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Journal of Bone and Joint Surgery, 1973;55:580-585.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Phenol Nerve Block in the Treatment of Acquired Spastic Hemiplegia in the Upper Limb

RICHARD M. BRAUN M.D.1, M. MARK HOFFER M.D.1, VERT MOONEY M.D.1, JOHN MCKEEVER M.D.1, and BRIAN ROPER M.D., F.R.C.S.1

1 From the Rancho Los Amigos Hospital, Downey

Direct exposure of motor nerves and injection of 3 to 5 per cent phenol into their sheaths in doses of two to five milliliters has been shown to reduce the spasticity in twenty-three patients, but the benefit lasted less than six months. The present study of twenty-four adult patients and of ten children who had the injections and then had either transfer of the flexor carpi ulnaris into the extensor carpi radialis brevis or had a vigorous physical therapy program including the use of plaster splints. The phenol injection proved to be a valuable supplement to both regimens and also permitted better evaluation of indications for further therapy.


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