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Published on: August 15, 2019
Selective musculocutaneous neurotomy for spastic elbow
Dong-Keun Shin1, Young-Jin Jung, Joo-Chul Hong
1Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Korea.
Journal of Korean Neurosurgical Society
|November 18, 2010
Summary
Selective musculocutaneous neurotomy (SMcN) effectively reduced spasticity in elbows, significantly improving Modified Ashworth Scale scores. This treatment offers a low-morbidity option for carefully selected patients with localized elbow spasticity.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Spastic elbow presents a significant challenge in managing upper limb hypertonia.
- Effective treatment options are crucial for improving function and quality of life.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of selective musculocutaneous neurotomy (SMcN) for treating spastic elbow.
Main Methods:
- Retrospective review of 14 patients with spastic elbow.
- Patient selection based on clinical scales and nerve block tests.
- SMcN procedure performed with a mean follow-up of 30.71 months.
Main Results:
- Significant reduction in Modified Ashworth Scale (MAS) scores post-SMcN (from 3.28 preoperatively to 1.71-1.92 postoperatively).
- High patient satisfaction reported, with a mean visual analogue score of 65.00.
Conclusions:
- SMcN is an effective treatment for localized spastic elbow in selected patients.
- Low morbidity associated with SMcN in appropriate candidates.
- Successful outcomes require good antagonist muscle function and absence of joint contracture.
