Large Buruliulcer of Right Arm Complicated by Radial Nerve Palsy Treated with Latissimus Dorsi Flap and Triple Tendon Transfer View PDF

^*Kibadi Kapay Anatole
Medicine, Hospital Of Kinshasa, University Of Kinshasa, Congo, The Democratic Republic Of The

^*Corresponding Author:

Kibadi Kapay Anatole
Medicine, Hospital Of Kinshasa, University Of Kinshasa, Congo, The Democratic Republic Of The
Email:akibadi@yahoo.fr

Published on: 2015-03-15

Abstract

The author reports a case of a large Buruliulcer (Mycobacterium ulcerans infection) of right arm complicated by radial nerve palsy. Mycobacterium ulcerans infection was treated with antibiotics (Rifampicin and Streptomycin) for 8 weeks, as recommended by the World Health Organization. For large Buruliulcer, necrotic tissue after cleaning, Latissimus dorsi flap was performed. Radial nerve palsy was treated by a triple tendon transfer. The transfer of pronatorteres to extensor carpiradial is brevis,flexor carpiulnar is to extensor rdigitorum communis and Palmaris longus to extensor pollicis longus has been made to restore the function of the extension of the wrist, fingers and thumb. Immobilization and rehabilitation framed surgery. The patient recovered the different functions of member repaired. After follow-up of three years, no complications (bone or skin) were observed.

Keywords

Buruliulcer; Radial nerve palsy; Treatment; Latissimus dorsi flap; Tendon transfer; Working environment with limited resources; Democratic republic of congo

Introduction

Mycobacterium ulcerans infection, commonly called “Buruliulcer” (BU) causes skin lesions, necrotic ulcerative. Three stages of the disease are recognized: non- ulcerative stage (nodule, edema, plaque, and papule), the ulcerative stage and scar stage. With bone, neurovascular are also observed