title: Use of contralateral spinal accessory nerve for ipsilateral suprascapular neurotization in global brachial plexus injury: a new technique.
abstract: Nerve transfer between the spinal accessory nerve (SAN) and the suprascapular nerve (SSN) is a standard technique in shoulder reanimation. In cases of global brachial plexus injury, donor nerves are few and at times severely traumatized owing to extensive traction forces. This precludes the application of standard nerve transfer techniques. The authors offer the use of the contralateral SAN as an additional option in the reinnervation of an injured SSN in such circumstances. To the best of their knowledge, this is the first successful attempt of this technique to be reported in the literature.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Command Hospital, Udhampur, Jammu & Kashmir; and.
authors.forename: Prem Singh
authors.initials: PS
authors.lastname: Bhandari
authors.affiliation: Department of Neuropathology, Army Hospital Referral & Research, Delhi, India.
authors.forename: Prabal
authors.initials: P
authors.lastname: Deb
mesh_terms: D000055:Accessory Nerve / Q000601:surgery*; D000328:Adult; D001917:Brachial Plexus / Q000601:surgery*; D020516:Brachial Plexus Neuropathies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D009416:Nerve Regeneration / Q000502:physiology; D016067:Nerve Transfer / Q000379:methods*; D010525:Peripheral Nerves / Q000601:surgery*
keywords: SAN = spinal accessory nerve; SSN = suprascapular nerve; contralateral spinal accessory nerve; global brachial plexus injury; ipsilateral suprascapular neurotization; technique