Possible donor nerves for axillary nerve reconstruction in dual neurotization for restoring shoulder abduction in brachial plexus injuries: a systematic review and meta-analysis

2022 ◽  
Author(s):  
Michal Makeľ ◽  
Andrej Sukop ◽  
David Kachlík ◽  
Petr Waldauf ◽  
Adam Whitley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Meta Analysis ◽  
Axillary Nerve ◽  
Shoulder Abduction ◽  
Nerve Reconstruction

Recovery of shoulder abduction in traumatic brachial plexus palsy: a systematic review and meta-analysis of nerve transfer versus nerve graft

2019 ◽  
Vol 43 (3) ◽  
pp. 951-956
Author(s):  
Nathan Hardcastle ◽  
Pavlos Texakalidis ◽  
Purva Nagarajan ◽  
Muhibullah S. Tora ◽  
Nicholas M. Boulis
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Meta Analysis ◽  
Nerve Transfer ◽  
Nerve Graft ◽  
Shoulder Abduction ◽  
Brachial Plexus Palsy

Treatment of Supination Deformity for Obstetric Brachial Plexus Injury: A Systematic Review and Meta-Analysis

2014 ◽  
Vol 39 (10) ◽  
pp. 1948-1958.e2 ◽  
Author(s):  
W.P. Metsaars ◽  
J. Nagels ◽  
B.G. Pijls ◽  
J.M. Langenhoff ◽  
R.G.H.H. Nelissen
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Meta Analysis ◽  
Obstetric Brachial Plexus ◽  
Obstetric Brachial Plexus Injury

End-to-side neurorrhaphy in brachial plexus reconstruction

2013 ◽  
Vol 119 (3) ◽  
pp. 689-694 ◽  
Author(s):  
Pavel Haninec ◽  
Libor Mencl ◽  
Radek Kaiser
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Nerve Repair ◽  
Experimental Studies ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Musculocutaneous Nerve ◽  
Biceps Muscle ◽  
Nerve Reconstruction ◽  
Nerve Suture

Object Although a number of theoretical and experimental studies dealing with end-to-side neurorrhaphy (ETSN) have been published to date, there is still a considerable lack of clinical trials investigating this technique. Here, the authors describe their experience with ETSN in axillary and musculocutaneous nerve reconstruction in patients with brachial plexus palsy. Methods From 1999 to 2007, out of 791 reconstructed nerves in 441 patients treated for brachial plexus injury, the authors performed 21 axillary and 2 musculocutaneous nerve sutures onto the median, ulnar, or radial nerves. This technique was only performed in patients whose donor nerves, such as the thoracodorsal and medial pectoral nerves, which the authors generally use for repair of axillary and musculocutaneous nerves, respectively, were not available. In all patients, a perineurial suture was carried out after the creation of a perineurial window. Results The overall success rate of the ETSN was 43.5%. Reinnervation of the deltoid muscle with axillary nerve suture was successful in 47.6% of the patients, but reinnervation of the biceps muscle was unsuccessful in the 2 patients undergoing musculocutaneous nerve repair. Conclusions The authors conclude that ETSN should be performed in axillary nerve reconstruction but only when commonly used donor nerves are not available.

Repair of Isolated Axillary Nerve Lesions after Infraclavicular Brachial Plexus Injuries: Case Reports

Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 403-407 ◽  
Author(s):  
Allan H. Friedman ◽  
James A. Nunley ◽  
James R. Urbaniak ◽  
Richard D. Goldner
Keyword(s):  
Brachial Plexus ◽  
Muscle Function ◽  
Sural Nerve ◽  
Spontaneous Recovery ◽  
Case Reports ◽  
Deltoid Muscle ◽  
Axillary Nerve ◽  
Shoulder Abduction ◽  
Surgical Exploration ◽  
Nerve Grafts

Abstract Stretch injuries of the infraclavicular brachial plexus have a much better prognosis for spontaneous recovery than do their supraclavicular counterparts. We present three patients with stretch injuries of the infraclavicular brachial plexus who had spontaneous restoration of function in all muscles except the deltoid. Decreased shoulder abduction was a serious handicap to these individuals. At surgical exploration, each patient had an isolated, complete axillary nerve disruption at the quadrilateral space. Deltoid muscle function was restored in all three patients by repair of the axillary nerve with sural nerve grafts across the quadrilateral space.

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