Nerve transfers are an increasingly popular method for surgical treatment of nerve
injuries. One of the most popular of these is the transfer of radial nerve triceps
fascicles to the axillary nerve. The most common approach for this transfer is the
posterior approach, which gives excellent access to both nerves but is not easy to
combine with other nerve transfers. We describe here an alternative, the anterior
approach, that offers safe access to both radial and axillary nerves and has the added
advantage of compatibility with approaches for other common nerve transfers.
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References
- Concerning surgical treatment of traumatic injury of the upper division of the brachial plexus (Erb's-type).Ann Surg. 1948; 127: 317-326
- Nerve transfer to deltoid muscle using the nerve to the long head of the triceps, part I: an anatomic feasibility study.J Hand Surg Am. 2003; 28: 628-632
- Axillary nerve repair by triceps motor branch transfer through an axillary access: anatomical basis and clinical results.J Neurosurg. 2007; 107: 370-377
- Applied anatomy of the axillary nerve for selective neurotization of the deltoid muscle.Clin Orthop Relat Res. 2001; 390: 244-251
- Long head of the triceps branch transfer to axillary nerve in C5, C6 brachial plexus injuries: anterior approach.Plast Reconstr Surg. 2011; 128: 740-741
- Obstetric brachial plexus injuries: evaluation and management.J Am Acad Orthop Surg. 1997; 5: 205-214
- Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series.J Neurosurg Pediatr. 2014; 14: 518-526
- Comparison of nerve transfers and nerve grafting for traumatic upper plexus palsy: a systematic review and analysis.J Bone Joint Surg Am. 2011; 93: 819-829
- Donor distal, recipient proximal and other personal perspectives on nerve transfers.Hand Clin. 2016; 32: 141-151
- Reconstruction of C5 and C6 brachial plexus avulsion injury by multiple nerve transfers: spinal accessory to suprascapular, ulnar fascicles to biceps branch, and triceps long or lateral head branch to axillary nerve.J Hand Surg Am. 2004; 29: 131-139
Article info
Publication history
Published online: November 27, 2018
Accepted:
October 22,
2018
Received:
April 19,
2018
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2019 by the American Society for Surgery of the Hand. All rights reserved.
