A Short Scenario for Restoration of Reasonable Limb Function in Adults after Upper Brachial Plexus Injuries Using Neurotization and Combined Muscle Transfers

Abstract

Background: For managing of upper brachial plexus palsy in adult patients, many strategies should be discussed with the patient. Primary plexus repair, nerve transfer, functional muscle transfer and other musculoskeletal approaches may be followed according the suitability, merits and disadvantages of each. Time factorsare very crucial for the sound management for these patients as time delay can result in a non-achievable chance loss with the neuromuscular end plates loss within two years following muscle denervation and progressive musculoskeletal changes as well. Conclusion: Multimodal association between distal nerves transfer and combined transfer of trabezius, latissimus dorsi and teres major muscles provides an effective and relatively a short management scenario for upper brachial plexus injuries in adult patients.