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Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma

Year 2021, Volume: 11 Issue: EK-1, 149 - 156, 01.05.2020

Özgür Ağdoğan

Abstract

Amaç: Yüksek radial sinir felci dirseğin proksimalinde bir yaralanma olarak tanımlanır. Üst ekstremite tendon transfer prosedürleri için en yaygın endikasyon, iyileşme potansiyeli olmayan periferik sinir yaralanmasıdır. Primer tedavi şansını yitirmiş ve travmadan çok geç dönem sonrasında tarafımıza başvurmuş yüksek seviyeli radial sinir felci olgularında uyguladığımız tendon transferlerinin sonuçları değerlendirildi.
Materyal ve Metot: Yüksek seviyeli radial sinir yaralanması nedeniyle primer tedavi şansını yitirmiş ve tendon transferi uygulanan, 2013–2019 yılları arasında başvuran ondört hasta çalışmaya dahil edildi. Hastanın dominant eli, işi, beklentisi ve sosyokültürel düzeyi göz önünde tutuldu. Değerlendirme için eklem hareket aralıkları ve kas güçleri ölçüldü. Fonksiyonel değerlendirme Tajima ölçütlerine göre yapıldı.
Bulgular: On dört hastamızın kas kuvveti değerlendirmesinde; ortalama el bileği ekstansiyonu 3,85; parmak ekstansiyonu 3,78; başparmak 3,5 gücünde bulundu. Ortalama el bileği eklem hareket aralığı 40,35°; ekstansiyon 16,78° (10°–70°), fleksiyon 23,57° (15°–50°) ölçüldü. Ortalama metakarpofalangeal eklem ekstansiyonu 1,92° (1°–10°), interfalangeal eklem ekstansiyonu 9,64° (0°–30°) ve başparmak abdüksiyonu 29,64° (30°–55°) derece idi. Tajima ölçütlerine göre fonksiyonel açıdan ortalama orta-iyi olarak değerlendirildi.
Sonuç: Primer tedavi şansını yitirmiş yüksek seviyeli radial sinir felci geç rekonstrüksiyonunda doğru planlama, uygun tendon ve sütür materyali seçimi yapılarak tendon transferleri ile başarılı ve yeterli fonksiyonel sonuçlar elde edilebilmektedir.

Keywords

geç dönem yüksek seviyeli radial sinir tendon transferleri fonksiyonel sonuç

References

  • 1. Laulan J. High radial nerve palsy: Literature review. Hand Surgery and Rehabilitation 2019;38:2–13.
  • 2. Linell EA. The distribution of nerves in the upper limb, with references to variabilities and their clinical significance. J Anat 1921;55:79–112.
  • 3. Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EOR | volume 1 | August 2016.
  • 4. Boyes JH. Tendon transfers for radial palsy. Bull Hosp Joint Dis 1960;21:97–105.
  • 5. Lucich EA, Fahrenkopf MP, Kelpin JP, Hall TC, Do VH. Extensor Tendon Transfers for Radial Nerve Palsy Secondary to Humeral Shaft Fracture. Eplasty 2018;18: ic18.
  • 6. Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus. J Bone Joint Surg [Br] 2005;87-B:1647–52.
  • 7. Jobe MT, Martiney SF. Peripheral nerve injuries. In: Campbell’s operative orthopaedics. Twelfth ed. Philadelphia: Elsevier Mosby, 2013:3063–3123.
  • 8. Li Y, Ning G, Wu Q, Wu Q, Li Y, Feng S. Review of literature of radial nerve injuries associated with humeral fractures-an integrated management strategy. PLoS One 2013;8: e78576.
  • 9. Robinson LR. Traumatic injury to peripheral nerves. Muscle Nerve 2000;23:863–73.
  • 10. Bumbasirevic M, Palibrk T, Lesic A, Atkinson H. Radial nerve palsy. EFORT Open Rev 2017;1:286–94.
  • 11. Murovic JA. Upper-extremity peripheral nerve injuries: a Louisiana State University Health Sciences Center literature review with comparisonof the operative outcomes of 1837 Louisiana StateUniversity Health Sciences Center median, radial, and ulnar nerve lesions. Neurosurgery 2009;65: A11-A17
  • 12. Taha A, Taha J. Results of suture of the radial, median, and ulnar nerves after missile injury below the axilla. J Trauma 1998;45:335–9.
  • 13. Roganovic Z, Pavlicevic G. Difference in recovery potential of peripheral nerves after graft repairs. Neurosurgery 2006;59:621–33.
  • 14. Wang LH, Weiss MD. Anatomical, clinical, and electrodiagnostic features of radial neuropathies. Phys Med Rehabil Clin N Am 2013;24:33–47.
  • 15. Abdelgawad AA, Wassef A, Ebraheim NA. Late-onset radial nerve palsy associated with conservatively managed humeral fracture. A case report and suggested classification system. HSS J 2010;6:49–51.
  • 16. Edwards WC, Fleming LL. Radial nerve palsy at the elbow following venipuncture- case report. J Hand Surg Am 1981;6:468–9.
  • 17. Waitzenegger T, Mansat P, Guillon P, Lenoir H, Coulet B, Lazerges C, et al. Radial nerve palsy in surgical revision of total elbow arthroplasties: a study of 4 cases and anatomical study, possible aetiologies and prevention. Orthop Traumatol Surg Res 2015;101:903–7.
  • 18. Padua L, Di Pasquale A, Liotta G, Granata G, Pazzaglia C, et al. Ultrasound as a useful tool in the diagnosis and management of traumatic nerve lesion. Clin Neurophysiol 2013;124:1237–43.
  • 19. Pham M, Ba¨umer P, Meinck HM, Schiefer J, Weiler M, Bendszus M, et al. Anterior interosseous nerve syndrome. Fascicular motor lesions of median nerve trunk. Neurology 2014;82:598–606.
  • 20. Sammer DM, Chung KC. Tendon Transfers Part I. Principles of Transfer and Transfers for Radial Nerve Palsy. Plast Reconstr Surg 2009;123(5):169e-177e.
  • 21. Richards, RR. Tendon Transfers for Failed Nerve Reconstruction. In: Mackinnon, SE., editor. Clinics in Plastic Surgery: Peripheral Nerve Surgery. Vol 30. Philadelphia: W. B. Saunders Company; 2003. p.223–246.
  • 22. Nalbantoğlu U, Özkan T, Türkmen İM. The results of tendon transfer in irreparable radial nerve palsy. Acta Orthop Traumatol Turc 2008;42(5):350–357.
  • 23. McPeak LA. Physiatric history and examination. In: Braddom RL, editor. Physical medicine and rehabilitation. Philadelphia: W. B. Saunders; 1996. p.3–42.
  • 24. Chotigavanich C. Tendon transfer for radial nerve palsy. Bull Hosp Jt Dis Orthop Inst 1990;50:1–10.
  • 25. Jones R. II. On suture of nerves, and alternative methods of treatment by transplantation of tendon. Br Med J 1916;1:641–3.
  • 26. Skoll PJ, Hudson DA, de Jager W, Singer M. Long-term results of tendon transfers for radial nerve palsy in patients with limited rehabilitation. Ann Plast Surg 2000;45:122–6.
  • 27. Reynolds, C. Preoperative and postoperative management of tendon transfers after radial nerve injury. In: Mackin, E.;Callahan, A.;Skirven, T.;Schneider, L.;Osterman, A., editors. Rehabilitation of the hand and upper extremity 5. Vol 1. St. Louis: Mosby; 2002. p.821–831.
  • 28. Ertaş NM, Yüce S, Küçükçelebi A, Ünlü E, Çelebioğlu S. Early phase tendon transfers in radial and ulnar nerve injuries: internal splinting. Dicle Med J Cilt/Vol 37, No 2, 115–120.
  • 29. Sammer DM, Chung KC. Tendon Transfers Part II. Transfers for Ulnar Nerve Palsy and Median Nerve Palsy. Plast Reconstr Surg 2009 September; 124(3):212e-221e.
  • 30. Bevin AG. Early tendon transfer for radial nerve transection. Hand 1976;8:134–6.

Year 2021, Volume: 11 Issue: EK-1, 149 - 156, 01.05.2020

Özgür Ağdoğan

Abstract

References

  • 1. Laulan J. High radial nerve palsy: Literature review. Hand Surgery and Rehabilitation 2019;38:2–13.
  • 2. Linell EA. The distribution of nerves in the upper limb, with references to variabilities and their clinical significance. J Anat 1921;55:79–112.
  • 3. Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EOR | volume 1 | August 2016.
  • 4. Boyes JH. Tendon transfers for radial palsy. Bull Hosp Joint Dis 1960;21:97–105.
  • 5. Lucich EA, Fahrenkopf MP, Kelpin JP, Hall TC, Do VH. Extensor Tendon Transfers for Radial Nerve Palsy Secondary to Humeral Shaft Fracture. Eplasty 2018;18: ic18.
  • 6. Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus. J Bone Joint Surg [Br] 2005;87-B:1647–52.
  • 7. Jobe MT, Martiney SF. Peripheral nerve injuries. In: Campbell’s operative orthopaedics. Twelfth ed. Philadelphia: Elsevier Mosby, 2013:3063–3123.
  • 8. Li Y, Ning G, Wu Q, Wu Q, Li Y, Feng S. Review of literature of radial nerve injuries associated with humeral fractures-an integrated management strategy. PLoS One 2013;8: e78576.
  • 9. Robinson LR. Traumatic injury to peripheral nerves. Muscle Nerve 2000;23:863–73.
  • 10. Bumbasirevic M, Palibrk T, Lesic A, Atkinson H. Radial nerve palsy. EFORT Open Rev 2017;1:286–94.
  • 11. Murovic JA. Upper-extremity peripheral nerve injuries: a Louisiana State University Health Sciences Center literature review with comparisonof the operative outcomes of 1837 Louisiana StateUniversity Health Sciences Center median, radial, and ulnar nerve lesions. Neurosurgery 2009;65: A11-A17
  • 12. Taha A, Taha J. Results of suture of the radial, median, and ulnar nerves after missile injury below the axilla. J Trauma 1998;45:335–9.
  • 13. Roganovic Z, Pavlicevic G. Difference in recovery potential of peripheral nerves after graft repairs. Neurosurgery 2006;59:621–33.
  • 14. Wang LH, Weiss MD. Anatomical, clinical, and electrodiagnostic features of radial neuropathies. Phys Med Rehabil Clin N Am 2013;24:33–47.
  • 15. Abdelgawad AA, Wassef A, Ebraheim NA. Late-onset radial nerve palsy associated with conservatively managed humeral fracture. A case report and suggested classification system. HSS J 2010;6:49–51.
  • 16. Edwards WC, Fleming LL. Radial nerve palsy at the elbow following venipuncture- case report. J Hand Surg Am 1981;6:468–9.
  • 17. Waitzenegger T, Mansat P, Guillon P, Lenoir H, Coulet B, Lazerges C, et al. Radial nerve palsy in surgical revision of total elbow arthroplasties: a study of 4 cases and anatomical study, possible aetiologies and prevention. Orthop Traumatol Surg Res 2015;101:903–7.
  • 18. Padua L, Di Pasquale A, Liotta G, Granata G, Pazzaglia C, et al. Ultrasound as a useful tool in the diagnosis and management of traumatic nerve lesion. Clin Neurophysiol 2013;124:1237–43.
  • 19. Pham M, Ba¨umer P, Meinck HM, Schiefer J, Weiler M, Bendszus M, et al. Anterior interosseous nerve syndrome. Fascicular motor lesions of median nerve trunk. Neurology 2014;82:598–606.
  • 20. Sammer DM, Chung KC. Tendon Transfers Part I. Principles of Transfer and Transfers for Radial Nerve Palsy. Plast Reconstr Surg 2009;123(5):169e-177e.
  • 21. Richards, RR. Tendon Transfers for Failed Nerve Reconstruction. In: Mackinnon, SE., editor. Clinics in Plastic Surgery: Peripheral Nerve Surgery. Vol 30. Philadelphia: W. B. Saunders Company; 2003. p.223–246.
  • 22. Nalbantoğlu U, Özkan T, Türkmen İM. The results of tendon transfer in irreparable radial nerve palsy. Acta Orthop Traumatol Turc 2008;42(5):350–357.
  • 23. McPeak LA. Physiatric history and examination. In: Braddom RL, editor. Physical medicine and rehabilitation. Philadelphia: W. B. Saunders; 1996. p.3–42.
  • 24. Chotigavanich C. Tendon transfer for radial nerve palsy. Bull Hosp Jt Dis Orthop Inst 1990;50:1–10.
  • 25. Jones R. II. On suture of nerves, and alternative methods of treatment by transplantation of tendon. Br Med J 1916;1:641–3.
  • 26. Skoll PJ, Hudson DA, de Jager W, Singer M. Long-term results of tendon transfers for radial nerve palsy in patients with limited rehabilitation. Ann Plast Surg 2000;45:122–6.
  • 27. Reynolds, C. Preoperative and postoperative management of tendon transfers after radial nerve injury. In: Mackin, E.;Callahan, A.;Skirven, T.;Schneider, L.;Osterman, A., editors. Rehabilitation of the hand and upper extremity 5. Vol 1. St. Louis: Mosby; 2002. p.821–831.
  • 28. Ertaş NM, Yüce S, Küçükçelebi A, Ünlü E, Çelebioğlu S. Early phase tendon transfers in radial and ulnar nerve injuries: internal splinting. Dicle Med J Cilt/Vol 37, No 2, 115–120.
  • 29. Sammer DM, Chung KC. Tendon Transfers Part II. Transfers for Ulnar Nerve Palsy and Median Nerve Palsy. Plast Reconstr Surg 2009 September; 124(3):212e-221e.
  • 30. Bevin AG. Early tendon transfer for radial nerve transection. Hand 1976;8:134–6.
There are 30 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Article
Authors

Özgür Ağdoğan This is me

Publication Date May 1, 2020
Published in Issue Year 2021 Volume: 11 Issue: EK-1

Cite

APA Ağdoğan, Ö. (2020). Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma. Kafkas Journal of Medical Sciences, 11(EK-1), 149-156.
AMA Ağdoğan Ö. Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma. KAFKAS TIP BİL DERG. May 2020;11(EK-1):149-156.
Chicago Ağdoğan, Özgür. “Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma”. Kafkas Journal of Medical Sciences 11, no. EK-1 (May 2020): 149-56.
EndNote Ağdoğan Ö (May 1, 2020) Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma. Kafkas Journal of Medical Sciences 11 EK-1 149–156.
IEEE Ö. Ağdoğan, “Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma”, KAFKAS TIP BİL DERG, vol. 11, no. EK-1, pp. 149–156, 2020.
ISNAD Ağdoğan, Özgür. “Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma”. Kafkas Journal of Medical Sciences 11/EK-1 (May 2020), 149-156.
JAMA Ağdoğan Ö. Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma. KAFKAS TIP BİL DERG. 2020;11:149–156.
MLA Ağdoğan, Özgür. “Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma”. Kafkas Journal of Medical Sciences, vol. 11, no. EK-1, 2020, pp. 149-56.
Vancouver Ağdoğan Ö. Yüksek Seviyeli Radial Sinir Hasarı Sonrası Tendon Transferleri: Retrospektif Çalışma. KAFKAS TIP BİL DERG. 2020;11(EK-1):149-56.
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