Pediatric Mangled Injury.
Hiba Saifuddin, Harvey Chim
✦ AI-curated · Sources linked
Case in brief
A pediatric patient sustained a complex upper extremity injury from a motor vehicle accident, involving brachial plexus injury, vascular compromise, bony injury, and denervated muscles. Reconstruction included a single gracilis functional free muscle transfer to restore elbow flexion. Postoperatively, the Medical Research Council score improved from 0 to 4, and active range of motion increased from 30 to 110°.
Diagnostic / clinical pearl
In pediatric patients with mangled upper extremity injuries, early intervention with functional free muscle transfer can significantly improve motor function and range of motion.