Muscular trauma

[Dean Lutrin]

Dear listmembers

Something I have thought about but not explored properly... I did a case
over the weekend of a 50 yr old male who was stabbed over his biceps with a
beer bottle. He had a 15-20 laceration over the medial bicep area and a
small laceration at the back as well. The glass had cut the brachial artery
and the median nerve as well as a whole lot of muscles on the way. The
arterial and nerve repair went just fine but (as before) I was not quite
sure what to do with the muscle

Should one - 
1. attempt a proper anatomic approximation of each muscle?
2. suture the muscle itself or only the sheath around each named muscle?
3. Not really bother with too much repair and just 'tack it together?'

Eagerly anticipating your replies...

Cheers

Dean Lutrin
JHB,SA