Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature

Merrell, Gregory A.; Barrie, Kimberly A.; Katz, David L.; Wolfe, Scott W.

doi:10.1053/jhsu.2001.21518

Cited by 347 publications

(233 citation statements)

References 73 publications

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“…The restoration of elbow flexion may be achieved through reinnervation of the musculocutaneous nerve (27). excellent results achieved when accompanied by reinnervation of the suprascapular nerve since the supra-and infrascapular muscles are important for initiation of the active arm abduction and some external rotation.…”

Section: Mohammad-reda A: Early Post-operative Results After Repair Omentioning

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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Section: Mohammad-reda A: Early Post-operative Results After Repair Omentioning

confidence: 99%

Early post operative results after repair of traumatic brachial plexus palsy

Ahmad

2012

Turkish Neurosurgery

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“…have recently been described in the upper extremities to restore movement and function [8,9,11,13,19]. Success of upper extremity nerve transfers has stimulated the potential use of nerve transfers in the lower extremity as a treatment alternative to orthoses or tendon transfer surgery.…”

Section: Discussionmentioning

confidence: 99%

Partial Tibial Nerve Transfer to the Tibialis Anterior Motor Branch to Treat Peroneal Nerve Injury After Knee Trauma

Giuffre

Bishop

Spinner

et al. 2012

Clinical Orthopaedics &Amp; Related Research

106

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Background Injuries to the deep peroneal nerve result in tibialis anterior muscle paralysis and associated loss of ankle dorsiflexion. Nerve grafting of peroneal nerve injuries has led to poor function; therefore, tendon transfers and anklefoot orthotics have been the standard treatment for foot drop. Questions/purposes We (1) describe an alternative surgical technique to obtain ankle dorsiflexion by partial tibial nerve transfer to the motor branch of the tibialis anterior muscle; (2) evaluate ankle dorsiflexion strength using British Medical Research Council grading after nerve transfer; and (3) qualitatively determine factors that influence functional success of surgery. Methods We retrospectively reviewed 11 patients treated with partial tibial nerve transfers after peroneal nerve injury. Pre-and postoperative motor strength was measured. Patients completed questionnaires regarding preand postoperative gait and disability.

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“…Studies of outcomes following upper-extremity peripheral nerve injury frequently include assessment of physical impairment [1][2][3][4][5][6][7][8][9][10][11][12] . Evaluations of the impact of the physical impairment on the patient and validated measures of disability are not commonly included in the surgical literature.…”

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confidence: 99%