Document Detail

Transfer of the first intercostal nerve to supra- and infraspinatus muscles: an anatomical study and report of the first case.
MedLine Citation:
PMID:  19369298     Owner:  NLM     Status:  MEDLINE    
We have assessed the anatomical feasibility of a transfer of the first intercostal nerve to the supra- and infraspinatus muscles and report on the first clinical application. Ten fresh cadavers were dissected for this study. Histomorphometric analysis showed the fascicular surface area of the first intercostal nerve at its origin (0.38 mm(2)) to be comparable to the suprascapular nerve (0.81 mm(2)). The first intercostal nerve is usually a pure motor nerve. Preservation of the spinal accessory nerve, lack of donor site morbidity and direct suture without nerve graft are the other advantages of this transfer. Its principal indication is in lesions of the upper brachial plexus, used in association with neurotisation of two other intercostal nerves to the anterior branch of the axillary nerve. At 21 months follow-up there was useful motor reinnervation in the first clinical case.
S Durand; C Oberlin; M Fox; J P Diverrez; M C Dauge
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  34     ISSN:  1532-2211     ISO Abbreviation:  -     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-16     Completed Date:  2009-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  196-200     Citation Subset:  IM    
Service de Chirurgie Orthopedique et Traumatologique and Service d'Anatomopathologie, Hôpital Bichat 46, Paris, France.
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MeSH Terms
Aged, 80 and over
Brachial Plexus Neuropathies / surgery
Intercostal Nerves / surgery*
Nerve Transfer / methods*
Range of Motion, Articular
Shoulder / injuries*,  innervation*,  surgery
Shoulder Joint / physiopathology,  surgery

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