Restoration of shoulder abduction in brachial plexus avulsion injuries with double neurotization from the spinal accessory nerve: a report of 13 cases.
J Hand Surg Eur Vol
; 42(7): 700-705, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-27913804
ABSTRACT
In upper (C5-C7) and total (C5-T1) root avulsion brachial plexus injury, a method of double neurotization from a single donor spinal accessory nerve to two target nerves (suprascapular nerve and axillary nerve) may be done, leaving donor nerves available for reconstruction procedures to restore other aspects of upper limb function. A mean range of shoulder abduction of 91° (SD 25°) was achieved through this procedure in our study of 13 cases, of which seven cases were C5-C7 root avulsion and six cases were C5-T1 root avulsion brachial plexus injuries. Six of the former group and three of the latter group achieved >90° shoulder abduction. The technique of double neurotization from a single donor nerve provides favourable results in restoring shoulder abduction in avulsion brachial plexus injuries. LEVEL OF EVIDENCE IV.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Plexo Braquial
/
Neuropatias do Plexo Braquial
/
Traumatismos dos Nervos Periféricos
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Músculo Grácil
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Nervo Acessório
Limite:
Adult
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Hand Surg Eur Vol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Singapura