Nerve Transfers to Restore Shoulder Function.
The restoration of shoulder function after brachial plexus injury represents a significant challenge facing the peripheral nerve surgeons. This is owing to a combination of the complex biomechanics of the shoulder girdle, the multitude of muscles and nerves that could be potentially injured, and a limited number of donor options. In general, nerve transfer is favored over tendon transfer, because the biomechanics of the musculotendinous units are not altered. This article summarizes the surgical techniques and clinical results of nerve transfers for restoration of shoulder function.
Department of Medical Services, Institute of Orthopaedics, Lerdsin General Hospital, 190 Silom Road, Bangrak, Bangkok 10500, Thailand. Electronic address: somsakortho@gmail.com.
Somsak
S
Leechavengvongs
Department of Medical Services, Institute of Orthopaedics, Lerdsin General Hospital, 190 Silom Road, Bangrak, Bangkok 10500, Thailand.
Kanchai
K
Malungpaishorpe
Department of Medical Services, Institute of Orthopaedics, Lerdsin General Hospital, 190 Silom Road, Bangrak, Bangkok 10500, Thailand.
Chairoj
C
Uerpairojkit
Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan WN6 9EP, UK.
Chye Yew
CY
Ng
Department of Medical Services, Institute of Orthopaedics, Lerdsin General Hospital, 190 Silom Road, Bangrak, Bangkok 10500, Thailand.
Kiat
K
Witoonchart
D001917:Brachial Plexus / Q000293:injuries / Q000601:surgery; D006801:Humans; D016067:Nerve Transfer / Q000379:methods* / Q000534:rehabilitation; D059348:Peripheral Nerve Injuries / Q000534:rehabilitation / Q000601:surgery*; D010525:Peripheral Nerves / Q000033:anatomy & histology / Q000601:surgery; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012782:Shoulder / Q000033:anatomy & histology / Q000294:innervation* / Q000503:physiopathology; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000503:physiopathology
Brachial plexus injuries; Nerve injury; Nerve transfer; Shoulder function