Nerve Transfers in Birth Related Brachial Plexus Injuries: Where Do We Stand?
This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve transfers is reviewed and compared with the recent literature on intraplexal distal nerve transfers in obstetrical brachial plexus injury.
Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: kristen.davidge@sickkids.ca.
Kristen M
KM
Davidge
Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Howard M
HM
Clarke
Division of Plastic & Reconstructive Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Gregory H
GH
Borschel
D001720:Birth Injuries / Q000175:diagnosis / Q000601:surgery*; D001917:Brachial Plexus / Q000293:injuries* / Q000601:surgery*; D020516:Brachial Plexus Neuropathies / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D016067:Nerve Transfer; D059348:Peripheral Nerve Injuries / Q000175:diagnosis / Q000601:surgery*; D014182:Transplantation, Autologous
Erb’s palsy; Nerve graft; Nerve transfer; Neurotization; Obstetrical brachial plexus palsy