A Prospective Study Comparing Single and Double Fascicular Transfer to Restore Elbow Flexion After Brachial Plexus Injury

Martins, Roberto S.; Siqueira, Mário G.; Heise, Carlos Otto; Foroni, Luciano; Teixeira, Manoel Jacobsen

doi:10.1227/neu.0b013e318285c3f6

Cited by 65 publications

(36 citation statements)

References 37 publications

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“…MRC grade 4/5 recovery is now a typical result for elbow flexion power in brachial plexus injuries. This is seen both in the authors’ clinical experience as well as in the greater than 180 patients in the published studies to date23 28 29 32–39 43 42…”

Section: Introductionmentioning

confidence: 75%

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Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Korus

Ross

Doherty

et al. 2015

J Neurol Neurosurg Psychiatry

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Peripheral nerve injury (PNI) and recent advances in nerve reconstruction (such as neurotization with nerve transfers) have improved outcomes for patients suffering peripheral nerve trauma. The purpose of this paper is to bridge the gap between the electromyographer/clinical neurophysiologist and the peripheral nerve surgeon. Whereas the preceding literature focuses on either the basic science behind nerve injury and reconstruction, or the surgical options and algorithms, this paper demonstrates how electromyography is not just a 'decision tool' when deciding whether to operate but is also essential to all phases of PNI management including surgery and rehabilitation. The recent advances in the reconstruction and rehabilitation of PNI is demonstrated using case examples to assist the electromyographer to understand modern surgical techniques and the unique demands they ask from electrodiagnostic testing.

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Section: Introductionmentioning

confidence: 75%

“…Table 3 summarises the suprascapular nerve function,33–35 42 43 and table 4 summarises the importance of the deltoid in shoulder stability.…”

Section: Introductionmentioning

confidence: 99%

Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Korus

Ross

Doherty

et al. 2015

J Neurol Neurosurg Psychiatry

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“…52 More recently, some authors have suggested with prospective data that there is no difference in outcomes between single and double fascicular transfers for recovery of elbow flexion. 53 For restoration of ulnar intrinsic function, Novak and Mackinnon reported their results of terminal anterior interosseous nerve-to-deep motor branch of the ulnar nerve transfer in the setting of high ulnar palsy 50 with a mean follow-up time of 18 months in eight patients. They showed improvements in pinch and grip strength, and all patients had reinnervation of the ulnar nerve intrinsic hand muscles.…”

Section: Discussionmentioning

confidence: 99%

Nerve Gaps

Sachanandani

Pothula

Tung

2014

Plastic and Reconstructive Surgery

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Peripheral nerve injury is a significant problem affecting greater that 1 million people around the world each year and poses major challenges to the plastic and reconstructive surgeon. When primary nerve repair is not possible, several options for management of the nerve gap include a nerve autograft, nerve conduit, and acellular nerve allograft. For extensive and proximal nerve injuries, cellular nerve allografts and nerve transfers may be considered. This article reviews the indications and outcomes for each option, as in many cases more than one option may be acceptable.

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“…26 Any worsening in strength in the few months after surgery, based on this report, is commonly transient and improves during the follow-up period when the procedure is done accurately.…”

Section: Elbow Flexionmentioning

confidence: 75%

Brachial Plexus Injury

Arzillo

Gishen

Askari

2014

Journal of Craniofacial Surgery

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The brachial plexus is a series of nerves formed by roots of cervical segments 5 to 8 (C5-C8) as well as the first thoracic nerve (T1). It functions to provide sensation and motor innervation to the skin and muscles of the chest and upper limb. It does so through different segments: roots, trunks, divisions, and cords. Injuries to the brachial plexus occur relatively frequently and are due mainly to traumatic accidents that lead to traction or compression of the nerve roots. When considering the etiology and treatment of such injuries, it is important to make a distinction between adult versus obstetric brachial plexus injury. Although several surgical treatment options are described and used for patients with brachial plexus injury, no perfect remedy currently exists. Prevention and safety should be the focus. At the same time, high-quality studies and new technology and techniques are needed to determine more effective treatments for this group.

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A Prospective Study Comparing Single and Double Fascicular Transfer to Restore Elbow Flexion After Brachial Plexus Injury

Cited by 65 publications

References 37 publications

Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Nerve transfers and neurotization in peripheral nerve injury, from surgery to rehabilitation

Nerve Gaps

Brachial Plexus Injury

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