Restoration of Elbow Flexion

Active elbow flexion is required to position the hand in space, and loss of this function is debilitating. Nerve transfers or nerve grafts to restore elbow flexion may be options when the target muscle is viable, but in delayed reconstruction when the biceps and brachialis are atrophied or damaged,...

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Bibliographic Details
Published inHand clinics Vol. 32; no. 3; p. 311
Main Authors Loeffler, Bryan J, Lewis, Daniel R
Format Journal Article
LanguageEnglish
Published United States 01.08.2016
Subjects
Arm
Brachial Plexus - injuries
Brachial Plexus - surgery
Elbow Joint - surgery
Humans
Muscle, Skeletal - surgery
Nerve Transfer
Pectoralis Muscles - surgery
Range of Motion, Articular
Recovery of Function
Superficial Back Muscles - surgery
Elbow flexion
Latissimus dorsi
Tendon transfer
Pectoralis major
Steindler flexorplasty
Triceps to biceps
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Summary:Active elbow flexion is required to position the hand in space, and loss of this function is debilitating. Nerve transfers or nerve grafts to restore elbow flexion may be options when the target muscle is viable, but in delayed reconstruction when the biceps and brachialis are atrophied or damaged, muscle transfer options should be considered. Muscle transfer options are discussed with attention to the advantages and disadvantages of each transfer option.
ISSN:1558-1969
DOI:10.1016/j.hcl.2016.03.002