TECHNIQUE
Exposure of the Retroclavicular Brachial Plexus by Clavicle Suspension for Birth Brachial Plexus Palsy Raymond Tse, MD, FRCSC,*w Willem Pondaag, MD, PhD,z and Martijn Malessy, MD, PhDz
Abstract: Surgical exploration and reconstruction of the brachial plexus requires adequate exposure beyond the zone of injury. In the case of extensive lesions, some authors advocate clavicle osteotomy for an extensile approach. Such an osteotomy introduces further morbidity and may impact upon the delicate nerve reconstruction. A new simple but effective method of clavicle elevation is described that provides access to the retroclavicular brachial plexus during exploration for birth brachial plexus palsy.
(2) Composite Active Movement Score for elbow flexion, elbow extension, wrist extension, finger extension, and thumb extension
Exposure of the Retroclavicular Brachial Plexus by Clavicle Suspension for Birth Brachial Plexus Palsy Raymond Tse, MD, FRCSC,*w Willem Pondaag, MD, PhD,z and Martijn Malessy, MD, PhDz
Abstract: Surgical exploration and reconstruction of the brachial plexus requires adequate exposure beyond the zone of injury. In the case of extensive lesions, some authors advocate clavicle osteotomy for an extensile approach. Such an osteotomy introduces further morbidity and may impact upon the delicate nerve reconstruction. A new simple but effective method of clavicle elevation is described that provides access to the retroclavicular brachial plexus during exploration for birth brachial plexus palsy.
(2) Composite Active Movement Score for elbow flexion, elbow extension, wrist extension, finger extension, and thumb extension
