Restoration of shoulder abduction in brachial plexus avulsion injuries with double neurotization from the spinal accessory nerve: a report of 13 cases.

Autor:	Huan KWSJ; 1 Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Tan JSW; 2 Department of Hand Surgery, Singapore General Hospital, Singapore., Tan SH; 2 Department of Hand Surgery, Singapore General Hospital, Singapore., Teoh LC; 3 Department of Hand and Microsurgery, Tan Tock Seng Hospital, Singapore., Yong FC; 3 Department of Hand and Microsurgery, Tan Tock Seng Hospital, Singapore.
Jazyk:	angličtina
Zdroj:	The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2017 Sep; Vol. 42 (7), pp. 700-705. Date of Electronic Publication: 2016 Dec 01.
DOI:	10.1177/1753193416680725
Abstrakt:	In upper (C5-C7) and total (C5-T1) root avulsion brachial plexus injury, a method of double neurotization from a single donor spinal accessory nerve to two target nerves (suprascapular nerve and axillary nerve) may be done, leaving donor nerves available for reconstruction procedures to restore other aspects of upper limb function. A mean range of shoulder abduction of 91° (SD 25°) was achieved through this procedure in our study of 13 cases, of which seven cases were C5-C7 root avulsion and six cases were C5-T1 root avulsion brachial plexus injuries. Six of the former group and three of the latter group achieved >90° shoulder abduction. The technique of double neurotization from a single donor nerve provides favourable results in restoring shoulder abduction in avulsion brachial plexus injuries. Level of Evidence: IV.
Databáze:	MEDLINE
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