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Showing posts from February, 2018

triple neurotisation in a young boy

8 year old young boy from Jodhpur Rajasthan India got injured in a road traffic accident  in January 2015 . On 16/5/2015 I operated in Gurgaon , He had upper trunk injury and hand was normal.. We did three nerve transfer and pt initially gained elbow flexion followed by shoulder function. After two years he shows excellent shoulder and elbow function. Three nerve transfer done are Spinal accessory to supraspinatus Somsack transfer (long head tricep fascicle to axillary nerve) Oberlin transfer( Ulnar nerve fascicle to musculocutanous nerve) Patient had a upper trunk C5,C6 injury which resulted in paralysed shoulder and elbow flexion. Elbow flexion is a extremely important function, it is supplied by musculocutaneous nerve which comes from lateral cord  which in turn comes from  anterior division upper trunk.  Axillary nerve supplies deltoid which main shoulder abductor. Supraspinatus muscle initiate shoulder abduction and very important rotator cuff muscle. ...

vibhuti

22 year old young man from Indian state of Bihar was busy securing job and preparing for competitive exam for various jobs. He had a fall from bike in 2016 which damaged his brachial  plexus. In search of cure he come New Delhi where I operated him . He had a upper trunk C5,C6 injury for which I did triple neurotization. Nerve transfer done are    Spinal accessory to Supraspinatus ,Somsack transfer (long head of triceps branch to axillary nerve) and oberlin transfer ( ulner nerve fasicle to biceps branch of musculocutanous nerve).  After six month we have this video showing reasonable improvement , it will improve with physiotherapy .                                                                                           ...