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Plexus brachialis

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Plastische Chirurgie
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Zusammenfassung

Der Plexus brachialis wird von den Spinalnerven C5, C6, C7, C8 und Th1 gebildet (Abb. 6.1 a). Der Aufbau der Nervengeflechte kann unterschiedlich sein.

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Literatur

  • Akasaka Y, Hara T, Takahashi M (1990) Restoration of elbow flexion and wrist extension in brachial plexus paralyses by means of free muscle transplantation innervated by intercostal nerve. Ann Hand Surg 9: 341–350

    CAS  Google Scholar 

  • Allieu Y, Triki F, de Godebout J (1987) Les paralysies totales du plexus brachial. Valeur de la conservation du membre et de la restauration de la flexion du coude. Rev Chir Orthop 73: 665–673

    PubMed  CAS  Google Scholar 

  • Alnot J-Y, Narakas A (1995) Les paralysies du plexus brachial, 2nd ed. Masson, Paris

    Google Scholar 

  • Alnot J-Y, Oberlin C (1991) Transferts musculaires dans les paralysies de la flexion du coude et de l’extension du coude. Techniques chirurgical. In: Tubiana R (ed) Traité de chirurgie de la main, tome 4. Masson, Paris, pp 162–175

    Google Scholar 

  • Berger A (1985) Ersatzoperationen nach Plexus brachialis-Verletzungen, In: Hase U, Reulen H-J (Hrsg) Läsionen des Plexus brachialis. Walter de Gruyter, Berlin, S 107–120

    Google Scholar 

  • Berger A, Brenner P (1995) Secondary surgery following brachial plexus injuries. Microsurgery 16: 43–47

    Article  PubMed  CAS  Google Scholar 

  • Berger A, Flory P-J, Schaller E (1990) Muscle transfer in brachial plexus lesions. J Reconstr Microsurg 6: 113–115

    PubMed  CAS  Google Scholar 

  • Berger A, Schaller E, Mailänder P (1991) Brachial plexus injuries: An integrated treatment concept. Ann Plast Surg 26: 70–76

    Article  PubMed  CAS  Google Scholar 

  • Berger A, Schaller E, Becker MH-J (1995) Pulley zur Verstärkung einer Muskelersatzoperation über zwei Gelenke bei Plexus brachialis-Läsionen: Beschreibung der Operationstechnik. Handchir Mikrochir Plast Chir 26: 51–54

    Google Scholar 

  • Berger A, Brenner P, Becker M, Lassner F (1996) Management of obstetrical lesions of brachial plexus – our concept. In: Pho RWH, Pereira BP, Kumar VP, Kueh KA, Satku K, King LH (eds) Reconstructive microsurgery: current rrends. Goh Bros, Enterprise Humanities Press, Singapore, pp 31–34

    Google Scholar 

  • Berger A, Hierner R, Becker MH-J (1997) Sekundäre Ersatzoperationen zur Wiederherstellung der Ellenbeugefunktion nach Läsion des Plexus brachialis. Orthopäde 26: 643–650

    PubMed  CAS  Google Scholar 

  • Berger A, Hierner R, Becker MH-J (1997) Die frühzeitige mikrochirurgische Revision des Plexus brachialis bei geburtstraumatischen Läsionen. Orthopäde 26: 710–718

    PubMed  CAS  Google Scholar 

  • Berger A, Hierner R, Kleinschmidt L (2001) Palliative surgery: The elbow and forearm. In: Gilbert A (ed) Brachial plexus injury. Dunitz, London, pp 123–130

    Google Scholar 

  • Bonnel F (1991) Les nerfs de la racine du membre supérieur. In: Bonnel F, Chevrel JP, Outrequin G (eds) Anatomie clinique. Les Membres. Springer, Paris

    Google Scholar 

  • Boome R (1999) The brachial plexus. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Brunelli G, Monini L (1984) Neurotization of avulsed roots of brachial plexus by means of anterior nerves of cervical plexus. Clin Plast Surg 11: 144–153

    Google Scholar 

  • Brunelli G, Battiston B, Brunelli F (1988) Free greater omentum majus transfer in ionizing radiation lesions of the brachial plexus. In: Brunelli G (ed) Textbook of microsurgery. Masson, Paris, pp 825–831

    Google Scholar 

  • Brüser P, Noever G (1988) Welches Ergebnis können wir nach einer Bizeps-Ersatzoperation erwarten ? Handchir Mikrochir Plast Chir 20: 211–217

    PubMed  Google Scholar 

  • Caroll RE, Hill RA (1972) Triceps transfer to restore elbow flexion. A study of 15 patients with paralytic lesions and arthrogryposis. J Bone Joint Surg Am 52: 239–244

    Google Scholar 

  • Cascino TL, Kori S, Krol G, Foly KM (1983) CT of the brachial plexus in patients with cancer. Neurology 33: 1553–1557

    PubMed  CAS  Google Scholar 

  • Clark JMP (1946) Reconstruction of biceps brachii by pectoral muscle transplantation. Br J Surg 34: 180–181

    Article  CAS  PubMed  Google Scholar 

  • Clarke HM, Curtis CG (1995) An approach to obstetrical brachial plexus lesions. Hand Clin 11: 563–581

    PubMed  CAS  Google Scholar 

  • Clarke HM, Al-Qattan MM, Curtis CG, Zucker RM (1996) Obstetrical brachial plexus palsy: results following neurolysis of conducting. Neuromas-in-Continuity. Plast Reconstr Surg 97: 974–982

    Article  PubMed  CAS  Google Scholar 

  • Clodius L, Uhlschmidt G, Hess K (1987) Irradiation plexitis of the brachial plexus. In: Terzis JK (ed) Microreconstruction of nerve injuries. Saunders, Philadelphia, pp 455–462

    Google Scholar 

  • Cormier J-M, Ferry J (1980) Les possibilités de la chirurgie dans les atteints plexiques post-thérapeutiques. Senologia 5: 70–74

    Google Scholar 

  • Dellon AL (1988) Classifications of nerve injuries as the basis for treatment. In: Mackinnon SE, Dellon AL (eds) Surgery of the peripheral nerve. Thieme, New York, pp 35-63

    Google Scholar 

  • Dieckmann G (1982) Plexusschaden nach Mammabestrahlung – Möglichkeiten der operativen Therapie. Lymphology 6: 93–94

    CAS  Google Scholar 

  • Doi K, Muramatsu K, Hattori Y et al. (2000) Restoration of prehension with the double free muscle technique following complete avulsion of the brachial plexus. Indications and long-term results. J Bone Joint Surg Am 82: 652–666

    Article  PubMed  CAS  Google Scholar 

  • Gilbert A, Tassin JL (1987): Obstretrical palsy: a clinical, pathological and surgical review. In: Terzis JK (ed) Microreconstruction of nerve injuries. Saunders, Philadelphia, pp 529–553

    Google Scholar 

  • Gilbert A (1995): Paralysie obstétricale du plexus brachial. In: Alnot J-Y, Narakas A (eds) Les paralysies du plexus brachial, 2nd ed. Expansion Scientifique Francaise, Paris, pp 270–281

    Google Scholar 

  • Gu YD (1989) Microsurgical treatment for root avulsion of brachial plexus. Natl Des J Chir 69: 653–660

    Google Scholar 

  • Hentz VR (1991) Operative repair of brachial plexus in infants and children. In: Gelberman RH (ed) Operative nerve repair and reconstruction, vol II. Lippincott, Philadelphia, pp 1369–1383

    Google Scholar 

  • Hierner R, Berger A (1997) Die radiogene Plexitis – eigene Ergebnisse und Literaturüberblick. Aktuelle Neurologie 24: 150–155

    Article  Google Scholar 

  • Hierner R, Berger A (2001) Treatment of co-contractions in brachial plexus lesions. In: Gilbert A (ed) Brachial plexus injury. Dunitz, London, Chapter 30

    Google Scholar 

  • Hierner R, Berger A (2002) Die posttraumatische Läsion des Plexus brachialis. Klassifikation, Diagnostik, Dokumentation und Therapie. Unfallchirurg 105: 49–61

    Article  PubMed  CAS  Google Scholar 

  • Hierner R, Noah EM, Becker M, Berger A (1996) Ergebnisse und Besonderheiten von motorischen Ersatzoperationen bei Verletzungen des Plexus brachialis. Handchir Mikrochir Plast Chir 28: K16–K17

    Google Scholar 

  • Hierner R, Siebenbrodt F, Berger A (1999) Vorschlag zur standardisierten Untersuchung und Dokumentation bei geburtstraumatischen Läsionen des Plexus brachialis (“Baby-Plexus-Evaluations-System; Baby-PES). Krankengymnastik 51: 1–9

    Google Scholar 

  • Hierner R, Rollnik JD, Berger AC, Dengler R (2001) Botulinum toxin type a for the treatment of biceps/triceps co-contraction in obstetrical brachial plexus lesions – preliminary results after a follow up of 18 months. Eur J Plast Surg 24: 2–6

    Article  Google Scholar 

  • Jackson S, Hoffer MM (1988) Brachial plexus palsies in newborns. J Bone Joint Surg Am 70: 1217–1220

    PubMed  CAS  Google Scholar 

  • Lang J (1993) Clinical anatomy of the cervical spine. Thieme, Stuttgart

    Google Scholar 

  • Le-Quang C (1989) Post irradiation lesions of the brachial plexus: results of surgical treatment. Hand Clinics 5: 23–32

    CAS  Google Scholar 

  • Le-Quang C (1991) Les radiolésions du plexus brachial: résultats du traitement chirurgical. In: Tubiana R (ed) Traité de chirurgie de la main, vol 4. Masson, Paris, pp 671–680

    Google Scholar 

  • Mantkelow RT (1993) Functioning free muscle transfer. In: Green DP (ed) Operative hand surgery, 3rd edn, vol 1. Churchill Livingstone, New York, pp 1159–1177

    Google Scholar 

  • Masse P, Morchoisine P (1967) Procédés de restauration de la flexion du coude paralytique par transplantation du petit pectoral. Rev Chir Orthop 53: 357–372

    Google Scholar 

  • Merle d’ Aubigné R, Deburge A (1967) Ethiologie, évolution et pronostic des paralysies traumaiques du plexus brachial. Rev Chir Orthop Répar Apparmoteur 53: 23

    Google Scholar 

  • Michelow BJ, Clarke HM, Curtis CG, Zucker RM, Seifu Y, Andrews DA (1994) The natural history of obstetrical brachial plecus palsy. Plast Reconstr Surg 93: 675–680

    Article  PubMed  CAS  Google Scholar 

  • Millesi H (1992) Chirurgie der peripheren Nerven. Urban & Schwarzenberg, München

    Google Scholar 

  • Mumenthaler M (1964) Armplexus-Paresen im Anschluß an Röntgenbestrahlung. Schweiz Med Wochenschr 94: 1069–1075

    PubMed  CAS  Google Scholar 

  • Mumenthaler M, Schliak H (Hrsg) (1987) Läsionen peripherer Nerven, 5. Aufl. Thieme, Stuttgart

    Google Scholar 

  • Narakas A (1986) Injuries to the brachial plexus. In: Bora FW Jr (ed) The pediatric upper extremity, diagnosis and treatment. Saunders, Philadelphia, pp 247–258

    Google Scholar 

  • Narakas A, Brunelli G, Clodius L, Merle M (1989 Traitement chirurgical des plexopathies post-actiniques. In: Alnot J-Y, Narakas A (eds) Les paralysies du plexus brachial. Expansion Scientifique Francaise, Paris, pp 240–249

    Google Scholar 

  • Oberlin C (1994) Nerve transfer to bizeps muscle using a part of ulnar nerve for C5–C6. Avulsion of the brachial plexus. Anatomical studies and report of four cases. J Hand Surg [Am] 19: 232–237

    Article  CAS  Google Scholar 

  • Raimondi PL (1996) Hand scale for obstetrical brachial plexus evaluation. Vortrag auf dem Obsetrical Paralysis Meeting

    Google Scholar 

  • 14.06.1996 in Paris

    Google Scholar 

  • Rollnik JD, Hierner R, Schubert M et al. (2000) Botulinum toxin treatment of cocontractions after birth-related brachial plexus lesions. Neurology 55: 112–114

    PubMed  CAS  Google Scholar 

  • Rossi LN, Vasella F, Mummenthaler M (1982) Obstetrical lesions of the brachial plexus. Natural history in 34 personal cases. Eur Neurol 21: 1–7

    Article  PubMed  CAS  Google Scholar 

  • Rüdigier J (1991) Motorische Ersatzoperationen der oberen Extremität, Bd 1 Schultergürtel, Oberarm, Ellenbogen. Hippokrates, Stuttgart (Buck-Gramcko D, Nigst H, Hrsg. Bibliothek für Handchirurgie)

    Google Scholar 

  • Rüdigier J (1991) Motorische Ersatzoperationen der oberen Extremität, Bd 2 Hand. Hippokrates, Stuttgart (Buck-Gramcko D, Nigst H, Hrsg, Bibliothek für Handchirurgie)

    Google Scholar 

  • Saha AK (1967) Surgery of the paralysed and flail shoulder. Acta Orthop Scand Suppl 97: 5–90

    Google Scholar 

  • Segal A, Seddon HJ, Brooks DM (1959) Treatment of paralysis of the flexors of the elbow. J Bone Joint Surg Br 41: 44–50

    PubMed  Google Scholar 

  • Sloof ACJ (1995) Obstetrical brachial plexus lesions and their neurosurgical treatment. Microsurgery 16: 30–34

    Article  Google Scholar 

  • Smith RJ (1987) Tendon transfers of the hand and forearm. Little Brown, Boston

    Google Scholar 

  • Stearner SP, Derine RL, Christian EJB (1976) Late changes in irradiation microvasculature. Rad Res 65: 351

    Article  CAS  Google Scholar 

  • Steindler A (1919) Operative treatment of paralytic conditions of the upper extremity. J Orthop Surg 1: 608

    Google Scholar 

  • Stöhr M (1982) Special types of spontaneous electrical activities in radiogenic nerve injuries. Muscle Nerve 5: 78–83

    Google Scholar 

  • Sunderland S Sir (1991) Nerve injuries and their repair – a critical appraisal. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Terzis J, Liberson WT, Levine R (1987) Our experience in obstetrical brachial plexus palsy. In: Terzis JK (ed) Microreconstruction of nerve injuries. Saunders, Philadelphia, pp 513–528

    Google Scholar 

  • Uhlschmid G, Clodius K, Hess J, Smahel J (1984) Die Behandlung der schmerzhaften infraklavikulären Plexusparese nach Axillaausräumung und Röntgentherapie. Helv Chir Acta 51: 763–768

    Google Scholar 

  • Vojta V (1988) Die zerebralen Bewegungstörungen im Säuglingsalter, 5. Aufl. Enke, Stuttgart

    Google Scholar 

  • Wintsch K (1980) Motorische Ersatzoperationen. In: Motorische Ersatzoperationen für Motorik und Sensibilität der Hand. Enke, Stuttgart

    Google Scholar 

  • Zancolli E, Mitre H (1973) Latissimus dorsi transfer to restore elbow flexion. An appraisal of eight cases. J. Bone Joint Surg Am 55: 1265

    PubMed  CAS  Google Scholar 

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Alfred Berger Robert Hierner

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Berger, A. (2009). Plexus brachialis. In: Berger, A., Hierner, R. (eds) Plastische Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68814-3_6

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  • DOI: https://doi.org/10.1007/978-3-540-68814-3_6

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