Role of Wrist Arthrodesis in Patients Receiving Double Free Muscle Transfers for Reconstruction Following Complete Brachial Plexus Paralysis

2012 ◽  
Vol 37 (2) ◽  
pp. 277-281 ◽  
Author(s):  
Ahmad Addosooki ◽  
Kazuteru Doi ◽  
Yasunori Hattori ◽  
Abhijeet Wahegaonkar
Keyword(s):  
Brachial Plexus ◽  
Wrist Arthrodesis ◽  
Muscle Transfers ◽  
Brachial Plexus Paralysis

Restoration of elbow function in severe brachial plexus paralysis via muscle transfers

Injury ◽  
2008 ◽  
Vol 39 (3) ◽  
pp. 15-22 ◽  
Author(s):  
Marios D. Vekris ◽  
Alexandros E. Beris ◽  
Marios G. Lykissas ◽  
Anastasios V. Korompilias ◽  
Anastasios D. Vekris ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Muscle Transfers ◽  
Elbow Function ◽  
Brachial Plexus Paralysis

Differences in management and treatment of traumatic adult pan brachial plexus injuries: a global perspective regarding continental variations

2021 ◽  
pp. 175319342110396
Author(s):  
Alexander Y. Shin ◽  
Mariano Socolovsky ◽  
Ketan Desai ◽  
Michael Fox ◽  
Shufeng Wang ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Treatment Strategies ◽  
Global Perspective ◽  
Patient Demographics ◽  
Injury Mechanisms ◽  
Muscle Transfers ◽  
Injury Patient ◽  
Outcomes Management ◽  
Regional Comparisons

An expert opinion study was designed to query five countries and six brachial plexus surgeons regarding the demographics, mechanisms of injury, evaluation, timing of surgery, reconstructive strategies and controversies in adult traumatic pan brachial plexus injuries. Variations in assessing outcomes, management of neuropathic pain and future considerations were elucidated. Clear differences in regional demographics, mechanisms of injury, patient evaluation and treatment strategies were identified. The role of phrenic nerve and contralateral C7 transfer, acute use of free functioning muscle transfers, root reimplantation and amputation/myoelectric prosthetic fitting were regional/surgeon dependent. Comparison of outcomes across regions requires an understanding of the regional nuances of patient demographics, injury mechanisms, preferred reconstructive strategies and how outcomes are measured. Future studies are required to allow accurate regional comparisons.

scholarly journals Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study

2013 ◽  
Vol 38 (4) ◽  
pp. 803-810 ◽  
Author(s):  
Jiří Chomiak ◽  
Pavel Dungl ◽  
Martin Ošťádal ◽  
Monika Frydrychová ◽  
Michal Burian
Keyword(s):  
Comparative Study ◽  
Brachial Plexus ◽  
External Rotation ◽  
Muscle Transfers ◽  
Brachial Plexus Paralysis

Trends in Brachial Plexus Surgery: Characterizing Contemporary Practices for Exploration of Supraclavicular Plexus

Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
J. Ryan Hill ◽  
Steven T. Lanier ◽  
Liz Rolf ◽  
Aimee S. James ◽  
David M. Brogan ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Treatment Strategies ◽  
Technical Difficulty ◽  
Nerve Grafting ◽  
Structured Interviews ◽  
Lower Trunk ◽  
Nerve Transfers ◽  
Case Vignettes ◽  
Distal Nerve

Background There is variability in treatment strategies for patients with brachial plexus injury (BPI). We used qualitative research methods to better understand surgeons’ rationale for treatment approaches. We hypothesized that distal nerve transfers would be preferred over exploration and nerve grafting of the brachial plexus. Methods We conducted semi-structured interviews with BPI surgeons to discuss 3 case vignettes: pan-plexus injury, upper trunk injury, and lower trunk injury. The interview guide included questions regarding overall treatment strategy, indications and utility of brachial plexus exploration, and the role of nerve grafting and/or nerve transfers. Interview transcripts were coded by 2 researchers. We performed inductive thematic analysis to collate these codes into themes, focusing on the role of brachial plexus exploration in the treatment of BPI. Results Most surgeons routinely explore the supraclavicular brachial plexus in situations of pan-plexus and upper trunk injuries. Reasons to explore included the importance of obtaining a definitive root level diagnosis, perceived availability of donor nerve roots, timing of anticipated recovery, plans for distal reconstruction, and the potential for neurolysis. Very few explore lower trunk injuries, citing concern with technical difficulty and unfavorable risk-benefit profile. Conclusions Our analysis suggests that supraclavicular exploration remains a foundational component of surgical management of BPI, despite increasing utilization of distal nerve transfers. Availability of abundant donor axons and establishing an accurate diagnosis were cited as primary reasons in support of exploration. This analysis of surgeon interviews characterizes contemporary practices regarding the role of brachial plexus exploration in the treatment of BPI.

scholarly journals Post-operative Brachial Plexus Paralysis

BMJ ◽  
1952 ◽  
Vol 1 (4768) ◽  
pp. 1115-1116 ◽  
Author(s):  
F. G. Wood-Smith
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Paralysis
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