There are 5 main types of palsy for the upper limb:
Erb’s palsy or cervichobrachialgia due to compression of nerve roots at the spinal cord exit (disk herniation…).
These are treated by our neurosurgeon colleagues.
Types of paralysis handled by specialized hand surgeons:
Brachial plexus palsy
Brachial plexus palsy corresponds to lesions of nerve trunks (origin of nerves) in the neck and axillary fossa, often caused by motorbike accidents. This type of paralysis is treated by direct nervous surgery when recent – less than one year – and tendon transfer surgery when older.
Truncular nerve palsy
Truncular nerve palsy corresponds to direct lesions of the various nerves. This type of paralysis is treated by direct nervous surgery (release, repair) when recent – less than one year – and musculotendinous transfer surgery over one year from trauma.
Spastic hand results from the effect of direct brain injury on the hand.In this instance, surgery can only be palliative and is not carried out before the end of the first post-traumatic year. Surgery consists in selective peripheral denervation, muscle lengthening procedure, arthrodesis (joint fusion) and musculotendinous transfer.
Tetraplegic hand results from the effects of direct spinal cord injuries on the hand.In this instance, surgery can only be palliative and is not carried out before the end of the first post-traumatic year. It consists in arthrodesis (joint fusion), tenodesis (tendon reattachment) and musculotendinous transfer.