Antonio Marcos de Andrade

Transferência de nervos (neurotizações) no tratamento das lesões traumáticas do plexo braquial

Brachial plexus avulsion injuries are usually caused by car and motorcycle accidents. Their consequences are devastating and represent a challenge to the surgeons who assist these patients. Positive results of this procedure depend on the interval between the injury and the definitive treatment. The treatment of brachial plexus avulsion injuries invariably involves the use of neurolysis, direct nerve repair, nerve grafts, and neurotization procedures. Several nerves have been used as donors in neurotizations. In general, there are two types of donor: extraplexal (intercostal, spinal accessory, and phrenic nerves, motor branches of the cervical plexus, and contralateral C7 root) and intraplexal (proximal spinal nerve stumps or collateral motor branches of the preserved brachial plexus). In fact, the intraplexal neurotization represents the classical form of nerve transfers.

Anatomical study on the innervation of the elbow capsule

Objectives To put forward an anatomical description of the innervation of the elbow capsule, illustrated through morphological analysis on dissections. Methods Thirty elbows from fresh fixed adult cadavers aged 32–74 years, of both sexes, were dissected. Results Among the dissected arms, we observed that the median nerve did not have any branches in two arms, while it had one branch in five arms, two branches in two arms, three branches in ten arms, four branches in nine arms and five branches in two arms. The radial nerve did not have any branches in two arms, while it had one branch in two arms, two branches in nine arms, three branches in ten arms, four branches in five arms and five branches in two arms. The ulnar nerve did not have any branches in three arms, while it had one branch in six arms, two branches in four arms, three branches in five arms, four branches in seven arms, five branches in four arms and six branches in one arm. Conclusions We observed branches of the radial, ulnar and medial nerves in the elbow joint, and a close relationship between their capsular and motor branches.