Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor

ABSTRACT Objective: Restoration of the sensitivity to sensory stimuli in complete brachial plexus injury is very important. The objective of our study was to evaluate sensory recovery in brachial plexus surgery using the intercostobrachial nerve (ICBN) as the donor. Methods: Eleven patients underw...

Full description

Saved in:
Bibliographic Details
Main Authors: Luciano Foroni, Mário Gilberto Siqueira, Roberto Sérgio Martins, Carlos Otto Heise, Hugo Sterman Neto, Adriana Yoriko Imamura
Format: Article
Language:English
Published: Thieme Revinter Publicações
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100796&lng=en&tlng=en
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850248370538414080
author Luciano Foroni
Mário Gilberto Siqueira
Roberto Sérgio Martins
Carlos Otto Heise
Hugo Sterman Neto
Adriana Yoriko Imamura
author_facet Luciano Foroni
Mário Gilberto Siqueira
Roberto Sérgio Martins
Carlos Otto Heise
Hugo Sterman Neto
Adriana Yoriko Imamura
author_sort Luciano Foroni
collection DOAJ
description ABSTRACT Objective: Restoration of the sensitivity to sensory stimuli in complete brachial plexus injury is very important. The objective of our study was to evaluate sensory recovery in brachial plexus surgery using the intercostobrachial nerve (ICBN) as the donor. Methods: Eleven patients underwent sensory reconstruction using the ICBN as a donor to the lateral cord contribution to the median nerve, with a mean follow-up period of 41 months. A protocol evaluation was performed. Results: Four patients perceived the 1-green filament. The 2-blue, 3-purple and 4-red filaments were perceptible in one, two and three patients, respectively. According to Highet's scale, sensation recovered to S3 in two patients, to S2+ in two patients, to S2 in six patients, and S0 in one patient. Conclusion: The procedure using the ICBN as a sensory donor restores good intensity of sensation and shows good results in location of perception in patients with complete brachial plexus avulsion.
format Article
id doaj-art-1c4868c45d8a4efc86f65b0e45d9f8b7
institution OA Journals
issn 1678-4227
language English
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-1c4868c45d8a4efc86f65b0e45d9f8b72025-08-20T01:58:43ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-4227751179680010.1590/0004-282x20170148S0004-282X2017001100796Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donorLuciano ForoniMário Gilberto SiqueiraRoberto Sérgio MartinsCarlos Otto HeiseHugo Sterman NetoAdriana Yoriko ImamuraABSTRACT Objective: Restoration of the sensitivity to sensory stimuli in complete brachial plexus injury is very important. The objective of our study was to evaluate sensory recovery in brachial plexus surgery using the intercostobrachial nerve (ICBN) as the donor. Methods: Eleven patients underwent sensory reconstruction using the ICBN as a donor to the lateral cord contribution to the median nerve, with a mean follow-up period of 41 months. A protocol evaluation was performed. Results: Four patients perceived the 1-green filament. The 2-blue, 3-purple and 4-red filaments were perceptible in one, two and three patients, respectively. According to Highet's scale, sensation recovered to S3 in two patients, to S2+ in two patients, to S2 in six patients, and S0 in one patient. Conclusion: The procedure using the ICBN as a sensory donor restores good intensity of sensation and shows good results in location of perception in patients with complete brachial plexus avulsion.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100796&lng=en&tlng=enbrachial plexusintercostal nervesmedian nervenerve transfersensationperception
spellingShingle Luciano Foroni
Mário Gilberto Siqueira
Roberto Sérgio Martins
Carlos Otto Heise
Hugo Sterman Neto
Adriana Yoriko Imamura
Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
Arquivos de Neuro-Psiquiatria
brachial plexus
intercostal nerves
median nerve
nerve transfer
sensation
perception
title Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
title_full Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
title_fullStr Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
title_full_unstemmed Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
title_short Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
title_sort good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor
topic brachial plexus
intercostal nerves
median nerve
nerve transfer
sensation
perception
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001100796&lng=en&tlng=en
work_keys_str_mv AT lucianoforoni goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor
AT mariogilbertosiqueira goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor
AT robertosergiomartins goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor
AT carlosottoheise goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor
AT hugostermanneto goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor
AT adrianayorikoimamura goodsensoryrecoveryofthehandinbrachialplexussurgeryusingtheintercostobrachialnerveasthedonor