Musculocutaneous neurectomy for spastic elbow flexion in non-functional upper extremities in adults

D. E. Garland, R. Thompson, R. L. Waters

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

The charts of twenty-nine patients who had undergoine thirty musculocutaneous neurectomies for acquired spasticity of the elbow in a non-functional upper extremity were reviewed. The most common causes of the spasticity were cerebrovascular accident (59%) and head injury (24%). The aims of the operation were to increase the patient's capacity for self-care and to improve ambulation, personal hygiene, and appearance. Patients who had 30-degree flexion contractures preoperatively did not require a cast postoperatively; those who had 30 to 75-degree flexion contractures preoperatively required a cast postoperatively; and patients who had flexion contractures of more than 75 degrees preoperatively required a concomitant release of soft tissue in the elbow and application of a cast postoperatively. One patient who was operated on to improve appearance had no active elbow flexion postoperatively and was regarded as having a poor result. Musculocutaneous neurectomy is a safe, reliable procedure for treating the spastic elbow in the non-functional upper extremity.

Original languageEnglish (US)
Pages (from-to)108-112
Number of pages5
JournalJournal of Bone and Joint Surgery - Series A
Volume62
Issue number1
DOIs
StatePublished - Jan 1 1980

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