Selective Musculocutaneous Neurotomy for Spastic Elbow

Title
Selective Musculocutaneous Neurotomy for Spastic Elbow
Author(s)
김성호신동근[신동근]정영진홍주철[홍주철]김민수
Keywords
PERIPHERAL NEUROTOMY; CEREBRAL-PALSY; STROKE; HYPERTONIA; MUSCLE
Issue Date
201009
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.48, no.3, pp.236 - 239
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.
URI
http://hdl.handle.net/YU.REPOSITORY/23658http://dx.doi.org/10.3340/jkns.2010.48.3.236
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
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