The role of neurectomy in the management of spasticity of the upper limb

Abstract

▪ Neurectomy is one of the treatments available to the surgeon treating patients with spasticity of the upper limb. ▪ Its popularity has increased in recent years. ▪ Accurate knowledge of the anatomical variations of the terminal branches to the muscles is required in order to achieve a successful outcome. ▪ Although the anatomy has been thoroughly studied, there are still controversies regarding the percentage of the nerve to be resected for a successful result, and also regarding the terminology that has been used in the literature to describe the procedure. ▪ The literature for neurectomies for the upper limb is reviewed and an agreement regarding terminology is proposed.