Document Detail


Long-term results of spinal accessory nerve transfer to the suprascapular nerve in upper-type paralysis of brachial plexus injury.
MedLine Citation:
PMID:  17973214     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the management of upper type of brachial plexus injury, reconstruction to restore shoulder function is accomplished by multiple nerve transfers. We used the accessory nerve to neurotize the suprascapular nerve in 12 patients (11 men, 1 woman) from 1989 to 2003. The average age at the time of operation was 28.1 years (range 16 to 53). The mean preoperative time was 3.6 months. The type of paralysis was C5-C6 type in four cases, C5-C7 type in five cases, and C5-C8 type in three cases. The average time of follow-up was 28.5 months. All the patients showed reinnervation of the supraspinatus and infraspinatus muscles that was confirmed by electromyogram. At the time of final followup, the average shoulder flexion was 70.4 degrees and abduction was 77.1 degrees. However, average shoulder external rotation was only 16.7 degrees. We compared the shoulder flexion and abduction in patients with or without paralysis of the serratus anterior muscle and found significantly better functional outcome in the latter group of patients. We, therefore, conclude that repair of long thoracic nerve is mandatory for achieving optimum shoulder function.
Authors:
Kouichi Suzuki; Kazuteru Doi; Yasunori Hattori; Jose Miguel Pagsaligan
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  23     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2008-02-14     Completed Date:  2008-04-03     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  295-9     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yoshiki-gun, Yamaguchi 754-0002, Japan.
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MeSH Terms
Descriptor/Qualifier:
Accessory Nerve / surgery*
Adolescent
Adult
Anastomosis, Surgical / methods
Brachial Plexus / injuries*,  physiopathology,  surgery
Brachial Plexus Neuropathies / surgery*
Electromyography
Female
Follow-Up Studies
Humans
Longitudinal Studies
Male
Middle Aged
Nerve Transfer / methods*
Paralysis / surgery*
Range of Motion, Articular / physiology
Rotation
Rotator Cuff / innervation,  physiopathology
Scapula / innervation*
Shoulder Joint / physiology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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