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. 33. Terzis JK Kokkalis ZT . Shoulder function following primary axillary nerve reconstruction in obstetrical brachial plexus patients . Plast Reconstr Surg 2008 ; 122 : 1457 - 69 . 34. Degeorges R Lebellec
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. The mean age at the time of MUCL reconstruction was 20.4 years (14 to 32). All reconstructions were performed through a split in the flexor-pronator mass, as described by Rohrbough et al, 35 and no ulnar nerve transpositions were performed. Others
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methods. 1 While some individuals may maintain reasonable function after non-operative treatment of a ruptured DBT, biomechanical and clinical studies suggest that most individuals benefit from surficial repair or reconstruction. 2 Over the last
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. Operative treatment Most authors favour some type of reconstruction technique although direct repair has been used occasionally. Jobe et al 30 pioneered a reconstruction technique using the palmaris longus autograft that involved ulnar nerve
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interest in arthroscopic management of these injuries. 17 Many techniques have been described and they are principally addressed to repair CC ligaments. However, proper management requires reconstruction of the AC ligament as well as the superior joint
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extremity. The integrity of the extensor mechanism should be assessed as well. Finally, an accurate neurological exam is mandatory. Assess the ulnar, radial and median nerve function and when in doubt, get an electromyogram (EMG). Try to localize the ulnar
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surgical techniques have been described in the surgical treatment of MDI. Reconstructive techniques include glenoid osteotomy, labral augmentation and capsuloligamentous reconstruction procedures. Currently, the most commonly used techniques are open
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the likelihood of ulnar entrapment, especially in posttraumatic stiffness ( 15 ). Therefore, the ulnar nerve should be carefully examined for signs of either entrapment or instability, and the location in its sulcus should be carefully documented
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. Debridement and reconstruction is possible and safe but it takes slightly longer than open surgery, and there is a risk of potential damage of the radial nerve and to the lateral collateral ligament if the debridement extends posteriorly past the centre of the
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shoulder’s preoperative range of motion, and this description was significantly limited. Some authors attempted brachial plexus revision, neurolysis, transfer of the accessory nerve to the suprascapular nerve, or reconstruction of the suprascapular nerve