Simultaneous Intercostal Nerve Transfers to Deltoid and Triceps Muscle Through the Posterior Approach

Malungpaishrope, Kanchai; Leechavengvongs, Somsak; Witoonchart, Kiat; Uerpairojkit, Chairoj; Boonyalapa, Artit; Janesaksrisakul, Disorn

doi:10.1016/j.jhsa.2011.12.034

Cited by 31 publications

(14 citation statements)

References 21 publications

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“…11 Transfer of the spinal accessory nerve to the suprascapular nerve has been widely used. [6][7][8][12][13][14] This nerve transfer reanimates the supraspinatus and infraspinatus muscles. It helps to stabilize the scapula and initiate shoulder abduction.…”

mentioning

confidence: 99%

“…Various donor nerves have been used to neurotize the axillary nerve, including motor branch of the triceps, medium pectoral nerve, phrenic nerve, contralateral C7, and intercostal nerves. 3,12,14,[16][17][18][19][20] As an extraplexus source, intercostal nerves are often spared in brachial plexus avulsion injuries. This makes them a guaranteed donor source for nerve transfer.…”

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confidence: 99%

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Dual Nerve Transfers for Restoration of Shoulder Function After Brachial Plexus Avulsion Injury

Chu¹,

Wang²,

Chen³

et al. 2016

Annals of Plastic Surgery

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The purpose of this study was to investigate the effectiveness of shoulder function restoration by dual nerve transfers, spinal accessory nerve to the suprascapular nerve and 2 intercostal nerves to the anterior branch of the axillary nerve, in patients with shoulder paralysis that resulted from brachial plexus avulsion injury. It was a retrospective analysis to assess the impact of a variety of factors on reanimation of shoulder functions with dual nerve transfers. A total of 19 patients were included in this study. Most of these patients sustained avulsions of C5, C6, and C7 nerve roots (16 patients). Three of them had avulsions of C5 and C6 roots only. Through a posterior approach, direct coaptation of the intercostal nerves and the anterior branch of the axillary nerve was performed, along with accessory nerve transfer to the suprascapular nerve. Satisfactory shoulder function recovery (93.83° of shoulder abduction and 54.00° of external rotation on average) was achieved after a 62-month follow-up. This dual nerve transfer procedure provided us with a reliable and effective method for shoulder function reconstruction after brachial plexus root avulsion, especially C5/C6/C7 avulsion. The level of evidence is therapeutic IV.

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confidence: 99%

mentioning

confidence: 99%

Dual Nerve Transfers for Restoration of Shoulder Function After Brachial Plexus Avulsion Injury

Chu¹,

Wang²,

Chen³

et al. 2016

Annals of Plastic Surgery

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“…Other donor nerves that have been used to re-innervate the SSN and AXN are the C 3 and C 4 anterior rami [88], ICNs [89][90][91][92], TDN [60], MPN [93,94], LTN [95], PHN [96], subscapular nerve [97], rhomboid nerve [98], ipsilateral or contralateral C 7 nerve root [99] and hypoglossal nerve [100]. They can be used but only if the SAN to SSN and TLH to AXN transfers are not possible, as their clinical outcome is unsatisfactory [17,22].…”

Section: Shoulder Nerve Transfersmentioning

confidence: 99%

“…The best results have been obtained by transferring the TMN to the TLH [116,117]. Other possibilities are to re-innervate the TLH with ICNs [24,92,118,119], a UN fascicle [24], the MPN [120], TDN [111], PHN [121], contralateral C 7 nerve root [122] and an RAN fascicle for the hand [123]. The results have been poor, particularly the ICNs [119].…”

Section: Elbow Extension Nerve Transfersmentioning

confidence: 99%

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Nerve Transfers in the Treatment of Peripheral Nerve Injuries

Vanaclocha‐Vanaclocha¹,

Ortiz-Criado²,

NievesSáiz-Sapena³

et al. 2017

Peripheral Nerve Regeneration - From Surgery to New Therapeutic Approaches Including Biomaterials and Cell-Based Therapies Deve

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Successful re-innervation of proximal limb peripheral nerve injuries is rare. Axons regenerate at ~1 mm/day, reaching hand muscles by 24 months, finding them atrophied and fibrosed. Peripheral nerve injury repair is often delayed waiting for spontaneous recovery. This waiting time should not be longer than 6 months as after 18 months reinnervation will not achieve effective muscular function. When spontaneous recovery is impossible, referral too late or damage too severe, other options like a transfer from a nearby healthy nerve to the injured one must be considered. They are very successful, and the deficit in the donor site is usually minimal. The most common nerve transfers are a branch of the spinal nerve to the trapezius muscle to the suprascapular nerve, a branch of the long head of the triceps to the axillary nerve, a fascicle of the ulnar nerve to the motor branch of the biceps muscle, two branches of the median nerve to the posterior interosseous nerve and the anterior interosseous nerve to the ulnar nerve. There are many more options that can suit particular cases. Introduced in brachial plexus injury repair, they are now also applied to lower limb, to stroke and to some spinal cord injuries.

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Thoracodorsal nerve transfer for triceps reinnervation in partial brachial plexus injuries

2015

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Simultaneous Intercostal Nerve Transfers to Deltoid and Triceps Muscle Through the Posterior Approach

Cited by 31 publications

References 21 publications

Dual Nerve Transfers for Restoration of Shoulder Function After Brachial Plexus Avulsion Injury

Dual Nerve Transfers for Restoration of Shoulder Function After Brachial Plexus Avulsion Injury

Nerve Transfers in the Treatment of Peripheral Nerve Injuries

Thoracodorsal nerve transfer for triceps reinnervation in partial brachial plexus injuries

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