Purpose
Methods
Results
Conclusions
Type of study/level of evidence
Key words
Gushikem A, de Mendonça Cardoso M, Cabral AL, et al. Predictive factors for return to work or study and satisfaction in traumatic brachial plexus injury individuals undergoing rehabilitation: a retrospective follow-up study of 101 cases. J Hand Ther. Published online August 12, 2021. https://doi.org/10.1016/j.jht.2021.06.008
Materials and Methods
Studies, participants, and interventions
Outcomes
Search strategy
Data extraction
Risk of bias assessment
Statistical analysis
Results
Study selection
Study characteristics
Synthesis of results



Discussion
- Donnelly M.
- Rezzadeh K.T.
- Vieira D.
- Daar D.
- Hacquebord J.
Acknowledgments
Supplementary Data
References
Gushikem A, de Mendonça Cardoso M, Cabral AL, et al. Predictive factors for return to work or study and satisfaction in traumatic brachial plexus injury individuals undergoing rehabilitation: a retrospective follow-up study of 101 cases. J Hand Ther. Published online August 12, 2021. https://doi.org/10.1016/j.jht.2021.06.008
- MRI for detecting root avulsions in traumatic adult brachial plexus injuries: a systematic review and meta-analysis of diagnostic accuracy.Radiology. 2019; 293: 125-133
- Functional restoration of elbow flexion in nonobstetric brachial plexus injuries: a meta-analysis of nerve transfers versus grafts.Microsurgery. 2019; 40: 261-267
- Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0.Cochrane Collab. 2011;
- The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.Syst Rev. 2021; 10: 1-11
- Does the score on the MRC strength scale reflect instrumented measures of maximal torque and muscle activity in post-stroke survivors?.Sensors. 2021; 21: 8175
- Nerve transfer(s) for elbow flexion after #brachialplexus injury - what MRC power is a successful outcome? Twitter poll.(Accessed April 1, 2020)
- Evaluation of functional outcomes after brachial plexus injury.J Hand Surg Eur Vol. 2020; 45: 28-33
- HDAS Closure Information.(Accessed April 12, 2021.)
- medrxivr: accessing and searching medRxiv and bioRxiv preprint data in R.J Open Source Software. 2020; 5: 2651
- Intercostal or ulnar nerve: Which donor nerve is to be used for reanimation of elbow flexion?.Musculoskeletal Surg. 2020; 105: 183-188
- Evaluation of intercostal to musculocutaneous nerve transfer in reconstructive brachial plexus surgery.J Neurosurg. 1998; 88: 266-271
- Nerve graft length and recovery of elbow flexion muscle strength in patients With traumatic brachial plexus injuries: case series.Oper Neurosurg. 2021; 20: 521-528
- Technique of the double nerve transfer to recover elbow flexion in C5, C6, or C5 to C7 brachial plexus palsy.Tech Hand Up Extrem Surg. 2007; 11: 15-17
- Nerve transposition for the restoration of elbow flexion following brachial plexus avulsion injuries.J Neurosurg. 1990; 72: 59-64
- ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions.BMJ. 2016; 355: i4919
- Risk-of-bias VISualization (robvis): an R package and Shiny web app for visualizing risk-of-bias assessments.Res Synth Methods. 2020; 12: 55-61
- Metaprop: a Stata command to perform meta-analysis of binomial data.Arch Public Health. 2014; 72: 1-10
- Meta-analysis in clinical trials.Control Clin Trials. 1986; 7: 177-188
- Quantifying heterogeneity in a meta-analysis.Stat Med. 2002; 21: 1539-1558
- Conducting meta-analyses in R with the metafor package.J Stat Software. 2010; 36: 1-48
- Restoration of elbow and hand function in total brachial plexus palsy with intercostal nerves and C5 root neurotization. Results in 21 patients.Hand Surg Rehabil. 2016; 35: 283-287
- A comparison of intercostal and partial ulnar nerve transfers in restoring elbow flexion following upper brachial plexus injury (C5-C6±C7).J Hand Surg. 2010; 35: 1297-1303
- An all-anterior approach for quadruple nerve transfer for upper trunk brachial plexus injuries.World Neurosurg. 2018; 120: e651-e659
- Double fascicular nerve transfer to the biceps and brachialis muscles after brachial plexus injury: clinical outcomes in a series of 29 cases.J Neurosurg. 2011; 114: 1520-1528
- Combined nerve transfers for C5 and C6 brachial plexus avulsion injury.J Hand Surg. 2006; 31: 183-189
- Combined nerve transfers for repair of the upper brachial plexus injuries through a posterior approach.Microsurgery. 2012; 32: 111-117
- Comparative clinic study on vascularized and nonvascularized full-length phrenic nerve transfer.Microsurgery. 2005; 25: 16-20
- Comparative study of phrenic and partial ulnar nerve transfers for elbow flexion after upper brachial plexus avulsion: a retrospective clinical analysis.J Plast Reconstr Aesthet Surg. 2018; 71: 1245-1251
- Comparative study of phrenic nerve transfers with and without nerve graft for elbow flexion after global brachial plexus injury.Injury. 2014; 45: 227-231
- Comparison between partial ulnar and intercostal nerve transfers for reconstructing elbow flexion in patients with upper brachial plexus injuries.J Brachial Plex Peripher Nerve Inj. 2010; 5: e12-e20
- Comparison of objective muscle strength in C5-C6 and C5-C7 brachial plexus injury patients after double nerve transfer.Microsurgery. 2015; 35: 107-114
- Comparison of surgical strategies between proximal nerve graft and/or nerve transfer and distal nerve transfer based on functional restoration of elbow flexion.Plast Reconstr Surg. 2018; 141: 68e-79e
- Correlation of compound muscle action potential generated by donor nerves with the recovery of elbow flexion in Oberlin transfer in brachial plexus injury.Indian J Plast Surg Off Publ Assoc Plast Surg India. 2018; 51: 137-144
- Elbow flexion reconstruction in brachial plexus avulsion injuries - results with intercostal nerve and distal nerve transfers.J Hand Surg Asian-Pac Vol. 2020; 25: 307-314
- Elbow flexion strength and contractile activity after partial ulnar nerve or intercostal nerve transfers for brachial plexus injuries.J Hand Surg Eur Vol. 2020; 45: 998-999
- End-to-side neurorrhaphy to restore elbow flexion in brachial plexus injury.J Med Assoc Thai. 2016; 99: 1203-1208
- Fascicular selection for nerve transfers: the role of the nerve stimulator when restoring elbow flexion in brachial plexus injuries.J Hand Surg. 2011; 36: 2002-2009
- Functional magnetic resonance imaging and control over the biceps muscle after intercostal—musculocutaneous nerve transfer.J Neurosurg. 2003; 98: 261-268
- Functional outcome of nerve transfer for restoration of shoulder and elbow function in upper brachial plexus injury.J Brachial Plex Peripher Nerve Inj. 2008; 3: e49-e57
- Functional outcome of nerve transfers for upper-type brachial plexus injuries.J Plast Reconstr Aesthet Surg. 2011; 64: 1007-1013
- Functional outcome of ulnar nerve fascicle transfer for restoration of elbow flexion in upper brachial plexus injury.Eur J Orthop Surg Traumatol. 2010; 20: 293-297
- Functional recovery of elbow flexion by anastomosis of the medial thoracic nerve to the musculocutaneous nerve.J Neurol Orthop Med Surg. 1994; 15: 75-78
- Intercostal nerve crossing to restore elbow flexion and sensibility of the hand for a root avulsion type of brachial plexus injury.Microsurgery. 1995; 16: 571-577
- Intercostal nerve transfer to neurotize the musculocutaneous nerve after traumatic brachial plexus avulsion: a comparison of two, three, and four nerve transfers.J Reconstr Microsurg. 2014; 30: 297-304
- Intercostal nerve transfer to restore upper extremity functions after brachial plexus injury.Ann Acad Med Singapore. 1995; 24: 42-45
- Intercostal nerve transfer to the biceps motor branch in complete traumatic brachial plexus injuries.Microsurgery. 2015; 35: 428-431
- Magnetic resonance neurographic and clinical long-term results after Oberlin’s transfer for adult brachial plexus injuries.Ann Plastic Surg. 2017; 78: 67-72
- Management of isolated musculocutaneous injury: comparing double fascicular nerve transfer with conventional nerve grafting.J Hand Surg. 2015; 40: 2003-2006
- Median nerve fascicle transfer versus ULNAR nerve fascicle transfer to the biceps motor branch in C5-C6 and C5-C7 brachial plexus injuries: nonrandomized prospective study of 23 consecutive patients.Microsurgery. 2014; 34: 511-515
- Nerve transfer to biceps muscle using a part of the ulnar nerve in brachial plexus injury (upper arm type): a report of 32 cases.J Hand Surg. 1998; 23: 711-716
- Nerve transfer to the biceps muscle using part of the ulnar nerve: technique & report of cases.Pan Arab J Neurosurg. 2008; 12: 280-286
- Neurotization of the biceps muscle by end-to-side neurorraphy between ulnar and musculocutaneous nerves: a series of five cases.Ann Chir Main Memb Super. 1998; 17: 362-367
- Oberlin’s transfer: long term outcomes.J Hand Surg Asian-Pac. 2018; 23: 176-180
- Objective evaluation of elbow flexion strength and fatigability after nerve transfer in adult traumatic upper brachial plexus injuries.Hand Surg. 2014; 19: 335-341
- Outcome after delayed Oberlin transfer in brachial plexus injury.Neurosurgery. 2011; 69: 822-828
- Patient outcome following a thoracodorsal to musculocutaneous nerve transfer for reconstruction of elbow flexion.Br J Plast Surg. 2002; 55: 416-419
- Phrenic nerve transfer for elbow flexion and intercostal nerve transfer for elbow extension.J Hand Surg. 2010; 35: 1304-1309
- Phrenic nerve transfer in the restoration of elbow flexion in brachial plexus avulsion injuries.Neurosurgery. 2009; 65: A125-A131
- Physiological and clinical advantages of median nerve fascicle transfer to the musculocutaneous nerve following brachial plexus root avulsion injury.J Neurosurg. 2006; 105: 830-834
- Postoperative changes on functional mapping of the motor cortex in patients with brachial plexus injury: comparative study of magnetoencephalography and functional magnetic resonance imaging.J Orthop Sci Off J Jpn Orthop Assoc. 2001; 6: 397-402
- Preliminary results of double nerve transfer to restore elbow flexion in upper type brachial plexus palsies.Plast Reconstr Surg. 2006; 117: 915-919
- Pulmonary and biceps function after intercostal and phrenic nerve transfer for brachial plexus injuries.J Hand Surg. 2004; 29: 8-11
- 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. 2004; 29: 131-139
- Reconstruction of elbow flexion by end-to-side neurorrhaphy in phrenic nerve transfer.Plast Reconstr Surg. 2012; 129: 573e-575e
- Reconstruction of shoulder abduction by multiple nerve fascicle transfer through posterior approach.Injury. 2013; 44: 492-497
- Recovery of biceps function after delayed repair for brachial plexus injury.J Trauma Acute Care Surg. 1997; 42: 791-792
- Reinnervation of the biceps in C5–7 brachial plexus avulsion injuries: results after distal bypass surgery.Neurosurg Focus. 2004; 16: 1-4
- Restoration of elbow flexion by transfer of the phrenic nerve to musculocutaneous nerve after brachial plexus injuries.Hand. 2007; 2: 206-211
- Restoration of elbow flexion in adult traumatic brachial plexus injury—a quantitative analysis of results of single versus double nerve transfer.Injury. 2021; 52: 511-515
- Restoration of elbow flexion in branchial plexus avulsion injury: Comparing spinal accessory nerve transfer with intercostal nerve transfer.J Hand Surg. 1999; 24: 571-577
- Results of reinnervation of the biceps and brachialis muscles with a double fascicular transfer for elbow flexion.J Hand Surg. 2005; 30: 978-985
- Results of ulnar nerve neurotization to biceps brachii muscle in brachial plexus injury.Acta Ortop Bras. 2012; 20: 317-323
- Simultaneous phrenic and intercostal nerves transfer for elbow flexion and extension in total brachial plexus root avulsion injury.J Hand Surg Asian-Pac. 2018; 23: 496-500
- Surgical outcomes following nerve transfers in upper brachial plexus injuries.Indian J Plast Surg. 2009; 42: 150
- The restoration of elbow flexion with intercostal nerve transfers.Clin Orthop. 1995; 314: 95-103
- The results of using a part of ulnar nerve for restoration of elbow flexion in patients with upper brachial plexus injury.Acta Med Iran. 2005; 43: 204-208
- Thoracodorsal nerve transfer for elbow flexion reconstruction in infraclavicular brachial plexus injuries.J Hand Surg. 2014; 39: 1766-1770
- Transfer of a single fascicle from the ulnar nerve to the biceps muscle after avulsions of upper roots of the brachial plexus.J Hand Surg. 2000; 25: 325-328
- Transfer of fascicles from the ulnar nerve to the nerve to the biceps in the treatment of upper brachial plexus palsy.J Bone Jt Surg Am. 2004; 86: 1485-1490
- Ulnar nerve fascicle transfer onto the biceps muscle nerve in C5-C6 or C5-C6-C7 avulsion of the brachial plexus: based on a series of 18 cases.Ann Chir Main Memb Supér. 1997; 16: 275-284
- Use of quantitative intra-operative electrodiagnosis during partial ulnar nerve transfer to restore elbow flexion: the treatment of eight patients following a brachial plexus injury.J Bone Jt Surg Br Vol. 2011; : 364-369
- Is one nerve transfer enough? A systematic review and pooled analysis comparing ulnar fascicular nerve transfer and double ulnar and median fascicular nerve transfer for restoration of elbow flexion after traumatic brachial plexus injury.Microsurgery. 2020; 40: 361-369
- Outcomes of single versus double fascicular nerve transfers for restoration of elbow flexion in patients with brachial plexus injuries: a systematic review and meta-analysis.Plast Reconstr Surg. 2019; 144: 155-166
- How to assess the recovery of muscular function following nerve injury: a view from surgeons and patients.J Plast Reconstr Aesthet Surg. 2020; 74: 1594-1601
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Dr Wade is a Doctoral Research Fellow funded by the National Institute for Health Research (NIHR, DRF-2018-11-ST2-028). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. No benefits in any form have been received or will be received by the other authors related directly or indirectly to the subject of this article.
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