fig6

Figure 6. Our preferred technique to address neuroma of the lateral antebrachial cutaneous nerve. (A) The LABC lies between the motor branches of the biceps and the brachialis. In this image, the biceps branch is not visualized but is coming off proximal to the surgical field. The brachialis motor branch can be seen coursing inferiorly to innervate the brachialis. The LABC can be seen continuing distal to this point to emerge lateral to the biceps tendon; (B) A hemostat can be seen proximal on the LABC, distal to the origin of the brachialis motor branch. A crush injury is created at this level. The LABC is then transected as distal as possible. An ANA is sutured to the transected LABC with 9-0 nylon and fibrin glue. The nerve is transposed proximal and deep between the biceps and brachialis, away from the incision and surgical field. The top right image represents a closer look at the proximal crush injury. LABC: Lateral antebrachial cutaneous nerve; ANA: acellular nerve allograft.