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BioMed Research International
Volume 2014 (2014), Article ID 854084, 4 pages
http://dx.doi.org/10.1155/2014/854084
Clinical Study

Median Nerve to Biceps Nerve Transfer to Restore Elbow Flexion in Obstetric Brachial Plexus Palsy

1Department of Surgery, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia
2Medical College, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia
3Department of Pediatrics, King Saud University, P.O. Box 18097, Riyadh 11415, Saudi Arabia

Received 31 October 2013; Revised 28 December 2013; Accepted 30 December 2013; Published 9 January 2014

Academic Editor: Nader Pouratian

Copyright © 2014 M. M. Al-Qattan and T. M. Al-Kharfy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Median nerve to biceps nerve transfer in the arm has been reported only in adults. The following paper reports on 10 cases of this transfer in obstetric brachial plexus palsy. All patients had upper palsy (ERb’s or extended ERb’s palsy) and presented to the author late (13–19 months of age) with poor or no recovery of elbow flexion. Following the nerve transfer, nine children recovered elbow flexion (a score of 6 in one child and a score of 7 in eight children by the Toronto scale). The remaining child did not recover elbow flexion.