Journal of Hand Surgery
Volume 35, Issue 9 , Pages 1427-1431 , September 2010

Long Thoracic Nerve Neurotization for Restoration of Shoulder Function in C5-7 Brachial Plexus Preganglionic Injuries: Case Report

Received 14 March 2010 ,Accepted 26 May 2010.

References 

  1. Chuang DC, Lee GW, Hashem F, Wei FC. Restoration of shoulder abduction by nerve transfer in avulsed brachial plexus injury: evaluation of 99 patients with various nerve transfers. Plast Reconstr Surg. 1995;96:122–128
  2. Terzis JK, Kostas I. Suprascapular nerve reconstruction in 118 cases of adult posttraumatic brachial plexus. Plast Reconstr Surg. 2006;117:613–629
  3. Uerpairojkit C, Leechavengvongs S, Witoonchart K, Malungpaishorpe K, Raksakulkiat R. Nerve transfer to serratus anterior muscle using the thoracodorsal nerve for winged scapula in C5 and C6 brachial plexus root avulsions. J Hand Surg. 2009;34A:74–78
  4. Bertelli JA, Ghizoni MF. Transfer of the accessory nerve to the suprascapular nerve in brachial plexus reconstruction. J Hand Surg. 2007;32A:989–998
  5. Suzuki K, Doi K, Hattori Y, Pagsaligan JM. Long-term results of spinal accessory nerve transfer to the suprascapular nerve in upper-type paralysis of brachial plexus injury. J Reconstr Microsurg. 2007;23:295–299
  6. Bernard F, Morrey EI, Kai-Nan A. Biomechanics of the shoulder. In:  Rockwood CA editors. The shoulder. 2nd ed.. Philadelphia: Saunders; 1998;p. 233–276
  7. Oberlin C, Béal D, Leechavengvongs S, Salon A, Dauge MC, Sarcy JJ. Nerve transfer to biceps muscle using a part of ulnar nerve for C5-6 avulsion of the brachial plexus: anatomical study and report of four cases. J Hand Surg. 1994;19A:232–237
  8. Oberlin C, Ameur NE, Teboul F, Beaulieu JY, Vacher C. Restoration of elbow flexion in brachial plexus injury by transfer of ulnar nerve fascicles to the nerve to the biceps muscle. Tech Hand Up Extrem Surg. 2002;6:86–90
  9. Doi K. Management of total paralysis of the brachial plexus by the double free-muscle transfer technique. J Hand Surg. 2008;33B:240–251
  10. Hentz V Doi K. Traumatic brachial plexus injury. In:  Green DP editors. Operative hand surgery. 5th ed.. New York: Churchill Livingstone; 2005;p. 1319–1371
  11. Merrell GA, Barrie KA, Katz DL, Wolfe SW. Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature. J Hand Surg. 2001;26A:303–314
  12. Allieu Y, Privat JM, Bonnel F. Paralysis in root avulsion of the brachial plexus: neurotization by the spinal accessory nerve. Clin Plast Surg. 1984;11:133–136
  13. Narakas AO. Thoughts on neurotization or nerve transfers in irreparable nerve lesions. Clin Plast Surg. 1984;11:153–159
  14. Doi K, Hattori Y, Ikeda K, Dhawan V. Significance of shoulder function in the reconstruction of prehension with double free-muscle transfer after complete paralysis of the brachial plexus. Plast Reconstr Surg. 2003;112:1596–1603
  15. Bertelli JA, Ghizoni MF. Long thoracic nerve: anatomy and functional assessment. J Bone Joint Surg. 2005;87A:993–998
  16. Gregg JR, Labosky D, Harty M, Lotke P, Ecker M, DiStefano V, et al. Serratus anterior paralysis in the young athlete. J Bone Joint Surg. 1979;61A:825–832

 The authors are grateful to Dr. Abhijeet L. Wahegaonkar, MD, for assistance with editing this article.

 No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.

PII: S0363-5023(10)00644-1

doi: 10.1016/j.jhsa.2010.05.024

Journal of Hand Surgery
Volume 35, Issue 9 , Pages 1427-1431 , September 2010