The Effect of Distal Transfer of the Spinal Accessory Nerve to the Suprascapular Nerve on the Shoulder Reanimation in Spontaneously Partially Recovered Obstetric Brachial Plexus Lesion

2020 ◽  
Vol 85 (4) ◽  
pp. 402-406
Author(s):  
Islam Mohamed Abdelmaksoud ◽  
Mohammad Hasan Ahmad ◽  
Ahmed Elsayed Semaya ◽  
Adel Refaat Ahmed
Keyword(s):  
Brachial Plexus ◽  
Suprascapular Nerve ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Spinal Accessory ◽  
Brachial Plexus Lesion ◽  
Obstetric Brachial Plexus ◽  
Plexus Lesion ◽  
Obstetric Brachial Plexus Lesion

Distal transfers as a primary treatment in obstetric brachial plexus palsy: a series of 20 cases

2016 ◽  
Vol 41 (8) ◽  
pp. 875-881 ◽  
Author(s):  
B. A. Ghanghurde ◽  
R. Mehta ◽  
K. M. Ladkat ◽  
B. B. Raut ◽  
M. R. Thatte
Keyword(s):  
Brachial Plexus ◽  
Elbow Flexion ◽  
Suprascapular Nerve ◽  
Primary Treatment ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Type I ◽  
Spinal Accessory ◽  
Obstetric Brachial Plexus

The purpose of this study was to examine the results of spinal accessory nerve to suprascapular nerve (with or without axillary nerve neurotization) and an Oberlin transfer as primary treatment in children with Narakas type I obstetric brachial plexus injuries, when parents refused to consent to conventional nerve trunk-/root-level reconstruction. A total of 20 children with poor shoulder abduction and no biceps antigravity function but with good hand function were treated with spinal accessory nerve to suprascapular nerve and an Oberlin transfer at a mean age of 5.8 months (SD 3.27; range 3–12.) All the patients were evaluated at a mean of 2.8 years (SD 0.8; range 1.5 to 3.8) post-operatively. Three patients were lost to follow-up. Of the remainder, 11 had grade 4+ power of elbow flexion and six patients had grade 4 power at 1 year follow-up; all had 4+ power of elbow flexion at final follow-up. At final follow-up the Mallet score was a mean of 15; (SD 4.22, range 9 to 20). Primary distal nerve transfers can give good outcomes in patients with obstetric brachial plexus injuries and may be an alternative to surgery on the nerve trunks Level of evidence: IV

Measuring secondary deformities of the shoulder in children with obstetric brachial plexus lesion: reliability of three methods

2003 ◽  
Vol 12 (3) ◽  
pp. 211-214
Author(s):  
Johannes A. van der Sluijs ◽  
Marieke van der Meij ◽  
Jonathan Verbeke ◽  
Radu A. Manoliu ◽  
Paul I.J.M. Wuisman
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Lesion ◽  
Obstetric Brachial Plexus ◽  
Plexus Lesion ◽  
Obstetric Brachial Plexus Lesion
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