Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300253 |
Resumo: | Abstract Objective The purpose of this anatomical study was to analyze the possibility of transferring radial nerve branches to the supinator muscle to reinnervate the posterior interosseous nerve (PIN) originating from the C7-T1 roots. Methods Thirty members of 15 cadavers, all male, prepared with an intra-arterial glycerol and formaldehyde solution injection, were dissected. Results All dissected limbs presented at least one branch intended for the superficial and the deep heads of the supinatormuscle. These branches originated fromthe PIN. A branch to the supinator muscle, proximal to the arcade of Frohse, was identified in six members. In addition, 2 and 3 branches to the supinator muscle were found in 11 and 4 members, respectively. In two limbs, only one branch detached from the PIN, but it duplicated itself proximal to the arcade of Frohse. Seven limbs had no branches to the supinatormuscle at the region proximal to the arcade of Frohse. The branches destined for the supinator muscle were sectioned at the neuromuscular junction for connection with no tension to the PIN. The combined diameter of the branches for the supinator muscle corresponded, on average, to 53.5% of the PIN diameter. Conclusion The radial nerve branches intended for the supinator muscle can be transferred, with no tension, directly to the PIN to restore thumb and finger extension in patients with C7-T1 brachial plexus lesions. |
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Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nervebrachial plexusskeletal muscleperipheral nervesfingersnerve transferAbstract Objective The purpose of this anatomical study was to analyze the possibility of transferring radial nerve branches to the supinator muscle to reinnervate the posterior interosseous nerve (PIN) originating from the C7-T1 roots. Methods Thirty members of 15 cadavers, all male, prepared with an intra-arterial glycerol and formaldehyde solution injection, were dissected. Results All dissected limbs presented at least one branch intended for the superficial and the deep heads of the supinatormuscle. These branches originated fromthe PIN. A branch to the supinator muscle, proximal to the arcade of Frohse, was identified in six members. In addition, 2 and 3 branches to the supinator muscle were found in 11 and 4 members, respectively. In two limbs, only one branch detached from the PIN, but it duplicated itself proximal to the arcade of Frohse. Seven limbs had no branches to the supinatormuscle at the region proximal to the arcade of Frohse. The branches destined for the supinator muscle were sectioned at the neuromuscular junction for connection with no tension to the PIN. The combined diameter of the branches for the supinator muscle corresponded, on average, to 53.5% of the PIN diameter. Conclusion The radial nerve branches intended for the supinator muscle can be transferred, with no tension, directly to the PIN to restore thumb and finger extension in patients with C7-T1 brachial plexus lesions.Sociedade Brasileira de Ortopedia e Traumatologia2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300253Revista Brasileira de Ortopedia v.54 n.3 2019reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0039-1692459info:eu-repo/semantics/openAccessCaetano,Edie BeneditoVieira,Luiz AngeloSabongi Neto,João JoséCaetano,Maurício FerreiraSabongi,Rodrigo GuerraCruz,Bruno Azi Pacileoeng2019-07-24T00:00:00Zoai:scielo:S0102-36162019000300253Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2019-07-24T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
title |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
spellingShingle |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve Caetano,Edie Benedito brachial plexus skeletal muscle peripheral nerves fingers nerve transfer |
title_short |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
title_full |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
title_fullStr |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
title_full_unstemmed |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
title_sort |
Anatomical Study of Innervation of the Supinator Muscle to Reinnervate the Posterior Interosseous Nerve |
author |
Caetano,Edie Benedito |
author_facet |
Caetano,Edie Benedito Vieira,Luiz Angelo Sabongi Neto,João José Caetano,Maurício Ferreira Sabongi,Rodrigo Guerra Cruz,Bruno Azi Pacileo |
author_role |
author |
author2 |
Vieira,Luiz Angelo Sabongi Neto,João José Caetano,Maurício Ferreira Sabongi,Rodrigo Guerra Cruz,Bruno Azi Pacileo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Caetano,Edie Benedito Vieira,Luiz Angelo Sabongi Neto,João José Caetano,Maurício Ferreira Sabongi,Rodrigo Guerra Cruz,Bruno Azi Pacileo |
dc.subject.por.fl_str_mv |
brachial plexus skeletal muscle peripheral nerves fingers nerve transfer |
topic |
brachial plexus skeletal muscle peripheral nerves fingers nerve transfer |
description |
Abstract Objective The purpose of this anatomical study was to analyze the possibility of transferring radial nerve branches to the supinator muscle to reinnervate the posterior interosseous nerve (PIN) originating from the C7-T1 roots. Methods Thirty members of 15 cadavers, all male, prepared with an intra-arterial glycerol and formaldehyde solution injection, were dissected. Results All dissected limbs presented at least one branch intended for the superficial and the deep heads of the supinatormuscle. These branches originated fromthe PIN. A branch to the supinator muscle, proximal to the arcade of Frohse, was identified in six members. In addition, 2 and 3 branches to the supinator muscle were found in 11 and 4 members, respectively. In two limbs, only one branch detached from the PIN, but it duplicated itself proximal to the arcade of Frohse. Seven limbs had no branches to the supinatormuscle at the region proximal to the arcade of Frohse. The branches destined for the supinator muscle were sectioned at the neuromuscular junction for connection with no tension to the PIN. The combined diameter of the branches for the supinator muscle corresponded, on average, to 53.5% of the PIN diameter. Conclusion The radial nerve branches intended for the supinator muscle can be transferred, with no tension, directly to the PIN to restore thumb and finger extension in patients with C7-T1 brachial plexus lesions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300253 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300253 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0039-1692459 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.54 n.3 2019 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122361943949312 |