Microsurgical DREZotomy for Pain due to Brachial Plexus Avulsion: Long-Term Results in a Series of 37 Patients

1997 ◽  
Vol 68 (1-4) ◽  
pp. 155-160 ◽  
Author(s):  
E. Emery ◽  
E. Blondet ◽  
P. Mertens ◽  
M. Sindou
Keyword(s):  
Brachial Plexus ◽  
Long Term Results ◽  
Brachial Plexus Avulsion

scholarly journals Magnetic Resonance Neurographic and Clinical Long-Term Results After Oberlinʼs Transfer for Adult Brachial Plexus Injuries

2017 ◽  
Vol 78 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Florian S. Frueh ◽  
Michael Ho ◽  
Andreas Schiller ◽  
Pascal Ducommun ◽  
Andrei Manoliu ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Brachial Plexus ◽  
Long Term Results

Long-Term Outcome of Phrenic Nerve Transfer in Brachial Plexus Avulsion Injuries

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tarek Abdalla El-Gammal ◽  
Amr El-Sayed ◽  
Mohammed M. Kotb ◽  
Usama Farghaly Abdel-Hamid ◽  
Yousif Tarek El-Gammal
Keyword(s):  
Brachial Plexus ◽  
Phrenic Nerve ◽  
Nerve Transfer ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Brachial Plexus Avulsion

Long-Term Results of Surgery for Brachial Plexus Birth Palsy

2007 ◽  
Vol 89 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Mikko Kirjavainen ◽  
Ville Remes ◽  
Jari Peltonen ◽  
Pentti Kinnunen ◽  
Tiina Pöyhiä ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Long Term Results ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy ◽  
Results Of Surgery

Direct repair (nerve grafting), neurotization, and end-to-side neurorrhaphy in the treatment of brachial plexus injury

2007 ◽  
Vol 106 (3) ◽  
pp. 391-399 ◽  
Author(s):  
Pavel Haninec ◽  
Filip Šámal ◽  
Robert Tomáš ◽  
Ladislav Houstava ◽  
Petr Dubový
Keyword(s):  
Brachial Plexus ◽  
Success Rate ◽  
Nerve Repair ◽  
Functional Results ◽  
Axillary Nerve ◽  
Long Term Results ◽  
Nerve Grafting ◽  
Direct Repair ◽  
Better Than

Object The authors present the long-term results of nerve grafting and neurotization procedures in their group of patients with brachial plexus injuries and compare the results of “classic” methods of nerve repair with those of end-to-side neurorrhaphy. Methods Between 1994 and 2006, direct repair (nerve grafting), neurotization, and end-to-side neurorrhaphy were performed in 168 patients, 95 of whom were followed up for at least 2 years after surgery. Successful results were achieved in 79% of cases after direct repair and in 56% of cases after end-to-end neurotization. The results of neurotization depended on the type of the donor nerve used. In patients who underwent neurotization of the axillary and the musculocutaneous nerves, the use of intraplexal nerves (motor branches of the brachial plexus) as donors of motor fibers was associated with a significantly higher success rate than the use of extraplexal nerves (81% compared with 49%, respectively, p = 0.003). Because of poor functional results of axillary nerve neurotization using extraplexal nerves (success rate 47.4%), the authors used end-to-side neurorrhaphy in 14 cases of incomplete avulsion. The success rate for end-to-side neurorrhaphy using the axillary nerve as a recipient was 64.3%, similar to that for neurotization using intraplexal nerves (68.4%) and better than that achieved using extraplexal nerves (47.4%, p = 0.19). Conclusions End-to-side neurorrhaphy offers an advantage over classic neurotization in not requiring sacrifice of any of the surrounding nerves or the fascicles of the ulnar nerve. Typical synkinesis of muscle contraction innervated by the recipient nerve with contraction of muscles innervated by the donor was observed in patients after end-to-side neurorrhaphy.

Long-Term Results of Low Rotation Humeral Osteotomy in Children with Erb’s Obstetric Brachial Plexus Palsy

2009 ◽  
Vol 34 (4) ◽  
pp. 486-492 ◽  
Author(s):  
M. M. AL-QATTAN ◽  
H. AL-HUSAINAN ◽  
A. AL-OTAIBI ◽  
M. S. EL-SHARKAWY
Keyword(s):  
Brachial Plexus ◽  
Internal Rotation ◽  
Long Term Results ◽  
Shoulder Abduction ◽  
Brachial Plexus Palsy ◽  
Extension Deficit ◽  
Obstetric Brachial Plexus Palsy ◽  
Long Term Follow Up ◽  
Obstetric Brachial Plexus

Seventeen children with Erb’s (C5/6 and C5/6/7 types) obstetric brachial plexus palsy who underwent low rotation humeral osteotomy to treat internal rotation contracture of the shoulder were recalled back to the clinic at a mean of 10 (range 8–14) years after surgery. Eight were male and nine female with mean age of 16 (range 13–20) years. The osteotomy procedure was done at a mean age of 6 (range 5–8) years. Preoperative, early postoperative, and late postoperative motor assessments were compared. There was no recurrence of the internal rotation posturing of the shoulder and there was maintenance of the improvements in elbow extension deficit and forearm rotation. The most surprising finding was a significant ( P = 0.003) decrease in shoulder abduction on long-term follow-up (the mean shoulder abduction was 135 °, 146° and 109° measured pre-, early post- and late postoperatively, respectively). There was no correlation between changes in shoulder abduction and the radiological score of the shoulder.

Age as a Predictor of Long-Term Results in Patients with Brachial Plexus Palsies Undergoing Surgical Repair

2017 ◽  
Vol 15 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Mariano Socolovsky ◽  
Gilda di Masi ◽  
Gonzalo Bonilla ◽  
Ana Carolina Lovaglio ◽  
Dan López
Keyword(s):  
Brachial Plexus ◽  
Linear Trend ◽  
Age Groups ◽  
Elbow Flexion ◽  
Long Term Results ◽  
Shoulder Abduction ◽  
Age Group ◽  
Brachial Plexus Surgery ◽  
Type Of Injury

Abstract BACKGROUND Among other factors, like the time from trauma to surgery or the number of axons that reach the muscle target, a patient's age might also impact the final results of brachial plexus surgery. OBJECTIVE To identify (1) any correlations between age and the 2 outcomes: elbow flexion strength and shoulder abduction range; (2) whether childhood vs adulthood influences outcomes; and (3) other baseline variables associated with surgical outcomes. METHODS Twenty pediatric patients (under age 20 yr) who had sustained a traumatic brachial plexus injury were compared against 20 patients, 20 to 29 yr old, and 20 patients, 30 yr old or older. Univariate, univariate trend, and correlation analyses were conducted with patient age, time to surgery, type of injury, and number of injured roots included as independent variables. RESULTS A statistically significant trend toward decreasing mean strength in elbow flexion, progressing from the youngest to oldest age group, was observed. This linear trend persisted when subjects were subdivided into 4 age groups (<20, 20-29, 30-39, ≥40). There were no differences by age group in final shoulder abduction range or the percentage achieving a good shoulder outcome. CONCLUSION Our data suggest that age is somehow linked to the outcomes of brachial plexus surgery with respect to elbow flexion, but not shoulder abduction strength. Increasing age is associated with steadily worsening elbow flexion outcomes, perhaps indicating the need for earlier surgery and/or more aggressive repairs in older patients.

Long-Term Results of Surgery for Brachial Plexus Birth Palsy

2007 ◽  
Vol 89 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Mikko Kirjavainen ◽  
Ville Remes ◽  
Jari Peltonen ◽  
Pentti Kinnunen ◽  
Tiina Pöyhiä ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Long Term Results ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy ◽  
Results Of Surgery
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