve
  13. (英) Paralysis, Obstetric
  14. (英) Postoperative Complications
  15. (英) Radiculopathy
  16. (英) Recovery of Function
  17. (英) Shoulder Joint
  18. (英) Thorax
  19. (英) Treatment Outcome
発行所 推奨
誌名 必須 Journal of Neurosurgery(American Association of Neurological Surgeons/Harvey Cushing Society)
(pISSN: 0022-3085, eISSN: 1933-0693)
ISSN 任意 0022-3085
ISSN: 0022-3085 (pISSN: 0022-3085, eISSN: 1933-0693)
Title: Journal of neurosurgery
Title(ISO): J Neurosurg
Publisher: American Association of Neurological Surgeons
 (NLM Catalog  (Scopus  (CrossRef (Scopus information is found. [need login])
必須 94
必須 3
必須 386 391
都市 任意
年月日 必須 2001年 3月 初日
URL 任意
DOI 任意 10.3171/jns.2001.94.3.0386    (→Scopusで検索)
PMID 任意 11235940    (→Scopusで検索)
NAID 任意
WOS 任意
Scopus 任意
評価値 任意
被引用数 任意
指導教員 推奨
備考 任意
  1. (英) Article.PublicationTypeList.PublicationType: Clinical Trial

  2. (英) Article.PublicationTypeList.PublicationType: Journal Article