title: Exposure of the retroclavicular brachial plexus by clavicle suspension for birth brachial plexus palsy.
abstract: Surgical exploration and reconstruction of the brachial plexus requires adequate exposure beyond the zone of injury. In the case of extensive lesions, some authors advocate clavicle osteotomy for an extensile approach. Such an osteotomy introduces further morbidity and may impact upon the delicate nerve reconstruction. A new simple but effective method of clavicle elevation is described that provides access to the retroclavicular brachial plexus during exploration for birth brachial plexus palsy.
authors.affiliation: *Department of Surgery, Division of Plastic Surgery, Seattle Children's Hospital †Department of Surgery, Division of Plastic Surgery, University of Washington, Seattle, WA ‡Department of Neurosurgery, Leiden University Medical Centre, Leiden, the Netherlands.
authors.forename: Raymond
authors.initials: R
authors.lastname: Tse
authors.forename: Willem
authors.initials: W
authors.lastname: Pondaag
authors.forename: Martijn
authors.initials: M
authors.lastname: Malessy
mesh_terms: D001917:Brachial Plexus / Q000293:injuries / Q000601:surgery*; D020516:Brachial Plexus Neuropathies / Q000209:etiology / Q000601:surgery*; D002968:Clavicle / Q000601:surgery*; D006801:Humans; D007223:Infant; D010246:Paralysis, Obstetric / Q000150:complications / Q000601:surgery*; D059348:Peripheral Nerve Injuries / Q000209:etiology / Q000601:surgery*