-
Tytuł:
-
The Middle Trunk Fascicle: A Simple, Effective Nerve Transfer for Suprascapular Nerve in Upper Brachial Plexus Injuries.
-
Autorzy:
-
Acharya AM; Unit of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal Academy of Higher Education, Karnataka, India.
Bhat AK; Unit of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal Academy of Higher Education, Karnataka, India.
Hegde N; Unit of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal Academy of Higher Education, Karnataka, India.
-
Źródło:
-
The journal of hand surgery Asian-Pacific volume [J Hand Surg Asian Pac Vol] 2021 Mar; Vol. 26 (1), pp. 107-111.
-
Typ publikacji:
-
Case Reports; Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: Singapore : World Scientific, [2016]-
-
MeSH Terms:
-
Brachial Plexus/*injuries
Brachial Plexus/*surgery
Nerve Transfer/*methods
Brachial Plexus Neuropathies/etiology ; Brachial Plexus Neuropathies/surgery ; Humans ; Male ; Paralysis/etiology ; Paralysis/surgery ; Young Adult
-
Contributed Indexing:
-
Keywords: Brachial plexus injury; Middle trunk; Nerve transfer; Suprascapular nerve
-
Entry Date(s):
-
Date Created: 20210209 Date Completed: 20210309 Latest Revision: 20210309
-
Update Code:
-
20240104
-
DOI:
-
10.1142/S242483552172005X
-
PMID:
-
33559571
-
A new nerve transfer option of using viable fascicle of the ipsilateral middle trunk for suprascapular nerve reconstruction is presented. The procedure was used in two patients with upper brachial plexus injury involving loss of shoulder abduction and external rotation. Clinical evaluation and nerve conduction studies in both patients confirmed axonopathy of C5, C6 roots and C5 root, respectively. The proximal root stumps were unavailable for nerve grafting due to a very proximal root level scarring. The middle trunk fascicle was dissected on its superior surface and transferred to the non-functional suprascapular nerve. After 24 months follow up full abduction and external rotation could be achieved in both the patients. It is a simple and easy option for transfer to a suprascapular nerve in upper brachial plexus injuries. It lies next only to the upper trunk and does not require any additional dissection time. Donor deficit was not observed in our two patients.
