title: Upper limb reinnervation in C6 tetraplegia using a triple nerve transfer: case report.
abstract: Restoration of elbow extension, grasp, key pinch, and release are major goals in low-level tetraplegia. Traditionally, these functions are achieved using tendon transfers. In this case these goals were achieved using nerve transfers. We present a 21-year-old man with a C6 level of tetraplegia. The left upper limb was treated 6 months after injury with a triple nerve transfer. A teres minor nerve branch to long head of triceps nerve branch, brachialis nerve branch to anterior interosseous nerve, and supinator nerve branch to posterior interosseous nerve transfer were used successfully to reconstruct elbow extension, key pinch, grasp, and release simultaneously.
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia. Electronic address: info@natashavanzyl.com.au.
authors: Natasha
authors: N
authors: van Zyl
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia.
authors: Jodie B
authors: JB
authors: Hahn
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia.
authors: Catherine A
authors: CA
authors: Cooper
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia.
authors: Michael D
authors: MD
authors: Weymouth
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia.
authors: Stephen J
authors: SJ
authors: Flood
authors: Victorian Spinal Cord Service, Austin Health, Heidelberg; Department of Medicine, University of Melbourne, Parkville, VIC, Australia.
authors: Mary P
authors: MP
authors: Galea
mesh_terms: D002574:Cervical Vertebrae / Q000293:injuries*; D004242:Diving / Q000293:injuries; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016067:Nerve Transfer / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods*; D011782:Quadriplegia; D034941:Upper Extremity / Q000294:innervation* / Q000601:surgery*; D055815:Young Adult
keywords: Nerve transfer; neurotization; reinnervation; spinal cord injury; tetraplegia