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Journal of Hand Surgery (British and European Volume)
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Articles

Brachialis Muscle Transfer to the Forearm Muscles in Obstetric Brachial Plexus Palsy

J. A. BERTELLI

From the Department of Plastic Surgery, Joana de Gusmão Children’s Hospital, Florianópolis, SC, Brazil and the Center of Biological and Health Sciences, University of the South of Santa Catarina (Unisul), Tubarão, SC, Brazil

Correspondence: Dr J.A. Bertelli, Joana de Gusmão Children’s Hospital, Plastic Surgery, Praça Getulio Vargas, 322, Florianopolis 88020030, SC Brazil. Tel.: 55 48 2224028; fax: 55 48 2224028. E-mail: bertelli{at}matrix.com.br

Tendon transfers are frequently needed to improve hand function in obstetric brachial plexus injuries. The reconstruction cannot always be achieved using local donor transfers in the forearm as these are not always available. In such cases, we propose the use of the brachialis muscle as a useful donor for transfer. Five adolescents with obstetric brachial plexus palsy were operated on to reconstruct wrist extension and/or pronation using the brachialis muscle transfer to the pronator teres (n = 1) extensor carpi radialis brevis (n = 1) and extensor carpi radialis longus (n = 3). Twelve months after surgery, average active motion recovery was 20° for wrist extension and 14° for pronation. Active and passive range of motion was similar.

Key Words: obstetric brachial palsy • tendon transfer • brachialis muscle

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 3, 261-265 (2006)
DOI: 10.1016/J.JHSB.2005.11.001
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