Traumatic Pan brachial plexus injury Total arm type traumatic brachial plexus injury Brachial plexus injury(BPI)
Conditions
Interventions
Patients with Traumatic Total arm type BPI who treat with neurotization for elbow flexion with wrist fusion and biceps to FDS tendon transfer,Patients with Traumatic Total arm type BPI who treat with
Treatment,Treatment
Neurotization for elbow flexion with wrist fusion and biceps to FDS,Free Functional Muscle Transfer for finger flexion
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Traumatic pan brachial plexus injury with no sign of functional recovery 2. Treatment with Biceps to FDS tendon transfer or Free Functional Muscle Transfer, gracilis muscle 3. Timing at least 2 years after operation and patient can attend to evaluate motor power and hand grip strength
Exclusion criteria
Exclusion criteria: 1. Younger than 18 years old 2. History of severe brain injury or psychotic disorder 3. Poor co-operate with measurement of muscle power evaluation 4. Non traumatic brachial plexopathies ; radiation induced , neoplastic brachial plexopathy, neurogenic thoracic outlet syndrome, idiopathic and hereditary brachial plexonopathies 5. Lost to follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hand grip strength reported in percentage compare with contralateral side begin from 2 years after intervention ibs / percentage compare with contralateral side / LaFayette Hand Grip Dynamometer | — |
Secondary
| Measure | Time frame |
|---|---|
| Finger flexion motor power begin from 2 years after intervention British Medical Research Council(BMRC), grade,Total active motion(TAM) of finger in each finger begin from 2 years after intervention degree of TAM, Goniometer,Elbow flexion motor power begin from 2 years after intervention British Medical Research Council(BMRC), grade,Elbow flexion strength begin from 2 years after intervention ibs / percentage compare with contralateral side / LaFayette Hand held Dynamometer,Elbow flexion Range of motion arch begin from 2 years after intervention degree of arch motion, goniometer,Pain score begin from 2 years after intervention Visual analog scale(VAS) (0 to 10) and Thai Douleur Neuropathique en 4 questions(Thai DN4) (0 to 10 point of neuropathic pain),ADL functions begin from 2 years after intervention yes or no | — |
Countries
Thailand
Contacts
Public ContactROONGSAK LIMTHONGTHANG
Siriraj Hospital
Outcome results
None listed