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December 1, 1988Clinical Orthopaedics and Related Research

Neurotization in Brachial Plexus Injuries

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Why the study?

Does neurotization improve motor function in patients with brachial plexus injuries?

Population

Patients with brachial plexus injuries, particularly root avulsion injuries (n=134 cases)

Design

Case_series

Authors

ANA NarakasThe University of Texas at El PasoVHVincent R. HentzVA Palo Alto Health Care System

Discussion

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Overview

Neurotization may aid elbow flexion in brachial plexus injury; leaves open meaningful shoulder or finger recovery.

Structured PICO

Does neurotization improve motor function in patients with brachial plexus injuries?

P
Population
Patients with brachial plexus injuries, particularly root avulsion injuries (n=134 cases)
I
Intervention
Neurotization (nerve transfer) using the long thoracic nerve, accessory nerve, intercostal nerves, or various nerve transfers within the plexus
O
Outcome
Motor function recovery (elbow flexion, shoulder function, finger function)

Neurotization in brachial plexus injuries can restore good elbow flexion in over half of patients, but provides limited shoulder and no useful finger function.

Cite This Study

Narakas et al. (1988) studied this question.

synapsesocial.com/papers/6a96efc7672df19136a6deeahttps://doi.org/10.1097/00003086-198812000-00008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Surgical treatment of brachial plexus traction injuries in children, excluding obstetric palsy2003 · 41 citations
  2. 2Neurotization in microsurgical repair of obstetric brachial plexus palsy: Surgical outcome of different techniques2026
  3. 3Motor Nerve Transfers in Complete and Incomplete Brachial Plexus Injuries: A State-of-the-Art Review2026
  4. 4Supercharging of the axillary nerve with a nerve innervating the triceps in a partial traumatic brachial plexus injury of a 5-year-old child in India: a case report2026
  5. 5Sensory Restoration by Lateral Antebrachial Cutaneous to Ulnar Nerve Transfer in Children with Global Brachial Plexus Injuries2010 · 22 citations