Brachial plexus injury in adult: Comparative effectiveness of anterior and posterior approach for shoulder function
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 9
Abstract
Restoration of shoulder function is one of the most critical goals of treatment of brachial plexus injuries. Primary repair or nerve grafting of avulsion injuries of the upper brachial plexus in adults often leads to poor recovery. As our knowledge of shoulder neuromuscular anatomy and physiology improves and our experience with nerve transfers increases, so evolve the specific transfer procedures. This article presents a technique and rationale for reconstructing shoulder function by transferring the distal spinal accessory nerve to the suprascapular nerve through a posterior approach in 15 patients and anterior approach in 15 patients of different type of brachial plexus injury. Many different nerves have been utilized as donor nerves for transfer to the suprascapular nerve and axillary nerve for return of shoulder function with variable results. After identification of spinal accessory nerve on the anterior surface of trapezius and suprascapular nerve in suprascapular notch through posterior approach, trapezius function is preserved.
Authors and Affiliations
Dr. Hiren Rana, Dr. Saleshkumar Soni, Dr. Manav Suri, Dr. Jayesh Sachde, Dr. MF Shaikh
Keywords
Related Articles
- EP ID EP587121
- DOI -
- Views 140
- Downloads 0
Assessment of cases undergoing pancreatic surgery by ERAS (Enhanced recovery after surgery) protocol
Enhanced recovery after surgery (ERAS) is a multidisciplinary and evidence-based framework, developed to decrease perioperative surgical stress, accelerate postoperative recovery and significantly reduce the postoperativ...
Study of incidence and spectrum of congenital anomalies in newborn babies: A tertiary care hospital based study
Background: In a vast country like India, equitable child health, early detection and treatment of the childhood problems is of paramount importance for ensuring a healthy and dynamic future. The proportion of perinatal...
Pattern of intestinal parasitic infections at tertiary hospital in Riyadh, Saudi Arabia and its primary health clinics
Background: Intestinal parasites are considered one of the most common infectious organisms worldwide, 3.5 billion people are considered as affected and 450 million are considered ill as a result of its infections. Objec...
Laser assisted management of pyogenic granuloma of unusual size: A case report
Pyogenic granuloma is a non-neoplastic inflammatory hyperplasia which is also known as ‘Lobular Capillary Hemangioma’. Gingiva is the most commonly affected site for oral pyogenic granuloma followed by tongue, hard palat...
A comparative study of ropivacaine alone versus ropivacaine with dexmedetomidine in supraclavicular brachial plexus block: A randomized double blind controlled study
Background and Aims: Supraclavicular brachial plexus block is frequently used procedure to provide anaesthesia and good postoperative analgesia for surgery on upper limb. The purpose of this study was to compare the, sed...