Results of spinal accessory nerve to suprascapular nerve transfers in children with brachial plexus birth injury-Reference-Cited by-同舟云学术

Results of spinal accessory nerve to suprascapular nerve transfers in children with brachial plexus birth injury

Published:2024-09-14 Issue: Volume: Page:
ISSN:1753-1934
Container-title:Journal of Hand Surgery (European Volume)
language:en
Short-container-title:J Hand Surg Eur Vol

Author:

Hyttinen Maria¹^ORCID,Rönkkö Henrikki²,Paavilainen Pasi³,Helminen Mika⁴,Jokihaara Jarkko¹²^ORCID

Affiliation:

1. Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

2. Division of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland

3. Pihlajalinna Hospital, Tampere, Finland

4. Tays Research Services, Tampere University Hospital, Wellbeing Services County of Pirkanmaa, Tampere, Finland and Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland

Abstract

Shoulder external rotation after brachial plexus birth injury can be restored by transfer of the spinal accessory nerve to the suprascapular nerve, or more distally to its infraspinatus branch. We studied the outcome of these nerve transfers in 52 patients with a minimum postoperative follow-up of 12 months (mean 7.3 years). The median postoperative improvement in shoulder external rotation was 120° (interquartile range [IQR] 45–135) after anterior and 110° (IQR 83–120) after dorsal spinal accessory nerve transfer to the suprascapular nerve main trunk, and 110° (IQR 80–125) after transfer to the infraspinatus branch. Patients operated after 20 months obtained external rotation ≥90° less frequently. The results of this study suggest that a decision about distal nerve transfer for shoulder external rotation is recommended at 1.5 years of age. Level of evidence: III

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/17531934241276372

Reference31 articles.

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2. Nerve Transfers for Severe Nerve Injury

3. Obstetric brachial plexus injuries

4. The Dorsal Approach to the Suprascapular Nerve in Neuromuscular Reanimation for Obstetric Brachial Plexus Lesions

5. Dorsal Approach in Transfer of the Distal Spinal Accessory Nerve Into the Suprascapular Nerve: Histomorphometric Analysis and Clinical Results in 14 Cases of Upper Brachial Plexus Injuries