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Brachial artery perforator‐based propeller flap coverage for prevention of readhesion after ulnar nerve neurolysis
Author(s) -
Sekiguchi Hirotake,
Motomiya Makoto,
Sakurai Keisuke,
Matsumoto Dai,
Funakoshi Tadanao,
Iwasaki Norimasa
Publication year - 2015
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.22303
Subject(s) - neurolysis , medicine , ulnar nerve , surgery , elbow , microsurgery , ulnar artery , ulnar neuropathy , anastomosis , brachial artery , artery , radiology , radial artery , blood pressure
It is difficult for most plastic and orthopaedic surgeons to treat nerve dysfunction related to neural adhesion because the pathophysiology and suitable treatment have not been clarified. In the current report, we describe our experience of surgical treatment for adhesive ulnar neuropathy. A 58‐year‐old male complained of pain radiating to the ulnar nerve‐innervated area during elbow and wrist motion caused by adhesive ulnar neuropathy after complex open trauma of the elbow joint. The patient obtained a good clinical outcome by surgical neurolysis of the ulnar nerve combined with a brachial artery perforator‐based propeller flap to cover the soft tissue defect after resection of the scar tissue and to prevent readhesion of the ulnar nerve. This flap may be a useful option for ulnar nerve coverage after neurolysis without microvascular anastomosis in specific cases. © 2014 Wiley Periodicals, Inc. Microsurgery 35:158–162, 2015.