Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Achieving balance in upper limb spasticity management.

The Journal of hand surgery, European volume·2026
Same author

Hyperselective neurectomy for the treatment of upper limb spasticity: a long-term follow-up.

The Journal of hand surgery, European volume·2025
Same author

Comprehensive Examination of Upper-Extremity Spasticity.

The Journal of hand surgery·2025
Same author

Iliac crest graft reconstruction for giant cell tumour of the distal phalanx: A case report.

Hand surgery & rehabilitation·2025
Same author

Commentary on: 'Outcomes of complete neurotomy and immediate repair of the musculocutaneous nerve for treatment of elbow spasticity'.

The Journal of hand surgery, European volume·2024
Same author

Trends and insights review. Nerve procedures in the management of upper limb spasticity.

The Journal of hand surgery, European volume·2024
Same journal

The spastic thumb. Current concepts.

Hand surgery & rehabilitation·2026
Same journal

Medial Distal Arm Perforator Flap for elbow Soft Tissue Defects: A Cadaveric Study.

Hand surgery & rehabilitation·2026
Same journal

Updates in Tetraplegic Spastic Upper Limb Management.

Hand surgery & rehabilitation·2026
Same journal

Surgical Management of Elbow Flexion Contracture in Spasticity - a technical guide.

Hand surgery & rehabilitation·2026
Same journal

The spastic upper limb in children with cerebral palsy.

Hand surgery & rehabilitation·2026
Same journal

Carpal tunnel-targeted treatment in patients with CRPS-like symptoms: a retrospective cohort study of irritative carpal tunnel syndrome.

Hand surgery & rehabilitation·2026
See all related articles

Related Experiment Video

Updated: Jul 5, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:53

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

Hyperselective neurectomy: current status and future perspectives.

Caroline Leclercq1

  • 1Institut de la Main, Clinique Bizet 21 rue Georges Bizet 85116, Paris, France.

Hand Surgery & Rehabilitation
|July 3, 2026
PubMed
Summary
This summary is machine-generated.

Hyperselective neurectomy offers a durable reduction in upper limb spasticity and hypertonia. This surgical technique improves balance without significant muscle strength loss, benefiting patients needing comprehensive rehabilitation.

Keywords:
Hyperselective neurectomyNeurotomyPartial neurectomySelective neurectomyUpper Limb spasticity

More Related Videos

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:26

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 8, 2024

Novel Surgical Rodent Model for Studying Neuroma Pain Treatment Options using Targeted Muscle Reinnervation Through the Saphenous Nerve
07:00

Novel Surgical Rodent Model for Studying Neuroma Pain Treatment Options using Targeted Muscle Reinnervation Through the Saphenous Nerve

Published on: November 14, 2025

Related Experiment Videos

Last Updated: Jul 5, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:53

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 15, 2024

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
03:26

Targeted Muscle Reinnervation: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain

Published on: March 8, 2024

Novel Surgical Rodent Model for Studying Neuroma Pain Treatment Options using Targeted Muscle Reinnervation Through the Saphenous Nerve
07:00

Novel Surgical Rodent Model for Studying Neuroma Pain Treatment Options using Targeted Muscle Reinnervation Through the Saphenous Nerve

Published on: November 14, 2025

Area of Science:

  • Orthopedics
  • Neurosurgery
  • Rehabilitation Medicine

Background:

  • Upper limb spasticity presents a complex challenge, involving spasticity, contractures, and muscle weakness.
  • Surgery is one component of a multidisciplinary approach to spasticity management.
  • Traditional surgical interventions for spasticity have limitations.

Purpose of the Study:

  • To evaluate the efficacy and safety of hyperselective neurectomy for upper limb spasticity.
  • To highlight the importance of precise anatomical knowledge in surgical planning.

Main Methods:

  • Hyperselective neurectomy involves interrupting motor rami at their muscle entry points.
  • This technique selectively targets specific muscles involved in spasticity.
  • Requires detailed understanding of motor nerve anatomy and variations.

Main Results:

  • Achieves durable reduction of hypertonia.
  • Preserves muscle strength, unlike broader neurectomy techniques.
  • Results in improved balance and functional outcomes.
  • Associated with a low morbidity rate.

Conclusions:

  • Hyperselective neurectomy is an effective surgical option for managing upper limb spasticity.
  • It offers a favorable risk-benefit profile when integrated into a comprehensive rehabilitation plan.
  • Precise anatomical knowledge is crucial for successful outcomes.