Nerve transfers using collateral branches of the brachial plexus as donors in patients with upper palsy—thirty years’ experience

Samardžić, Miroslav; Rasulić, Lukas; Grujičić, Danica; Bacetić, Dragoljub; Miličić, Biljana

doi:10.1007/s00701-011-1108-0

Cited by 25 publications

(31 citation statements)

References 33 publications

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“…Origin of LPN as 2 separate branches from the anterior divisions of upper and middle trunks instead of lateral cord is also documented [4]. The anatomy and course of these nerves is very important during breast surgeries using pectoral muscle flaps and pectoral nerve transfers to innervate paralysed arm in traction injuries of brachial plexus [5, 8]. …”

Section: Discussionmentioning

confidence: 99%

Multiple unilateral variations in medial and lateral cords of brachial plexus and their branches

et al. 2014

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During routine dissection of the upper extremity of an adult male cadaver, multiple variations in branches of medial and lateral cords of brachial plexus were encountered. Three unique findings were observed. First, intercordal neural communications between the lateral and medial cords were observed. Second, two lateral pectoral nerves and one medial pectoral nerve were seen to arise from the lateral and medial cord respectively. The musculocutaneous nerve did not pierce the coracobrachialis. Finally, the ulnar nerve arose by two roots from the medial cord. Knowledge of such variations is of interest to anatomists, radiologists, neurologists, anesthesiologists, and surgeons. The aim of our study is to provide additional information about abnormal brachial plexus and its clinical implications.

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Section: Discussionmentioning

confidence: 99%

Multiple unilateral variations in medial and lateral cords of brachial plexus and their branches

et al. 2014

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“…Muscular strength was recorded according to British Medical Research Council (BMRC) grading (10,33,45) (Table II).…”

Section: Methodsmentioning

confidence: 99%

Early post operative results after repair of traumatic brachial plexus palsy

Ahmad

2012

Turkish Neurosurgery

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AIm: Treatment options for traumatic brachial plexus injuries include nerve grafting, or neurotization. The type of lesion and the reconstructive procedures affect functional results and postoperative pain relief. mAterIAl and methOds: A total number of twenty five patients suffering from post-traumatic brachial plexus injury were included in the study. The patients underwent exploration and primary repair of the affected plexus, based on case by case policy.results: Spinal accessory nerve transfer to suprascapular nerve procedure regained 78.95% of functional muscle power, 10.50% of non functional muscle power and only 10.5 % of non innervated muscle. The Oberlin procedure regained 83.33% with elbow flexion muscle power, 16.67% with non functional muscle power. Intercostal nerve transfer to musculocutaneous nerve regained 62.5% with functional muscle power, 25% with non functional muscle power and only 12.5 % with non innervated muscle. The shoulder, elbow and wrist extension functions were significantly improved early post-operatively. In addition, the post-operative improvement of shoulder, elbow and wrist extension functions had significant negative correlations with the pre-operative elapsed time, and accompanied by a significant positive correlation with post-operative follow up period.COnClusIOn: Early intervention for traumatic brachial plexus palsy is recommended to get good results with pain relief. BulGulAr: Supraskapular sinire spinal aksesuar sinir transferi %78,95 işlevsel kas gücü, %10,50 işlevsel olmayan kas gücü ve sadece %10,5 innerve olmayan kas kazandırdı. Oberlin işlemi %83,33 dirsek fleksiyonu kas gücü ve %16,67 işlevsel olmayan kas gücü kazandırdı. Müskülokütanöz sinire interkostal sinir transferi %62,5 işlevsel kas gücü, %25 işlevsel olmayan kas gücü ve sadece%12,55 innerve olmayan kas kazandırdı. Omuz, dirsek ve bilek ekstansiyon işlevleri postoperatif erken dönemde önemli ölçüde düzeldi. Ayrıca, omuz, dirsek ve bilek ekstansiyon işlevlerinin postoperatif düzelmesinin preoperatif geçen süreyle önemli bir negatif korelasyonu bulundu ve postoperatif takip dönemiyle önemli bir pozitif korelasyonu vardı. sOnuÇ: Travmatik brakiyal pleksus palsisinde ağrı giderilmesiyle birlikte iyi sonuçlar alınması için erken girişim önerilir.

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“…9 Awareness of variations in the anatomy and course of the pectoral nerves is crucial during surgery; for example, when using pectoral muscle flaps during breast surgeries or when the brachial plexus pectoral nerves are transferred to supply a paralysed arm during traction injury repairs. 10,11 Cases in which the LC of the brachial plexus pierces the CB muscle and divides into the McN and the lateral root of the MN are very rare. 4 In the present case, the LC was longer than usual and gave rise to the LP1, LP2 and LRM1 before dividing into the McN and the LRM2 upon reaching the CB muscle.…”

Section: Discussionmentioning

confidence: 99%

Unusual Branching Pattern of the Lateral Cord of the Brachial Plexus Associated with Neurovascular Compression: Case report

Loh

Singh

Suri

2017

SQUMJ

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abstract:The brachial plexus consists of a network of nerves that innervates the upper limbs and its musculature. We report a rare formation of the lateral cord of the brachial plexus observed during the dissection of a 47-year-old male cadaver at the Department of Anatomy, Vardhman Mahavir Medical College, New Delhi, India, in 2016. The lateral cord was exceptionally long with twin lateral pectoral nerves and twin lateral roots of the median nerve. The proximal lateral root of the median nerve was thin in comparison to the medial root of the median nerve. The distal lateral root of the median nerve was thicker and followed an unusual course through the coracobrachialis muscle. In the lower third of the arm, the median nerve and the brachial artery-along with its vena comitans-spanned through the brachialis muscle. Surgeons, anaesthesiologists, radiologists and anatomists should be aware of such anatomical variations as they may result in neurovascular compression.

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Nerve transfers using collateral branches of the brachial plexus as donors in patients with upper palsy—thirty years’ experience

Abstract: According to our findings, nerve transfers using collateral branches of the brachial plexus in cases with upper palsy offer several advantages and yield high rate and good quality of recovery.

Cited by 25 publications

References 33 publications

Multiple unilateral variations in medial and lateral cords of brachial plexus and their branches

Multiple unilateral variations in medial and lateral cords of brachial plexus and their branches

Early post operative results after repair of traumatic brachial plexus palsy

Unusual Branching Pattern of the Lateral Cord of the Brachial Plexus Associated with Neurovascular Compression: Case report

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