Document Detail


Restoration of shoulder function with nerve transfers in traumatic brachial plexus palsy patients.
MedLine Citation:
PMID:  16649194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Shoulder stabilization is of utmost importance in upper extremity reanimation following paralysis from devastating injuries. Although secondary procedures such as tendon and muscle transfers have been used, they never achieve a functional recovery comparable to that following successful reinnervation of the supraspinatus, deltoid, teres minor, and infraspinatus muscles. Early restoration of suprascapular and axillary nerve function through timely brachial plexus reconstruction offers a good opportunity to restore shoulder-joint stability, adequate shoulder abduction, and external rotation function. Overall, in our series, 79% of patients achieved good and excellent shoulder abduction (muscle grade, +3 or more), and 55% of patients achieved good or excellent shoulder external rotation after reinnervation of the suprascapular nerve. The best results were seen when direct neurotization of the suprascapular nerve from the distal spinal accessory nerve or neurotization by the C5 root was carried out. Concomitant neurotization of the axillary nerve yields improved outcomes in shoulder abduction and external rotation function.
Authors:
Julia K Terzis; Ioannis Kostas; Panayotis N Soucacos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Microsurgery     Volume:  26     ISSN:  0738-1085     ISO Abbreviation:  Microsurgery     Publication Date:  2006  
Date Detail:
Created Date:  2006-05-29     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  316-24     Citation Subset:  IM    
Affiliation:
Division of Plastic and Reconstructive Surgery, Eastern Virginia Medical School, Norfolk, VA 23510, USA. mrc1@erols.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brachial Plexus / injuries*,  surgery*
Brachial Plexus Neuropathies / etiology*,  surgery*
Humans
Male
Nerve Transfer / methods*
Recovery of Function
Shoulder / physiology*

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


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