Transfer of the rhomboid nerve for restoration of shoulder external rotation in partial brachial plexus palsy

Goubier, J.-N.; Echalier, C.; Dubois, Elodie; Teboul, F.

doi:10.1016/j.injury.2020.02.005

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…The results from our series show that external rotation is recovered. The extent of the results, however, is a little bit less than that of a transfer from the spinal nerve (Table 1) [6].…”

Section: Transfer Of the Rhomboid Nerve To The Suprascapular Nervementioning

confidence: 86%

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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.

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“…The results from our series show that external rotation is recovered. The extent of the results, however, is a little bit less than that of a transfer from the spinal nerve (Table 1) [6].…”

Section: Transfer Of the Rhomboid Nerve To The Suprascapular Nervementioning

confidence: 86%

“…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%

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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show abstract

“…If available, the SAN can be transferred to the suprascapular nerve through an anterior or posterior approach (Bertelli and Ghizoni, 2006). If the SAN is injured, the rhomboid nerve cannot be transferred because of the C5 root avulsion (Goubier et al., 2020; Goubier and Teboul, 2015, 2016). Moreover, the long thoracic nerve is usually not functioning; therefore, shoulder fusion is not advised in this situation.…”

Section: Nerve Transfers For Complete Supraclavicular Brachial Plexus...mentioning

confidence: 99%

Adult traumatic brachial plexus injuries: advances and current updates

Goubier,

Battiston,

Casanas

et al. 2024

J Hand Surg Eur Vol

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Nerve grafting, tendon transfer and joint fusion are routinely used to improve the upper limb function in patients with brachial plexus palsies. Newer techniques have been developed that provide additional options for reconstruction. Nerve transfer is a tool for restoring upper limb function in total root avulsions where nerve grafting is not possible. In partial brachial plexus injuries, nerve transfers can greatly improve shoulder, elbow, wrist and hand function. Intraoperative electrical stimulation can be used to diagnose precisely which nerve is injured and to choose which nerve fascicles should be transferred. Finally, measuring the postoperative outcome can improve the evaluation of our techniques. The aim of this article was to present the current techniques used to treat patients with brachial plexus injury.

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“…Typical nerve transfers include the spinal accessory nerve (SAN, Cranial Nerve XI) to SSN and triceps motor branch to AN to reconstruct shoulder function [3]. If the SAN is not available, alternative donors include the motor nerve to the rhomboids and levator scapulae [24,25]. Intercostal nerves (ICNs), medial pectoral nerve, and median/ulnar fascicles can also be used as donors to the AN, when the triceps motor branches are not available [26].…”

Section: Nerve Transfermentioning

confidence: 99%

Traumatic brachial plexus injury: diagnosis and treatment

Wu¹,

Spinner

Shin³

2022

Current Opinion in Neurology

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Purpose of the Review: Traumatic brachial plexus injuries (BPI) are devastating life-altering events, with pervasive detrimental effects on a patient's physical, psychosocial, mental, and financial well-being. This review provides an understanding of the clinical evaluation, surgical indications, and available reconstructive options to allow for the best possible functional outcomes for patients with BPI.

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Transfer of the rhomboid nerve for restoration of shoulder external rotation in partial brachial plexus palsy

Cited by 4 publications

References 10 publications

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

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

Adult traumatic brachial plexus injuries: advances and current updates

Traumatic brachial plexus injury: diagnosis and treatment

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