Transfer of the rhomboid nerve to the suprascapular nerve: An anatomical feasibility study

Goubier, J.-N.; Teboul, F.

doi:10.1016/j.main.2015.05.003

Cited by 11 publications

(8 citation statements)

References 12 publications

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“…The diameter of the SN measured in the present study is 2.4 ± 0.33 mm. This value is similar to previous descriptions: 2 mm [7], 2.5 mm [22], 3 mm [5,8].…”

Section: Discussionsupporting

confidence: 91%

A quantitative study of the arrangement of the suprascapular nerve and vessels in the suprascapular notch region: new findings based on parametric analysis

et al. 2016

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“…The diameter of the SN measured in the present study is 2.4 ± 0.33 mm. This value is similar to previous descriptions: 2 mm [7], 2.5 mm [22], 3 mm [5,8].…”

Section: Discussionsupporting

confidence: 91%

A quantitative study of the arrangement of the suprascapular nerve and vessels in the suprascapular notch region: new findings based on parametric analysis

et al. 2016

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“…These are not the lone muscles performing this function, making this nerve potentially expendable. 4 Indeed, in our case, we observed only minor scapular malpositioning and with no functional deficit from the donor sacrifice. We found that the nerve was readily accessible within the field and easily identified and transferred to the recipient target without tension or need for additional grafting.…”

Section: Discussionsupporting

confidence: 49%

Dorsal Scapular Nerve Transfer to Suprascapular Nerve

Augustine

Choi

Bain

2017

Plastic Surgery Case Studies

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Background: Obstetrical brachial plexus injury involving the suprascapular nerve is conventionally treated using an accessory nerve transfer or grafting. In circumstances where the accessory nerve is unsuitable, transfer of nerves with redundant function may be an alternate method of restoring function. Methods: This case describes the surgical technique of restoring shoulder function by reinnervating the musculature of the suprascapular nerve with a dorsal scapular nerve transfer in a patient with an obstetrical brachial plexus injury. Results: At 15 months post-operatively, the patient shoulder movement improved from zero muscle contraction to full range of motion against gravity measured by the active movement scale. His composite mallet score was 23 out of 25, with perfect scores in abduction and external rotation. Secondary surgery was not required. Conclusions: This case demonstrates a novel alternative to suprascapular nerve reinnervation in circumstances where the accessory nerve is unavailable, damaged, or otherwise suboptimal. Successful results were achieved, thus warranting consideration in clinical practice as well as further exploration and study.

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“…This technique may be used for partial and complete injuries of the brachial plexus [6,9,10]. The rhomboid nerve branches comes from the dorsal scapular nerve, the posterior branch of C5.…”

Section: Transfer Of the Rhomboid Nerve To The Suprascapular Nervementioning

confidence: 99%

“…The branch of the radial nerve leading to the Transfer of the rhomboid nerve to the suprascapular nerve: The levator scapulae is released from the medial border of the scapula to expose the dorsal scapular nerve. The nerve to the rhomboid muscle is released until it reaches the upper edge of the rhomboid muscle, divided, and then turned toward the suprascapular nerve in the supraspinatus fossa (right shoulder) (courtesy of Elsevier [9]).…”

Section: Transfer Of the Long Head Of The Triceps Nerve To The Teres Minor Nervementioning

confidence: 99%

Nerve Transfers to Recover External Rotation of the Shoulder after Brachial Plexus Injuries in Adults

Goubier¹,

Echalier²,

Dubois³

et al. 2022

Brachial Plexus Injury - New Techniques and Ideas

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Restoration of external rotation of the shoulder in adults with partial brachial plexus palsies is challenging. While nerve grafts are possible, nerve transfers are currently the most use method for satisfactory restoration of function. Numerous nerve transfers have been described, although the transfer of the spinal accessory nerve to the suprascapular nerve remains the gold standard. The suprascapular nerve and the nerve to the teres minor muscle are the two preferred targets to restore external rotation of the shoulder. There are numerous nerve donors, but their use obviously depends on the initial injury. The most common donors are the spinal accessory nerve, the rhomboid nerve, branches of the radial nerve, the C7 root fascicle or the ulnar nerve. The choice for the transfer depends on the available nerves and first of all on chosen approach, whether it be cervical or scapular. It also depends on the other associated reconstruction procedures, grafts, or nerve transfers for the recovery of other functions, specifically, elevation of the shoulder and flexion of the elbow. The objective of this chapter is to present the main nerve transfers and to propose a therapeutic strategy.

show abstract

Transfer of the rhomboid nerve to the suprascapular nerve: An anatomical feasibility study

Cited by 11 publications

References 12 publications

A quantitative study of the arrangement of the suprascapular nerve and vessels in the suprascapular notch region: new findings based on parametric analysis

A quantitative study of the arrangement of the suprascapular nerve and vessels in the suprascapular notch region: new findings based on parametric analysis

Dorsal Scapular Nerve Transfer to Suprascapular Nerve

Nerve Transfers to Recover External Rotation of the Shoulder after Brachial Plexus Injuries in Adults

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