Neurotization of Musculocutaneous Nerve with Intercostal Nerves Assisted with Videothoracoscopy Clinical Case of a Patient with Brachial Plexus Palsy

Authors: Caceres JP and Aguirre M

DOI: 10.23880/nnoaj-16000172

Volume 7, Issue 2

Abstract

In total brachial plexus preganglionic lesions (C5 for T1), different extraplexual neurotizations are indicated for partial motor function restitution specially for the elbow flexion. Neurotization with intercostal nerves (ICN) [Spanish Acronym] to musculocutaneous nerve has been known and accepted during many years with different results. The customary technique as described by various authors is carried out by means of a large submammary incision to harvest three or four intercostal nerves. Then are anatomosed by direct suture or grafts to the musculocutaneous nerve or its motor branches. Based on a previous study by the author on the possibility of performing the dissection of the intercostal nerves by videothoracoscopy, we present a clinical case of a 29-year-old patient with a complete brachial plexus injury in which we performed this technique and its results at 2 years.

Keywords: Brachial plexus palsy; Neurotitations; Thoracoscopy; Nervs grafts

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