Selective Musculocutaneous Neurotomy for Spastic Elbow
Journal of Korean Neurosurgical Society
; : 236-239, 2010.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-214811
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
The purpose of this study was to investigate the effectiveness and outcome of selective musculocutaneous neurotomy (SMcN) for spastic elbow.METHODS:
We retrospectively reviewed the medical records of 14 patients with spasticity of their elbows. The patients were selected using clinical and analytical scales, as well as nerve block tests, for assessment. Their mean age was 37.29 years (range, 19-63 years). SMcN was performed for these patients, and the mean follow-up period was 30.71 months (range, 19-54 months).RESULTS:
The modified Ashworth scale (MAS) scores recorded before and after the SMcN showed that the patients' mean preoperative MAS score of 3.28 +/- 0.12 was improved to 1.71 +/- 0.12, 1.78 +/- 0.18, 1.92 +/- 0.16 and 1.78 +/- 0.18 at postoperative 3, 6, 12 months and last follow-up, respectively. On the basis of a visual analogue score ranging from 0-100, the patients' mean degree of satisfaction score was 65.00 +/- 16.52 (range, 30-90).CONCLUSION:
We believe that SMcN can be a good and effective treatment modality with low morbidity in appropriately selected patients who have localized spastic elbow with good antagonist muscles and without joint contracture.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Weights and Measures
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Contracture
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Elbow
/
Joints
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Muscle Spasticity
/
Muscles
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Musculocutaneous Nerve
Type of study:
Observational study
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Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2010
Document type:
Article