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Long-term evaluation of hand function in children undergoing Oberlin and Oberlin-like procedures for reinnervation of the biceps muscle.
Child's Nervous System ( IF 1.4 ) Pub Date : 2020-05-12 , DOI: 10.1007/s00381-020-04634-2
Mario G Siqueira 1 , Carlos Otto Heise 1, 2 , Mariana Pessa 3 , Monise Zacariotto 1 , Roberto S Martins 1
Affiliation  

PURPOSE Long-term evaluation of hand function in children who underwent transfer procedures to reinnervate the biceps muscle, using fascicles from the ulnar and median nerves as donors. METHODS In the last follow-up evaluation, the children underwent a neurological examination, and their hand status was classified according to the Raimondi grading system for hand function. Two physical measurements, the child health assessment questionnaire (CHAQ) and the Sollerman hand function test, were applied to assess upper extremity function. RESULTS Eight children were re-evaluated. In four the donor fascicle was from the ulnar nerve and in four from the median nerve. The average interval between surgery and the last evaluation was 8.3 years (range 6-10 years). Five patients scored 5 points in the Raimondi grading system, and 3 patients scored 4 points. The results from the CHAQ ranged from 0.03 to 0.41. The results from the Sollerman test were between 60 and 77 for the affected upper limb and between 65 and 79 for the dominant upper limb. CONCLUSION Nerve transfer of a fascicle from the ulnar or median nerve to the biceps motor branch in children with neonatal brachial plexus palsy does not result in hand dysfunction.

中文翻译:

对接受Oberlin和类似Oberlin程序的二头肌肌肉进行支配的儿童的手部功能的长期评估。

目的对接受尺骨和正中神经束的供体进行转移程序以重新刺激二头肌肌肉的儿童的手部功能进行长期评估。方法在上一次随访评估中,对儿童进行了神经系统检查,并根据Raimondi手功能分级系统对他们的手部状态进行了分类。两种身体测量方法,即儿童健康评估问卷(CHAQ)和Sollerman手功能测试,用于评估上肢功能。结果对8名儿童进行了重新评估。供体束中有四个来自尺神经,四个来自中神经。手术与最后一次评估之间的平均间隔为8.3年(范围6-10年)。5名患者在Raimondi评分系统中获得5分,而3名患者获得4分。CHAQ的结果范围为0.03至0.41。Sollerman测试的结果是受影响的上肢介于60到77之间,占优势的上肢介于65到79之间。结论新生儿臂丛神经麻痹患儿从尺神经或正中神经向二头肌运动支的神经束转移不会导致手功能障碍。
更新日期:2020-05-12
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